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January 7, 1998

Pain Management and Chemical Dependency—Reply

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(1):17-18. doi:10.1001/jama.279.1.17

In Reply.— Our Commentary about pain and chemical dependency sought to highlight a disquieting situation: physicians who specialize in pain management or who treat patients with chronic pain in primary care know little about addiction medicine, and those who primarily treat patients with substance abuse know little about the management of pain. Given the overlapping importance of opioid drugs, the monitoring of drug-related behaviors in both of these disciplines, and the potential overlap in the neurobiological substrates of chronic pain and addiction, these deficiencies could compromise both patient care and research.

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