Chronic Pain and Drug Seeking Patients - CME Conferences
Chronic Pain and Drug Seeking Patients - CME Conferences Chronic Pain and Drug Seeking Patients - CME Conferences
3 rd Annual Essentials in Primary Care Summer Conference: Session 1 Tuesday, July 24, 2012 Medications used in the treatment of Opioid Addiction Buprenorphine ( Buprenex, Subutex) • Can be used for moderate to severe pain and / or opioid dependence Buprenorphine / Naloxone (Suboxone) Naltrexone ( ReVia, Vivitrol, Depade) • Indicated for the prevention of relapse to opioid dependence following opioid detoxification • Also indicated for the treatment of alcohol dependence Naloxone (Narcan) Clonodine (Catapres) Grace Forde, MD Chronic Pain & the Drug Seeking Patient
3 rd Annual Essentials in Primary Care Summer Conference: Session 1 Tuesday, July 24, 2012 Treatment of the patient with chronic pain and a history of Addiction Reassure patient that their addiction history will not prevent adequate pain management Verify Methadone or buprenorphine dose with the clinic or prescribing M.D. Aggressively treat pain with conventional opioids. Opioid cross tolerance often necessitates higher doses at shorter intervals Use adjuvant medications liberally Use long acting opioids instead of PRNs, except for patients on methadone For patients on buprenorphine therapy refer to an addiction specialist Medico-legal Considerations Grace Forde, MD Chronic Pain & the Drug Seeking Patient
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3 rd Annual Essentials in Primary Care<br />
Summer Conference: Session 1<br />
Tuesday, July 24, 2012<br />
Medications used in the treatment of<br />
Opioid Addiction<br />
Buprenorphine ( Buprenex, Subutex)<br />
• Can be used for moderate to severe pain <strong>and</strong> / or opioid<br />
dependence<br />
Buprenorphine / Naloxone (Suboxone)<br />
Naltrexone ( ReVia, Vivitrol, Depade)<br />
• Indicated for the prevention of relapse to opioid dependence<br />
following opioid detoxification<br />
• Also indicated for the treatment of alcohol dependence<br />
Naloxone (Narcan)<br />
Clonodine (Catapres)<br />
Grace Forde, MD<br />
<strong>Chronic</strong> <strong>Pain</strong> & the <strong>Drug</strong> <strong>Seeking</strong> Patient
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