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Editor's Correspondence
Aug 13/27, 2012

Long-term Analgesic Use: Sometimes Less Is Not More—Reply

Author Affiliations

Author Affiliations: Departments of Anesthesiology (Dr Alam), Medicine (Dr Bell), and Health Policy, Management, and Evaluation (Dr Bell), and The Leslie Dan Faculty of Pharmacy (Ms Gomes), University of Toronto, Toronto, Ontario, Canada; The Institute for Clinical Evaluative Sciences, Toronto (Ms Gomes and Dr Bell); and Keenan Research Centre, Li Ka-Shing Knowledge Institute, Department of Medicine, St Michael's Hospital, Toronto (Dr Bell).

Arch Intern Med. 2012;172(15):1189-1190. doi:10.1001/archinternmed.2012.2897

In reply

We thank Drs Krishnamoorthy and Bhalla for their comments and encouragement. One of the major limitations of our population-based study is the lack of clinical information regarding pain associated with procedures. Unfortunately, we cannot comment on the amount of pain that the patients we studied experienced, only on their use of opioids and nonsteroidal anti-inflammatory drugs (NSAIDs).1