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Chronic pain in elderly (nursing home)

1st choice: Acetaminophen ( Max 4000 mg/day, if no contraindication)

If not respond or cantâ„¢t tolarate: Narcotic (Oxycodone) NSAID not preferred --increase risk of silent GI bleeding

It is true??
For chronic osteoarthritis pain: topical analgesics (capsaicin cream) or glucosamine