Assessing and treating co-occurring substance abuse

Jyothsna Karlapalem, Monica L. Broderick

Research output: Chapter in Book/Report/Conference proceedingChapter


Estimates of co-occurring substance abuse in patients with chronic pain and opioid use disorder vary between 3 and 48% based on the population studied and the definition of opioid use disorder. This chapter reviews the abuse patterns of the various substances abused by patients with chronic pain and comorbid opioid dependence and explores the interaction of specific substances with opioids. Rationale for the need to assess and treat for specific substances of abuse is discussed based on current literature and approach to assessment and treatment of these comorbid substances is also discussed.

Original languageEnglish (US)
Title of host publicationTreating Comorbid Opioid Use Disorder in Chronic Pain
PublisherSpringer International Publishing
Number of pages16
ISBN (Electronic)9783319298634
ISBN (Print)9783319298610
StatePublished - Jan 1 2016
Externally publishedYes


  • Assessment
  • Chronic pain
  • Opioid dependence
  • Substance abuse
  • Treatment

ASJC Scopus subject areas

  • General Medicine
  • Pharmacology, Toxicology and Pharmaceutics(all)


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