Tag: opioid safety

Opioid-Induced Constipation

Globally, it was estimated that a total of 365 million prescriptions were written for opioids in 2005, with 235 million of those written in the United States. A significant proportion of them were for the treatment of chronic pain. In the USA, 20% of prescriptions for opioid therapy were for over 30 days’ duration1. Today,… Read more »

Difficult Conversations about Opioid Medications: Final Thoughts

Undertaking opioid therapy for pain in the primary care setting is not an easy task. For this reason I wrote a series of articles for the PainEDU website covering eight different opioid-related conversations that may arise during an office visit. Without forethought and preparation a clinician may find that these conversations are ‘difficult’ ones to… Read more »

A Urine Screen Comes Back Positive for a Substance You Have Not Prescribed: Difficult Conversations, Part VIII

This is the eighth article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #8: A patient’s urine test comes back… Read more »

When a Patient Appears Intoxicated or Somnolent: Difficult Conversations, Part VII

This is the seventh article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #7: A patient appears to be intoxicated… Read more »

Urgent Calls and Unscheduled Visits: Difficult Conversations, Part V

This is the fifth article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #5: A patient encounters an urgent problem… Read more »

Reports of Lost or Stolen Medications: Difficult Conversations, Part IV

This is the fourth article in a series of eight articles by Ilene Robeck, M.D. regarding difficult conversations a primary care provider may have when dealing with patients with chronic pain. This series is meant to be a guide for primary care providers facing these situations.  Difficult situation #4: A patient reports their pain medication… Read more »

Opioid REMS Becomes a Reality

When PainEDU.org last covered the topic of the Food and Drug Administration (FDA’s) intended plans for curbing opioid risk, we felt confident one thing was for sure – that education would likely be a key ingredient in the ultimate implemented solution. On Tuesday, April 19th, 2011, a press conference was held to announce the White House’s National Prescription… Read more »