Description
This comprehensive guide covers prescribing controlled substances for patients with acute or chronic pain and provides a balanced discussion on appropriate treatment, addiction, safety and complications. Chapters feature evidence-based strategies and clinical modalities that address diagnostic challenges, treatment guidance, alternatives to opioid management and the significant legal risks within the current regulatory environment. Authored by leaders in pain medicine, physicians and appropriate health care professionals will find Controlled Substance Management in Chronic Pain to be an indispensable resource. Peter S. Staats, MD, MBA, FIPP ABIPPPresident, American Society of Interventional Pain PhysiciansJohns Hopkins UniversityDepartment of Anesthesiology and Critical Care, and Department of OncologyPremier Pain Centers Shrewsbury, NJ Sanford M. Silverman, MD, DABPM, DABAMCEO and Medical Director of Comprehensive Pain Medicine, Pompano Beach, FL 1 Scope of the pain problem 2 Scope of the problem: Intersection of chronic pain and addiction3 Evidence-based treatment for chronic pain with opioids4 Opioid pharmacology5 Pharmacokinetics6 Benzodiazepines, Alcohol and Stimulant Use in Combination with Opioid Use7 Marijuana and cannabinoids for pain8 Adjuvant agents in chronic pain therapy9 Complications of opioid therapy10 Risk mitigation strategies11 Naloxone Treatment of Opioid Overdose12 From Patient Evaluation to Opioid Overdose Prevention: Ten Steps to Make the Law Work for You and Your Patients13 Treating the difficult patient14 Controlled Substance Management: Exit Strategies for the Pain Practitioner15 Alternatives to opiates in the management of non-cancer related painAppendix A: American Society of Interventional Pain Physicians (ASIPP) Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer PainAppendix B: Sample Opioid Agreement/Informed ConsentAppendix C: Opioid Risk ToolAppendix D: Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R)Appendix E: McGill Pain Questionnaire
