2009 updated guideline: “Use of chronic opioid therapy in chronic noncancer pain”. Download full text

The American Pain Society and the American Academy of Pain Medicine issued the 2009 version of “Guidelines on the use of opioids in treating chronic noncancer pain”. 

Recommendations

. 1. Patient Selection and Risk Stratification

. 2. Informed Consent and Opioid Management Plans

. 3. Initiation and titration of COT

. 4. Methadone

. 5. Monitoring

. 6. High-Risk Patients

. 7. Dose Escalations, High-Dose Opioid Therapy, Opioid Rotation, and Indications for Discontinuation of Therapy

. 8. Opioid-Related Adverse Effects

. 9. Use of Psychotherapeutic Cointerventions

. 10. Driving and Work Safety

. 11. Identifying a Medical Home and When to Obtain Consultation

. 12. Breakthrough Pain

. 13. Opioids in Pregnancy

. 14. Opioid Policies

Download free full text: 2009 Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain

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