Howard S Smith

Summary

Affiliation: Albany Medical College
Country: USA

Publications

  1. doi request reprint Perioperative intravenous acetaminophen and NSAIDs
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, Albany, New York 12208, USA
    Pain Med 12:961-81. 2011
  2. pmc Safety and efficacy of intrathecal ziconotide in the management of severe chronic pain
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, New York, USA
    Ther Clin Risk Manag 5:521-34. 2009
  3. pmc Pharmacotherapy for fibromyalgia
    Howard S Smith
    Department of Anesthesiology, Albany Medical College Albany, NY, USA
    Front Pharmacol 2:17. 2011
  4. pmc Duloxetine in the management of chronic musculoskeletal pain
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, Albany, NY
    Ther Clin Risk Manag 8:267-77. 2012
  5. pmc Considerations in selecting rapid-onset opioids for the management of breakthrough pain
    Howard S Smith
    Departments of Anesthesiology, Medicine, and Physical Medicine and Rehabilitation Albany Medical College, Albany, NY, USA
    J Pain Res 6:189-200. 2013
  6. doi request reprint Opioid induced nausea and vomiting
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, 47 New Scotland Avenue, MC 131, Albany, NY 12208, USA Electronic address
    Eur J Pharmacol 722:67-78. 2014
  7. doi request reprint Loin pain hematuria syndrome-visceral or neuropathic pain syndrome?
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, NY 12208, USA
    Clin J Pain 28:646-51. 2012
  8. ncbi request reprint Opioids and neuropathic pain
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, 47 New Scotland Avenue MC 131 Albany, New York 12208, USA
    Pain Physician 15:ES93-110. 2012
  9. ncbi request reprint Treatment considerations in painful HIV-related neuropathy
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, NY, USA
    Pain Physician 14:E505-24. 2011
  10. pmc A comprehensive review of rapid-onset opioids for breakthrough pain
    Howard Smith
    Departments of Anesthesiology, Medicine, and Physical Medicine and Rehabilitation, Albany Medical College, Albany, NY 12208, USA
    CNS Drugs 26:509-35. 2012

Collaborators

Detail Information

Publications60

  1. doi request reprint Perioperative intravenous acetaminophen and NSAIDs
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, Albany, New York 12208, USA
    Pain Med 12:961-81. 2011
    ..g., earlier ambulation and discharge)...
  2. pmc Safety and efficacy of intrathecal ziconotide in the management of severe chronic pain
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, New York, USA
    Ther Clin Risk Manag 5:521-34. 2009
    ..With appropriate usage multiple studies have shown ziconotide to be a safe and effective intrathecal analgesic alone or in combination with other intrathecal analgesics...
  3. pmc Pharmacotherapy for fibromyalgia
    Howard S Smith
    Department of Anesthesiology, Albany Medical College Albany, NY, USA
    Front Pharmacol 2:17. 2011
    ..Finally a clinical algorithm will be presented for the step-wise management of pain and other associated symptoms of FM...
  4. pmc Duloxetine in the management of chronic musculoskeletal pain
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, Albany, NY
    Ther Clin Risk Manag 8:267-77. 2012
    ..The role of duloxetine for musculoskeletal conditions is still evolving...
  5. pmc Considerations in selecting rapid-onset opioids for the management of breakthrough pain
    Howard S Smith
    Departments of Anesthesiology, Medicine, and Physical Medicine and Rehabilitation Albany Medical College, Albany, NY, USA
    J Pain Res 6:189-200. 2013
    ..With the range of fentanyl formulations available, it is now possible to successfully address BTP in the majority of patients...
  6. doi request reprint Opioid induced nausea and vomiting
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, 47 New Scotland Avenue, MC 131, Albany, NY 12208, USA Electronic address
    Eur J Pharmacol 722:67-78. 2014
    ..However, there exists potential current strategies that may be useful in efforts to diminish the frequency and/or intensity of opioid-induced nausea/vomiting (OINV). ..
  7. doi request reprint Loin pain hematuria syndrome-visceral or neuropathic pain syndrome?
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, NY 12208, USA
    Clin J Pain 28:646-51. 2012
    ..A brief review of LPHS potential pathophysiology and potential treatment approaches is presented...
