”To Stop or Not to Stop” Acute and Chronic Pain Management Considerations for Patients Maintained on Buprenorphine.”To Stop or Not to Stop” Acute and Chronic Pain Management Considerations for Patients Maintained on Buprenorphine.
The Addiction Files
We discuss one of the most frequent listener questions. How do you manage acute and chronic non cancer pain including perioperative pain in patients maintained on buprenorphine? We review the SAMHSA guidelines, Tip 54, and review of the literature an...
58:08•25 Jul 2023
Mastering Pain Management for Buprenorphine Patients: A Deep Dive
Episode Overview
- The episode provides a comprehensive review of the literature, case reports, and expert guidelines on managing acute and chronic pain in patients on buprenorphine.
- Insights on addressing trauma and emotional pain as contributors to chronic pain are highlighted.
- The use of non-opioid analgesics, integrative therapies, and the risks associated with cannabis use for chronic non-cancer pain are discussed.
- The episode raises awareness about suicide risk in patients with chronic pain and offers valuable guidance for healthcare professionals.
- Listeners gain valuable insights into navigating pain management with buprenorphine and addressing the complexities of acute and chronic pain in patients with opioid use disorder.
“In conclusion, in acute and perioperative pain management settings, if you have a patient maintained on higher doses than 12 milligrams, consider continuing their same dose or you can prior to their scheduled surgery, you can taper their dose down to 8 to 12 milligrams and consider TID or QID dosing post-op period or you can add additional full opiate agonists as needed during that period and then transition over to their regular dose is less than eight milligrams...”
How do you tackle pain management for patients on buprenorphine? This episode of 'The Addiction Files' takes you on a detailed journey through this pressing question. Dr. Darlene Petersen and Dr. Paula Cook bring their expertise to the forefront, breaking down the intricacies of managing both acute and chronic pain for those maintained on buprenorphine. The hosts discuss real-life cases, review literature, and dissect the SAMHSA guidelines, Tip 54, to offer practical solutions and protocols.
Whether you're dealing with perioperative pain or long-term pain management, this episode provides valuable insights that can make a difference in patient care. Dr. Petersen and Dr. Cook don't shy away from the emotional aspects either, touching on how trauma and mental health intertwine with pain management. They also explore non-opioid therapies and the risks of suicide, making this episode a must-listen for healthcare professionals seeking comprehensive strategies in addiction medicine.
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