PT - JOURNAL ARTICLE AU - Sinatra, Raymond TI - Opioid Analgesics in Primary Care: Challenges and New Advances in the Management of Noncancer Pain AID - 10.3122/jabfm.19.2.165 DP - 2006 Mar 01 TA - The Journal of the American Board of Family Medicine PG - 165--177 VI - 19 IP - 2 4099 - http://www.jabfm.org/content/19/2/165.short 4100 - http://www.jabfm.org/content/19/2/165.full SO - J Am Board Fam Med2006 Mar 01; 19 AB - Primary care attitudes affecting the use of strong opioids in pain management have changed considerably in the last 3 decades. Forces that have shaped current attitudes and trends in opioid prescribing include historical influences, regulatory factors, and technologic and scientific advances. The article identifies for primary care physicians the current challenges and issues surrounding the use of opioid analgesics for noncancer pain and examines how new technology and expanding knowledge have been applied to existing opioids such as morphine, oxymorphone, and fentanyl to address continuing challenges in pain management.