Coadministration of drugs should be done with caution, because drug-drug interactions can cause serious adverse effects. Being cognizant of relevant pharmacodynamics, pharmacokinetics, and pharmacogenetics aspects of a variety of drugs, including analgesics, can reduce such effects.
Opioids are an important therapy for the management of pain in older patients with cancer-related chronic pain, as well as in some with chronic noncancer pain. This program reviews important concepts in initiating and continuing opioid therapy in older patients. This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://ce.opioidanalgesicrems.com/RpcCEUI/rems/pdf/resources/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration (FDA).
Providing safe and effective pain control can be achieved despite the serious public health crisis of the opioid overdose and misuse epidemic currently affecting the United States and other countries. This talk will review the evolution of the present-day opioid epidemic to better understand current risks. Terminology associated with addiction, currently referred to as substance use disorder, will be defined. Assessment of pain is imperative, with a shift away from intensity to functional ability. Risk factors for misuse must also be assessed. These findings inform the treatment regimen, including whether opioids are indicated, and if so, what mitigating strategies must be implicated to reduce the risk of misuse. Techniques such as harm reduction, weaning and safe handling will be addressed.
This activity will discuss the epidemiology and pathophysiology of acute and chronic pain, patient assessment, assessment of risk for opioid-related aberrant behaviors, nonpharmacologic approaches to pain management, and non-opioid analgesics. Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 3/19/2020 and they are subject to change as new information is published.
This activity will review the general principles of opioid prescribing, key concepts including misuse, abuse, tolerance, physical dependence, opioid use disorder, adverse effects and metabolism of opioids, and instructions for safe storage and disposal. Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 3/19/2020 and they are subject to change as new information is published.
This activity will discuss initiating opioids in acute and chronic pain, long term management of patients on opioid therapy, patient counseling, and fundamentals of addiction medicine. Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 3/19/2020 and they are subject to change as new information is published.