Prevention of opioid abuse in chronic non-cancer pain: an algorithmic, evidence based approach.

摘要: Background The use of opioids for chronic non-cancer pain has grown exponentially in the last 15 years. Associated with that, dramatic increases abuse and overdose deaths from opioid have been noted. Objectives Most stems legitimate prescriptions, putting onus on prescribers to responsibly pain. Very little evidence-based guidance exists those who wish prescribe at same time prevent abuse. Methods A review literature was performed articles focused guidelines when prescribed pain, abuse, overdose, strategies detect opioids, urine drug screens (UDS) settings, prescription monitoring programs (PMP), relationship between dosing Results Based existing literature, an algorithmic approach developed decrease environment. pillars prevention are screening patients into high, medium, low risk categories using tools; UDS, PMP, pill counts, lastly, dose limitations. Conclusion This may enable physicians also reduce