  8. ncbi request reprint Opioids and neuropathic pain
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, 47 New Scotland Avenue MC 131 Albany, New York 12208, USA
    Pain Physician 15:ES93-110. 2012
    ....
  9. ncbi request reprint Treatment considerations in painful HIV-related neuropathy
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, NY, USA
    Pain Physician 14:E505-24. 2011
    ..The risk benefit ratio of treatment with agents such as NRTIs as well as opioids should be reviewed for specific individual patients, prior to clinicians initiating these agents...
  10. pmc A comprehensive review of rapid-onset opioids for breakthrough pain
    Howard Smith
    Departments of Anesthesiology, Medicine, and Physical Medicine and Rehabilitation, Albany Medical College, Albany, NY 12208, USA
    CNS Drugs 26:509-35. 2012
    ..The findings of this review suggest that the efficacy and safety of the approved rapid-onset opioids are comparable...
  11. doi request reprint Pharmacokinetics of intravenous ibuprofen: implications of time of infusion in the treatment of pain and fever
    Howard S Smith
    Department of Anesthesiology, Albany Medical Center, Albany, NY 12208, USA
    Drugs 72:327-37. 2012
    ....
  12. doi request reprint Gout: current insights and future perspectives
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, New York 12208, USA
    J Pain 12:1113-29. 2011
    ....
  13. pmc Explosive growth of facet joint interventions in the Medicare population in the United States: a comparative evaluation of 1997, 2002, and 2006 data
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY, 42003, USA
    BMC Health Serv Res 10:84. 2010
    ..The purpose of the study was to determine trends of frequency and cost of facet joint interventions in managing spinal pain...
  14. ncbi request reprint Proton pump inhibitors and pain
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, NY 12208, USA
    Pain Physician 12:1013-23. 2009
    ..While there is no robust direct evidence to support any associations of PPIs and iron deficiency or PPIs associated with RLS-like symptoms (including RLSAP), it is hoped that this manuscript may spark research efforts on this issue...
  15. ncbi request reprint The role of genomic oxidative-reductive balance as predictor of complex regional pain syndrome development: a novel theory
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, NY 12208, USA
    Pain Physician 13:79-90. 2010
    ..Furthermore, it could lead to the development of novel prevention or intervention strategies, in efforts to prevent, abort, or ameliorate the development of and/or effectively treat complex regional pain syndrome...
  16. pmc Opioid metabolism
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, Albany, NY 12208, USA
    Mayo Clin Proc 84:613-24. 2009
    ..Articles selected for inclusion discussed general physiologic aspects of opioid metabolism, metabolic characteristics of specific opioids, patient-specific factors influencing drug metabolism, drug interactions, and adverse events...
  17. doi request reprint Painful hidradenitis suppurativa
    Howard S Smith
    Department of Anesthesiology, Academic Director of Pain Management, Albany Medical College, Albany, NY 12208, USA
    Clin J Pain 26:435-44. 2010
    ..A greater understanding of the diagnosis, pathophysiology, and potential treatment options for HS patients may help providers to be better able to contribute to care of patients with painful hidradenitis suppurativa...
  18. ncbi request reprint Activated microglia in nociception
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, NY 12208, USA
    Pain Physician 13:295-304. 2010
    ..A greater appreciation of the roles of various mediators/paths which activate microglia might help lead to future novel therapeutic targets in efforts to ameliorate severe symptoms of neuropathic pain...
  19. doi request reprint Fibromyalgia syndrome: a discussion of the syndrome and pharmacotherapy
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, NY 12208, USA
    Am J Ther 17:418-39. 2010
    ....
  20. doi request reprint Personalized pharmacotherapy for treatment approaches focused at primary insomnia
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, NY, USA
    Am J Ther 18:227-40. 2011
    ....
  21. ncbi request reprint Fibromyalgia: an afferent processing disorder leading to a complex pain generalized syndrome
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, NY 12208, USA
    Pain Physician 14:E217-45. 2011
    ..g., duloxetine, milnacipran] and alpha 2-delta receptor ligands [e.g., pregabalin]) might improve symptoms as well as function in patients with fibromyalgia...
