PPT-Taking The Exit Ramp Managing the complications of chronic opioid use

Daniel P Edney MD FACP Objectives Review common complications Review CDC treatment guidelines Review basic exit strategies Common Complications Tolerance Dependency Opioid Induced Hyperalgesia. Eva Szigethy MD, PhD . Associate Professor of Psychiatry, Pediatrics and Medicine. Director, Visceral Inflammation and Pain (VIP) Center. Division of Gastroenterology. szigethye@upmc.edu. Szigethy: Disclosures. St. Louis District. National Rank. WWD Fatal Crashes. State. Average Frequency. Percent of U.S.. Total. Texas. 38. 14%. California. 26. 10%. Florida. 21. 8%. Pennsylvania. 11. 4%. Missouri. 10. 4%. Mississippi. Everyone on controlled substances is, however, at increased risk of addition.. ADDICTION VERSUS . DEPENDENCE. Physical dependence. …is manifested as a characteristic set of withdrawal signs and symptoms that emerge on reduction or complete cessation of use of an active compound.. National Rank. WWD Fatal Crashes. State. Average Frequency. Percent of U.S.. Total. Texas. 38. 14%. California. 26. 10%. Florida. 21. 8%. Pennsylvania. 11. 4%. Missouri. 10. 4%. Mississippi. 9. 3%. WWD National Findings. Annie Ottney, . PharmD. , BCPS. Learning Objective. Identify non-opioid medications that can be used in the management of chronic pain. Opioid Epidemic . Concurrent use of opioids and benzodiazepines across United States is HIGH. MPhA. MTM Fall Symposium. Kathryn Perrotta, . PharmD. , MBA, BCPS. November 16, 2012. Disclosure Statement. Define the health economic impact of the use of . opioid. analgesics in the treatment of pain . The Role of Opioid Medication in Chronic Pain Management Lorraine Widdall, MS APRN BC Interventional Spine and Pain Center Effective December 15, 2013 Emergency rule that temporarily adds provisions under P.L. 185-2013 (SEA246) regarding physicians prescribing opioids for chronic pain. NOVEMBER 29, 2018 Managing Chronic Pain and Addiction in Individuals with Serious Illness JESSICA S. MERLIN, MD, PHD ASSOCIATE PROFESSOR OF MEDICINE DIVISION OF GENERAL INTERNAL MEDICINE SECTION OF PALLIATIVE CARE AND MEDICAL ETHICS Appropriate Opioid Medication Use as Part of a Comprehensive Pain Management Approach MPhA MTM Fall Symposium Kathryn Perrotta, PharmD , MBA, BCPS November 16, 2012 Disclosure Statement Define the health economic impact of the use of Dean Drosnes, MD, FASAM. Associate Medical Director. Director, Chronic Pain Treatment Program. Caron Treatment Centers. Disclosures. Name. Commercial Interests. Relevant Financial Relationships: What Was Received. Presenter:. Md Atiquzzaman. Graduate Research Assistant. Highway Research Center. Auburn University, Auburn, Alabama. Outline. Objectives and Motivation. Data Collection. Comparative Analysis. Conclusions. This . project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under contract number HHSH250201600015C. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.. . Pain. An . Educational . Slide. . Set. American Society of Hematology . 2020 Guidelines . for . Management of . Venous . Thromboembolism. Slide . set. . authors:. Ahmar . U. . Zaidi, . MD, . Children’s . Lets review the drug cupboard. Paracetamol . Does it work?. Not sure . how. paracetamol works? . . - COX-2, ‘cannabinoid’, serotonin? . Mainstay analgesic in most chronic pain protocols. Not .