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Papers of the Week

Papers: 11 Apr 2020 - 17 Apr 2020

Pharmacology/Drug Development

2020 May

Phys Med Rehabil Clin N Am



Opioid Management: Initiating, Monitoring, and Tapering.


Hooten MW
Phys Med Rehabil Clin N Am. 2020 May; 31(2):265-277.
PMID: 32279729.


Numerous guidelines targeting safe use of opioids for chronic pain have been published but substantial challenges persist in clinical application of best practice recommendations. This article describes a pragmatic approach to clinical care of adults with chronic pain receiving long-term opioid therapy. Three components of care are emphasized: (1) medical and mental health assessment before initiating opioid therapy, (2) clinical surveillance during the course of long-term opioid therapy, and (3) clinical considerations and strategies governing opioid tapering. A pressing need exists for ongoing research to further clarify the optimal role that long-term opioid therapy has in treatment of chronic pain.