  22. doi request reprint Pharmacological treatment of diabetic neuropathic pain
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, New York 12208, USA
    Drugs 71:557-89. 2011
    ..It is hoped that in the future clinicians will be able to assess patient pathophysiology, which may help them to match optimal therapeutic agents to target individual patient aberrant mechanisms...
  23. doi request reprint Morphine sulfate and naltrexone hydrochloride extended release capsules for the management of chronic, moderate-to-severe pain, while reducing morphine-induced subjective effects upon tampering by crushing
    Howard S Smith
    Pain Management Center, Albany Medical College, Department of Anesthesiology, Albany, NY 12208, USA
    Expert Opin Pharmacother 12:1111-25. 2011
    ....
  24. doi request reprint The metabolism of opioid agents and the clinical impact of their active metabolites
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, Albany, NY 12208, USA
    Clin J Pain 27:824-38. 2011
    ....
  25. ncbi request reprint Painful osseous metastases
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, 47 New Scotland Avenue, MC 131, Albany, New York 12208, USA
    Pain Physician 14:E373-403. 2011
    ..Additionally, potential future therapeutic approaches to painful osseous metastases may revolutionize approaches to analgesia for this condition, leading to optimal outcomes with maximal pain relief and minimal adverse effects...
  26. ncbi request reprint Hydrogen sulfide's involvement in modulating nociception
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, NY 12208, USA
    Pain Physician 12:901-10. 2009
    ..A greater understanding of the clinically significant human physiology of H2S and hydrogen sulfide's effects on modulating nociceptive processes may potentially lead to novel targets for improving analgesia...
  27. ncbi request reprint Calcineurin as a nociceptor modulator
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, NY 12208, USA
    Pain Physician 12:E309-18. 2009
    ..A greater understanding of the physiology of calcineurin, especially as it relates to modulating nociception may lead to the development of novel analgesic targets in attempts to optimally alleviate patient discomfort...
  28. ncbi request reprint Documentation and potential tools in long-term opioid therapy for pain
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, 47 New Scotland Avenue, MC 131 Albany, New York 12208, USA
    Anesthesiol Clin 25:809-23, vii. 2007
    ..Several potential tools and documentation strategies are discussed that will aid clinicians in providing evidence for the continuation of this type of treatment for their patients...
  29. ncbi request reprint Documentation and potential tools in long-term opioid therapy for pain
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, 47 New Scotland Avenue, MC 131 Albany, New York 12208, USA
    Med Clin North Am 91:213-28. 2007
    ..Several potential tools and documentation strategies re discussed that will aid clinicians in providing evidence for the continuation of this type of treatment for their patients...
  30. ncbi request reprint Combination opioid analgesics
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, Albany, NY 12208, USA
    Pain Physician 11:201-14. 2008
    ..combinations to combat dependency issues/addiction potential/craving sensations. Combination opioid analgesics are one avenue which may give rise to "pain pills" with improved analgesic profiles over existing analgesic medications...
  31. ncbi request reprint Peripherally-acting opioids
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, Albany, NY 12208, USA
    Pain Physician 11:S121-32. 2008
    ..Peripherally-acting opioids, which capitalize on peripheral endogenous opioid analgesic systems, may be one potential future strategy which may be utilized in efforts to achieve potent analgesia with minimal side effects...
  32. ncbi request reprint Intrathecal drug delivery
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, Albany, NY 12208, USA
    Pain Physician 11:S89-S104. 2008
    ..Further clinical studies are needed to evaluate the efficacy and safety of new intrathecal drugs, the complications related to these devices, and the proper selection of patients to receive these treatments...
  33. ncbi request reprint Systematic review of the role of sedation in diagnostic spinal interventional techniques
    Howard S Smith
    Albany Medical College, Albany, NY 12208, USA
    Pain Physician 12:195-206. 2009
    ..Further, there is no consensus with regards to sedation prior to controlled diagnostic blocks and their influence on the accuracy and validity of a diagnosis...
  34. ncbi request reprint Potential analgesic mechanisms of acetaminophen
    Howard S Smith
    Albany Medical College, Albany, NY 12208, USA
    Pain Physician 12:269-80. 2009
    ..A greater understanding of APAP's analgesic mechanisms may promote optimal utilization of analgesic polypharmacy...
