Tag: opioid therapy

Opioids: Prescribe with Care

In the past several years, opioid misuse and abuse has become an increasing problem in our society. Recently, the death of music icon, Prince, was attributed to an accidental overdose of Fentanyl, a powerful synthetic opiate used to treat chronic pain. This problem is not limited to high-profile celebrities –– according to the Centers for… Read more »

Pain Medications: How Long is Too Long?

Revised by Kevin L. Zacharoff, MD December 2015 There are many different types of pain medications available to help healthcare providers treat patients with chronic pain. Depending on the specific medication, they can be obtained by prescription or are available over-the-counter (OTC). Pain medications provide an important component of most treatment plans intended to relieve… Read more »

A Systematic Approach to the Use of Opioids in the Treatment of Chronic Pain

Many clinicians may have reluctance to prescribe opioids for patients in pain outside of the most controlled of situations (i.e., when the patient is a hospital inpatient). This phenomenon is fairly well accepted by clinicians and patients, and is often the result of some combination of a variety of factors: – Clinicians who are not experts… Read more »

Opioid REMS Update 2013

When we last covered the topic of the FDA’s intended plans for curbing opioid risk, we felt confident that one thing was for sure – education would likely be a key ingredient of the ultimate implemented solution. As it turns out, our assumption was correct. As we mentioned in our opioid REMS update 2012, on Tuesday, April… Read more »

New Approaches to Combating Abuse of Opioids

Opioids play an important and omnipresent role in the treatment of moderate to severe acute and chronic pain. The fact of the matter is that in patients with acute pain, such as postoperative pain, opioids are utilized as the first-line treatment at least 98% of the time. Opioids are also recognized as the cornerstone of… Read more »

APS/AAPM Clinical Guidelines for Chronic Opioid Therapy in Patients with Noncancer Pain

The basis for the long-term use of opioids in the treatment of cancer pain has been fairly well established. Alternatively, a variety of controversies and differences of opinion have surrounded the use of opioid therapy when treating chronic noncancer pain. Issues range from the scientific basis for efficacy, safe and appropriate use, to health care… Read more »

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 »