#4 Opioid prescribing in chronic pain

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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

•http://jamanetwork.com/journals/jama/fullarticle/2503508

•SA health - http://www.sahealth.sa.gov.au/wps/wcm/connect/7b1378004ddce5e2965efe6d722e1562/Opioid_prescription_chronic_pain_guidelines_for_SA_GPs_ALL.PDF?MOD=AJPERES&CACHEID=7b1378004ddce5e2965efe6d722e1562

•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

•http://www.emrpcc.org.au/wp-content/uploads/2016/05/Opioid-Conversions-May-3-2016-final.pdf

•https://www.tga.gov.au/media-release/update-proposal-rescheduling-codeine-products

•2009 opioid rotation expert panel review and guidelines - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4065110 /