Adherence monitoring and drug surveillance in chronic opioid therapy

Scott M Fishman, Barth Wilsey, Jane Yang, Gary M. Reisfield, Tara B. Bandman, David Borsook

Research output: Contribution to journalArticlepeer-review

79 Scopus citations


Monitoring adherence with chronic opioid therapies is a critical yet often difficult task. Because chronic opioid therapy is often fraught with complex pharmacological, psychological, social, and legal issues, its application is often controversial or altogether avoided. Improved drug monitoring and surveillance may help reduce some of the reluctance to use chronic opioid therapy in patients with chronic pain states. We review the literature on patient adherence/compliance with chronic administration of opioids as well as novel methods by which adherence with opioid therapy can be measured. (C) U.S. Cancer Pain Relief Committee, 2000.

Original languageEnglish (US)
Pages (from-to)293-307
Number of pages15
JournalJournal of Pain and Symptom Management
Issue number4
StatePublished - Oct 2000


  • Adherence
  • Chronic opioid therapy
  • Compliance
  • Drug surveillance
  • Noncompliance
  • Opioids

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Neurology
  • Nursing(all)


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