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Sunday, 07/24/2016 10:53:03 AM

Sunday, July 24, 2016 10:53:03 AM

Post# of 15274
https://health.clevelandclinic.org/2016/07/new-opioid-guidelines-change-prescriptions

A considered approach to managing pain
Here are changes you may see in your doctor’s approach. According to the CDC’s suggestions for managing pain, your doctor should:

Look for non-opioid therapy options first. He or she should think about an opioid to treat chronic pain only when benefits outweigh risks. And that is the bottom line, Try Calmare first!


Work with you to create a plan to treat your pain. The plan should set realistic goals and focus on limiting opioid use. You and you doctor should also discuss how you will stop taking the drugs when the time comes.
Talk to you about the risks and benefits of controlling pain with opioids. You should discuss this before you first take them and, over time, for as long as you take them.
Try immediate-release opioids first. He or she should opt for extended-release drugs only if immediate-release opioids don’t work.
Start low; go slow. He or she should take care to start your therapy with the lowest dose necessary, and increase the dose slowly — and only if needed.
Limit your opioid therapy for acute pain to less than three days. Prescribing opioids for more than seven days should typically be rare. (Long-term use and abuse often begin with doctors treating pain from an injury or surgery.)
Review how therapy is going. Your doctor should meet with you within one to four weeks of starting therapy for chronic pain to review how it is helping or hurting you.
Use strategies to reduce risks. He or she should focus on your history and risk factors.
Review your controlled-substance history every three months. Your doctor should check to make sure you are using prescribed drugs safely.
Give you a urine test before prescribing opioids. This will help him or her double check on what prescribed drugs and other substances you use.
Avoid prescribing opioids and benzodiazepines (tranquilizers) at the same time, if possible. Using them at the same time puts patients at greater risk for a potentially fatal overdose.
Offer assisted treatments for patients with a history of abuse or dependence problems. The CDC suggests using drugs like methadone along with behavior therapy as an alternative.
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