  35. ncbi request reprint Variations in opioid responsiveness
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, Albany, NY 12208, USA
    Pain Physician 11:237-48. 2008
    ..In the future, armed with data of this type, clinicians may become quite adept at tailoring appropriate opioid therapy as well as optimal opioid rotation strategies...
  36. ncbi request reprint Chronic opioid therapy issues associated with opioid abuse potential
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, New York, USA
    J Opioid Manag 5:287-300. 2009
    ..Finally, discussion is presented regarding what practices seen in opioid prescribing can be considered "in-or-out" of the mainstream box...
  37. ncbi request reprint Applying partially occluded fentanyl transdermal patches to manage pain in pediatric patients
    Amy Mitchell
    Albany Medical Center, New York, USA
    J Opioid Manag 6:290-4. 2010
    ..A technique of using a partially occluded FTP is presented in an effort to encourage further study of this and perhaps other techniques...
  38. ncbi request reprint Pain responsiveness to opioids: central versus peripheral neuropathic pain
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, New York, USA
    J Opioid Manag 7:391-400. 2011
    ....
  39. ncbi request reprint Oral administration of (131)I by semiautomatic pipette to a patient with severe swallowing difficulties: a case report
    Maroun Karam
    Nuclear Medicine Section, Radiology Department, Albany Medical College, Albany, New York 12208, USA
    J Nucl Med Technol 31:161-2. 2003
    ..In patients with swallowing difficulties, use of the pipette constitutes a safe and efficient means to deliver (131)I-sodium iodide by the oral route...
  40. ncbi request reprint Arachidonic acid pathways in nociception
    Howard S Smith
    Department of Anesthesiology, Albany Medical College, Albany, New York, USA
    J Support Oncol 4:277-87. 2006
    ....
  41. ncbi request reprint Myofascial trigger points
    Elizabeth Demers Lavelle
    Department of Anesthesiology, Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USA
    Anesthesiol Clin 25:841-51, vii-iii. 2007
    ..The etiology, pathophysiology, and treatment of myofascial trigger points are addressed in this article...
  42. ncbi request reprint An update of evaluation of intravenous sedation on diagnostic spinal injection procedures
    Howard S Smith
    Albany Medical College, Albany, NY, USA
    Pain Physician 16:SE217-28. 2013
    ..Moreover, there is no consensus with regards to the use of sedation analgesic measures prior to controlled diagnostic blocks and their influence on the accuracy and validity of a diagnosis...
  43. ncbi request reprint Review article: palliative care in gynecologic oncology
    Youssef Rezk
    Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Albany Medical College, Albany, NY 12208, USA
    Am J Hosp Palliat Care 28:356-74. 2011
    ..There remains a real need for more emphasis on palliative care education in training programs...
  44. doi request reprint Analgesic prescribing errors and associated medication characteristics
    Howard S Smith
    Department of Anesthesiology, Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USA
    J Pain 12:29-40. 2011
    ....
  45. ncbi request reprint Myofascial trigger points
    Elizabeth Demers Lavelle
    Department of Anesthesiology, Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USA
    Med Clin North Am 91:229-39. 2007
    ..The etiology, pathophysiology, and treatment of myofascial trigger points are addressed in this article...
  46. doi request reprint Overview of pain management in older persons
    Glenn Deane
    Department of Sociology, University at Albany, State University of New York, Albany, NY 12222, USA
    Clin Geriatr Med 24:185-201, v. 2008
    ..It also describes treatment options that are both available and acceptable to older adults...
  47. doi request reprint Painful boney metastases
    Howard S Smith
    1Department of Anesthesiology, Albany Medical College, Albany, NY Departments of2Anesthesiology 3Family Medicine, and 4Pharmacology, Rush University Medical College, Chicago, IL 5Department of Anesthesiology, NorthShore University Health System, Evanston, IL and 6Skokie Hospital Pain Centers, Skokie, IL
    Am J Ther 21:106-30. 2014
    ..Additionally, potential future therapeutic approaches to painful osseous metastases may revolutionize approaches to analgesia for this condition, leading to optimal outcomes with maximal pain relief and minimal adverse effects. ..
