4 general points to consider when treating acute or chronic pain with opioids: In opioid-naïve patients, treatment by a clinician who prescribes opioids more frequently than their peers is strongly correlated with subsequent long-term opioid use in patients. Treatment of acute severe pain with opioids may be appropriate. Follow the […]
Question 10
One large fair-quality retrospective cohort study (Dunn et al, 2010) found that recent opioid use was associated with increased risk for any overdose events and also associated with serious overdose events when compared to patients not on opioids. This study also found that with higher doses risk increases. Compared to […]
Question 11
A recent study was performed in Tennessee (see references) to compare all-cause mortality for patients with chronic non-cancer pain and no evidence of palliative or end-of-life care who were prescribed either long-acting opioids or alternative medications for moderate to severe chronic pain. Propensity score-matching was used to compare new episodes […]
Question 12
References: Chang AK, Bijur PE, Esses D, et al. Effect of a single dose of oral opioid and nonopioid analgesics on acute extremity pain in the emergency department: a randomized clinical trial. JAMA. 2017; 318(17):1661-1667 Cherkin DC, Sherman KJ, Balderson BH, et al. Effect of mindfulness-based stress reduction vs cognitive […]
Question 13
If a patient is given 3-10 day prescription but they have reaction to the medication, it is okay to prescribe a different opioid within the 10-day window as long as these conditions are met: Tenn. Code Ann. § 63-1-164 A patient shall not be treated with an opioid more frequently than every […]
New – User Account Setting
Go to QuizTime. Select Log In. Hover over the account name on the top right. You will see a drop-down menu contain the User Settings, The Delivery Options and Log Out. Note: If your profile is not completed, you will see a warning triangle shape beside the account name as well as a […]