TY - JOUR
KW - Analgesics, Opioid/therapeutic use
KW - Centers for Disease Control and Prevention (U.S.)
KW - Chronic Pain/drug therapy
KW - Humans
KW - Maintenance Chemotherapy
KW - Opioid-Related Disorders/prevention & control
KW - Practice Guidelines as Topic
KW - United States
KW - Analgesics
KW - Chronic Pain
KW - Opioid
AU - A. L. Gordon
AU - S. L. Connolly
A1 - 
AB - The CDC Guideline for Prescribing Opioids for Chronic Pain, published last March, provided major steps toward bringing the medical community together to address the opioid epidemic in the U.S. However, the Guideline focuses primarily on treatment of new inductions into opioid therapy for pain. Physicians may have difficulty figuring out how to apply the CDC's recommendations to patients who are already receiving opioid maintenance therapy for chronic pain. Patients already maintained on opioids for chronic pain should not be subjected to abrupt cessation or rapid tapers, and the CDC's Guideline confirms this. Physicians should not balk from treating opioid-dependent patients with chronic pain, and the CDC's recommendations do contain helpful information if one reads through them carefully. This article attempts to distill the major points from the Guideline for the treatment of chronic-pain patients already on long-term opioid therapy.[Full article available at http://rimed.org/rimedicaljournal-2017-10.asp].
AD - Chief of Clinical Addiction Services, Butler Hospital; Clinical Associate Professor of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI.; Resident of Psychiatry, Arrowhead Regional Medical Center, 400 N Pepper Ave, Colton, CA.
BT - Rhode Island medical journal (2013)
C5 - Opioids & Substance Use
CP - 10
CY - United States
IS - 10
JF - Rhode Island medical journal (2013)
M1 - Journal Article
N2 - The CDC Guideline for Prescribing Opioids for Chronic Pain, published last March, provided major steps toward bringing the medical community together to address the opioid epidemic in the U.S. However, the Guideline focuses primarily on treatment of new inductions into opioid therapy for pain. Physicians may have difficulty figuring out how to apply the CDC's recommendations to patients who are already receiving opioid maintenance therapy for chronic pain. Patients already maintained on opioids for chronic pain should not be subjected to abrupt cessation or rapid tapers, and the CDC's Guideline confirms this. Physicians should not balk from treating opioid-dependent patients with chronic pain, and the CDC's recommendations do contain helpful information if one reads through them carefully. This article attempts to distill the major points from the Guideline for the treatment of chronic-pain patients already on long-term opioid therapy.[Full article available at http://rimed.org/rimedicaljournal-2017-10.asp].
PP - United States
PY - 2017
SN - 2327-2228; 0363-7913
SP - 41
EP - 44
EP - 
T1 - Treating Pain in an Established Patient: Sifting Through the Guidelines
T2 - Rhode Island medical journal (2013)
TI - Treating Pain in an Established Patient: Sifting Through the Guidelines
U1 - Opioids & Substance Use
U2 - 28968622
VL - 100
VO - 2327-2228; 0363-7913
Y1 - 2017
Y2 - Oct 2
ER -