Responsible Use of Opioids
General Considerations for Pain Management with Any Drug Involving an Opioid Mechanism of Action
Not all opioid medications are indicated for managing different types of pain. It is always necessary to refer to the product-specific prescribing information.
A personalized, patient-centered approach during pain diagnosis and treatment is essential for building an effective therapeutic alliance between patient and physician. 1
* Use multimodal and non-opioid approaches for acute and chronic pain before resorting to opioids or in combination with them.
* Opioids should only be used when the benefits for pain relief and functionality outweigh the risks.
* Patient-specific variables influencing opioid dosage should be considered before use.
* During opioid therapy, physicians should collaborate with patients to carefully evaluate the benefits and risks, especially when adjusting dosages.
* Accurate patient selection, monitoring for abuse risks, and regular follow-ups are necessary to ensure appropriate opioid use in line with agreed treatment goals.
* Patients must be informed of potential opioid side effects, risks of tolerance, dependence, and addiction.
* Even when taken as prescribed, opioids can lead to dependence, which requires close monitoring.
* Use should be limited to the shortest duration necessary.
* Continue opioid therapy only if significant clinical improvements in pain and functionality outweigh the safety risks.
* Conduct regular clinical reviews to monitor pain control, lifestyle impacts, physical and psychological well-being, and the necessity of continued treatment.
* If therapy benefits do not outweigh risks, gradual dose tapering must be considered.
Educational materials and awareness initiatives can support responsible opioid use.