RT Journal
A1 Whittle SL, Richards BL, Buchbinder R
T1 OPioid analgesics for rheumatoid arthritis pain
JF JAMA
JO JAMA
YR 2013
FD February 6
VO 309
IS 5
SP 485
OP 486
DO 10.1001/jama.2012.193412
UL http://dx.doi.org/10.1001/jama.2012.193412
AB Clinical Question 
                  Do the benefits of opioid analgesics outweigh the risks in patients with persistent pain due to rheumatoid arthritis?Bottom Line 
                  Weak opioids (such as codeine, dextropropoxyphene, and tramadol) may be effective in the short-term management of rheumatoid arthritis pain, but adverse effects are common and may outweigh the benefits; alternative analgesics should be considered first.