  48. ncbi request reprint Prescription opioid abuse in chronic pain: a review of opioid abuse predictors and strategies to curb opioid abuse
    Nalini Sehgal
    University of Wisconsin School of Medicine and Public Health, Department of Orthopedics and Rehabilitation, Madison, WI 53595, USA
    Pain Physician 15:ES67-92. 2012
    ....
  49. ncbi request reprint Painful rheumatoid arthritis
    Howard S Smith
    Albany Medical College, Department of Anesthesiology, Albany, NY 12208, USA
    Pain Physician 14:E427-58. 2011
    ..This narrative review of rheumatoid arthritis is intended to familiarize the interventional pain specialist with current concepts surrounding rheumatoid arthritis...
  50. ncbi request reprint Meloxicam and selective COX-2 inhibitors in the management of pain in the palliative care population
    Howard S Smith
    UPMC Presbyterian Pain Medicine, Department of Anesthesiology, Pittsburgh, Pennsylvania, USA
    Am J Hosp Palliat Care 20:297-306. 2003
    ..New COX-2 selective agents are discussed, including valdecoxib, parecoxib, etoricoxib, and COX-189...
  51. ncbi request reprint Opioids for persistent noncancer pain
    Gary McCleane
    Rampark Pain Centre, 2 Rampark Dromore Road, Lurgan BT66 7JH, Northern Ireland, UK
    Anesthesiol Clin 25:787-807, vi-ii. 2007
    ..Problems associated with opioids dictate that more efficacious and safer drugs need to be found...
  52. ncbi request reprint Opioids for persistent noncancer pain
    Gary McCleane
    Rampark Pain Centre, 2 Rampark Dromore Road, Lurgaqn BT66 7JH, Northern Ireland, UK
    Med Clin North Am 91:177-97. 2007
    ..This article concentrates on this "new" evidence as disclosed by recent publications...
  53. ncbi request reprint Opioid-related issues "popping" up again
    Howard S Smith
    Pain Physician 11:S1-4. 2008
  54. doi request reprint Special issues and concerns in the evaluation of older adults who have pain
    Kenneth L Kirsh
    Pharmacy Practice and Science, University of Kentucky, 725 Rose Street, 201B, Lexington, KY 40536 0082, USA
    Clin Geriatr Med 24:263-74, vi. 2008
    ....
  55. ncbi request reprint Botulinum toxin in pain management of soft tissue syndromes
    Howard S Smith
    University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
    Clin J Pain 18:S147-54. 2002
    ..Proper patient selection, injection technique, and dosing are critical to obtaining the best outcomes in managing pain with botulinum toxin. Additional study is needed to better characterize its use for the treatment of pain...
  56. ncbi request reprint Use of meperidine in patient-controlled analgesia and the development of a normeperidine toxic reaction
    Thomas T Simopoulos
    Department of Anesthesiology and Critical Care, Postoperative Pain Services, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA 02215, USA
    Arch Surg 137:84-8. 2002
    ..Intravenous patient-controlled analgesia (IV PCA) meperidine hydrochloride can be used with a reasonable margin of safety...
  57. ncbi request reprint Management of hiccups in the palliative care population
    Howard S Smith
    Presbyterian University Hospital, University of Pittsburgh Medical Center, Pennsylvania, USA
    Am J Hosp Palliat Care 20:149-54. 2003
    ..Baclofen seems to be a promising drug for use with both palliative care and perioperative patients, and using garabentin as an add-on to baclofen may also be a reasonable option to consider..
  58. ncbi request reprint Epidural steroids in the management of chronic spinal pain: a systematic review
    Salahadin Abdi
    University of Miami, Miller School of Medicine, Miami, FL 33136, USA
    Pain Physician 10:185-212. 2007
    ..However, there has been a lack of well-designed randomized, controlled studies to determine the effectiveness of epidural injections. Consequently, debate continues as to the value of epidural steroid injections in managing spinal pain...
  59. ncbi request reprint Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain
    Mark V Boswell
    American Society of Interventional Pain Physicians, Paducah, KY 42001, USA
    Pain Physician 10:7-111. 2007
    ..The evidence-based practice guidelines for the management of chronic spinal pain with interventional techniques were developed to provide recommendations to clinicians in the United States...