SAFE Opioid Prescribing: ER/LA Opioids – Perspectives on Patient Assessment and Therapy Management
SAFE Opioid Prescribing | Strategies. Assessment. Fundamentals. Education
Complete all SAFE Opioid Prescribing modules to receive your training completion certificate! These SAFE Opioid Prescribing modules are designed to help you understand that evaluation is essential for safe and effective pain management when using ER/LA opioids. The modules will also provide best practices for how to start therapy with ER/LA opioids, how to stop, and what to do in between.
There are a variety of pharmacologic and non-pharmacologic approaches to managing chronic pain. Opioids, particularly the extended-release (ER) and long-acting (LA) preparations, are among the most commonly used medications. While they are effective pain relievers, there are also a number of significant risks that must be taken into consideration when prescribing ER and LA opioids. Clinicians often face challenges in defining the most appropriate analgesic regimen for their individual patients.
In 2012, U.S. Food and Drug Administration (FDA) determined that a Risk Evaluation and Mitigation Strategy (REMS) is necessary. This strategy was developed by the FDA in collaboration with a variety of stakeholder groups, including pain researchers and experts, medical associations, clinicians, educators, and industry funders and includes customized educational programs to ensure that the benefits of ER/LA opioid analgesics continue to outweigh the risks of adverse outcomes (addiction, unintentional overdose, and death) that often result from inappropriate prescribing, abuse, and misuse.
Speakers Bureau for Allergan, Inc., AstraZeneca Pharmaceuticals LP, Depomed, Inc., Iroko Pharmaceuticals, LLC, Millennium Laboratories, LLC, Teva Pharmaceuticals Industries Ltd., and XenoPort, Inc.; Advisory Board for AstraZeneca Pharmaceuticals LP, Collegium Pharmaceutical, Inc., Depomed, Inc., Endo Pharmaceuticals Inc., Pfizer Inc., Purdue Pharma L.P., Shionogi & Co. Ltd., Teva Pharmaceuticals Industries Ltd., and XenoPort, Inc.; Research Support from Eli Lilly and Company, Endo Pharmaceuticals Inc., and Forest Laboratories, Inc.
Advisory Board member for Depomed, Inc., Insys Therapeutics Inc., Iroko Pharmaceuticals, LLC, Mallinckrodt Pharmaceuticals, Nektar Therapeutics, Purdue Pharma L.P., Teva Pharmaceuticals Industries Ltd., and Zogenix, Inc. Consultant for Purdue Pharma L.P., Teva Pharmaceuticals Industries Ltd., and Zogenix, Inc. Speakers Bureau member for Depomed, Inc., Iroko Pharmaceuticals, LLC, Johnson & Johnson, Purdue Pharma L.P., Teva Pharmaceuticals Industries Ltd., and Zogenix, Inc.
Speakers Bureau honorarium from Endo Pharmaceuticals, Covidien, Nektar, Pfizer, and Purdue. Consultant honorarium from Alere and Shionogi.
Advisory Board member for AstraZeneca Pharmaceuticals LP, Collegium Pharmaceutical, Inc., Depomed, Inc., Inspirion Pharmaceuticals, LLC, Iroko Pharmaceuticals, LLC, Janssen Pharmaceuticals, Inc., Kaléo, Inc., Mallinckrodt Pharmaceuticals, Millennium Laboratories, LLC, Pfizer Inc., Salix Pharmaceuticals, Inc., Takeda Pharmaceuticals U.S.A., Inc., and Zogenix, Inc. Owns stock in BioSpecifics Technologies Corp., Galena Biopharma, Inc., Johnson & Johnson, Nektar Therapeutics, and Protein Design Labs, Inc.
Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose.
pmiCME is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
pmiCME designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
pmiCME is approved as a provider of nurse practitioner continuing education by the American Association of Nurse Practitioners. AANP Provider number 040308. This activity was planned in accordance with AANP Accreditation Standards and Policies.
This program has been approved for 1.28 contact hour of continuing education, which includes 0.77 hour of pharmacology.
Once you have completed the activity, please click the "next" button to advance to the post-activity assessment. To complete this activity and claim credit, you must answer 3 out of the 4 questions correctly. If you are not successful after your first attempt, you will be given an opportunity to reflect upon the answer rationales and have the opportunity to review the educational content before proceeding. Once you have selected your answers, click the "submit" button to complete the evaluation questions and proceed to the claim credit screen.
This educational activity is supported by an independent educational grant from the Extended-Release/Long-Acting Opioid Analgesic REMS Program Companies. Please see http://ce.er-la-opioidrems.com/IwgCEUI/rems/pdf/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Extended-Release/Long-Acting Opioid Analgesics REMS education requirements issued by the US Food & Drug Administration.
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Clinical judgment must guide each clinician in weighing the possible risks, benefits, or contraindications of any diagnostics, interventions or treatments discussed. Clinicians should review manufacturers’ product information and consider these with the recommendations of other authorities when applying the assessment and/or clinical management strategies discussed in this activity to the care of their patients.
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