An expert panel of pain management clinicians has released what they say are the first international guidelines for general practitioners on opioid analgesic deprescribing in adults.
The consensus guidelines include 11 recommendations for deprescribing in adult patients who take at least one opioid for any type of pain.
Clinicians should consider opioid deprescribing in patients who experience no clinically meaningful improvement in function, quality of life, or pain at high risk with opioid therapy, they note. Patients who are at high risk for opioid-related harm are also good candidates for deprescribing. "Opioids can be effective in pain management," co-author Carl Schneider, PhD, an associate professor of pharmacy at the University of Sydney, Sydney, Australia, said in a press release."However, over the longer term, the risk of harms may outweigh the benefits.
The guideline's emphasis on the potential risks of deprescribing in some patients is also key, Hall added. Patients who are tapering off opioid therapy may have worsening pain and loss of function that can affect their quality of life.
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