QUESTIONS & DETAILED COMPLETE
SOLUTIONS
·Guiding principles for prescribers
determining when to initiate or continue opioids for chronic pain
opioid selection, dosage, duration, follow-up, and discontinuation
assessing risk and addressing harms of opioid use
Opioids are not first-line therapy
Establish goals for pain and function
Discuss risk and benefits
Use immediate-release opioids when starting
Use the lowest effective dose
Prescribe short durations for acute pain
Evaluate benefits and harms frequently
Use strategies to mitigate risk
Review PDMP data
Use urine drug testing
Avoid concurrent opioid and benzodiazepine prescribing
Offer treatment for opioid disorder
·Examples of pure opioid agonists
pure opioid antagonists act as antagonists at µ and κ receptors. Narcan (Naloxone)
What is used to calculate a patient's overdose risk?
Morphine milligram equivalent scale