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#4 Opioid prescribing in chronic pain
Episode 4
Published 8 years, 9 months ago
Description
Today we will cover opioid prescribing guidelines for chronic non-cancer non-palliative care pain in adults. Enjoy!
Contents:
•New codeine laws 2018
•Opioids prescription facts and harms
•Evidence for opioids
•Types of opioids and equivalence dosing
•Side effects – short and long term
•Initiating and ongoing presciprtion
•Break through pain management
•Discontinuing
•Aberrant behaviour management and assessment
•Follow up consideration
•Not - opioid replacement therapy like methadone and suboxone
References:
•Qld health - https://www.health.qld.gov.au/__data/assets/pdf_file/0032/374693/ddu_quick_guide.pdf - great 4 pager
•CDC guidelines - https://www.cdc.gov/drugoverdose/prescribing/guideline.html
•Hunter integrated pain service NSW guidelines – great 2 pager https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0018/212760/Opioid_treatment_agreement.pdf
•Hunter Integrated Pain Service http://www.hnehealth.nsw.gov.au/Pain/Documents/Reconsidering_opioid_therapy_May%202014.pdf
•2009 opioid rotation expert panel review and guidelines - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4065110/