Controlled Substance Management in Chronic Pain. a Balanced Approach

Description

This comprehensive guide covers prescribing controlled substances for patients with acute or chronic pain and provides a balanced discussion on appropriate treatment, addiction, safety and complications. Chapters feature evidence-based strategies and clinical modalities that address diagnostic challenges, treatment guidance, alternatives to opioid management and the significant legal risks within the current regulatory environment. Authored by leaders in pain medicine, physicians and appropriate health care professionals will find Controlled Substance Management in Chronic Pain to be an indispensable resource.

Contents

1 Scope of the pain problem
2 Scope of the problem: Intersection of chronic pain and addiction
3 Evidence-based treatment for chronic pain with opioids
4 Opioid pharmacology
5 Pharmacokinetics
6 Benzodiazepines, Alcohol and Stimulant Use in Combination with Opioid Use
7 Marijuana and cannabinoids for pain
8 Adjuvant agents in chronic pain therapy
9 Complications of opioid therapy
10 Risk mitigation strategies
11 Naloxone Treatment of Opioid Overdose
12 From Patient Evaluation to Opioid Overdose Prevention: Ten Steps to Make the Law Work for You and Your Patients
13 Treating the difficult patient
14 Controlled Substance Management: Exit Strategies for the Pain Practitioner
15 Alternatives to opiates in the management of non-cancer related pain

Appendix A: American Society of Interventional Pain Physicians (ASIPP) Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain
Appendix B: Sample Opioid Agreement/Informed Consent
Appendix C: Opioid Risk Tool
Appendix D: Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP(R)-R)
Appendix E: McGill Pain Questionnaire