Opioid epidemic Flashcards Preview

Pharm > Opioid epidemic > Flashcards

Flashcards in Opioid epidemic Deck (19):
1

What therapies are preferred for chronic pain now?

Nonpharmacolgoic therapy
Nonopioid meds

2

What type of opioids are preferred now?

Immediate release instead of extended-release/long acting

3

What is the preferred prescribed dose of opioids? How are you monitoring this?

Lowest effective dose
Reassess risks and benefits when doses increase to ≥ 50 morphine milligram equivalents (MME) per day and avoid increasing to ≥ 90 MME without careful justification

4

What is the dosing of opioids for acute pain?

Lowest effective dose of IR opioids for 3-7 days

5

How often do you evaluate the benefit and harm of opioids?

Evaluate first w/in 1-4 weeks of starting
Then again every 3 months or so

6

What is a strategy to mitigate risk of opioid use?

Offering naloxone

7

What should you monitor with pts if thinking of giving them an opioid?

Their controlled substance use

8

What should you test before starting opioid therapy? How often should you do this?

Urine drug testing
At least annually

9

What should you not prescribe w/ opioids?

Benzos

10

What should you do for pts w/ opioid-use disorder?

Offer/arrange evidence based tx (medication assisted therapy)

11

What kind of drug is buprenorphine?

Partial opioid agonist

12

How does buprenorphine assist w/ MAT?

Helps relieve withdrawal sx

13

When can you start buprenorphine?

W/ opioids in the pts system

14

What is naltrexone?

Opioid antagonist

15

What is the role of naltrexone w/ MAT?

May precipitate withdrawal sx

16

How do you administer naltrexone and when can you start it?

PO daily or IM monthly
Must be opioid free

17

What kind of drug is methadone?

Long acting opioid agonist

18

What is the role of methadone w/ MAT?

Transfers opioid addiction to longer half life agonist allowing a taper

19

How often do you give methadone?

Daily oral dosing