CDC Guidelines for Prescribing Opioids

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WHAT EVERY PHYSICIAN
NEEDS TO KNOW:
CDC GUIDELINES FOR
PRESCRIBING OPIOIDS

ABOUT
In 2016, the Centers for Disease Control and Prevention (CDC)
introduced guidelines for prescribing opioids to chron...

1 OPIOIDS ARE
NOT FIRST LINE
THERAPY
• Non-pharmacologic and non-opioid pharmacologic therapy
is preferable when treating...

2 ESTABLISH
GOALS FOR PAIN
AND FUNCTION
• Set realistic treatment goals for patients who are
prescribed opioids. Treatmen...

3 DISCUSS RISKS
AND BENEFITS
• The risks and benefits should be discussed with the patient
before starting opioids and du...

4 USE IMMEDIATE
RELEASE OPIOIDS
INITIALLY
• The CDC recommends initiating opioid treatment with
immediate-release prescri...

• The CDC recommends starting an opioid prescription
with the lowest effective dose. The CDC also recommends
evaluating t...

• Because long-term opioid use often starts with treatment
for acute pain, the CDC suggests only prescribing the lowest
e...

• CDC recommendations include evaluating the benefits and risks
within one to four weeks of starting opioid treatment. Th...

• Opioid management should include mitigation of risks and
offering naloxone when there is an increased risk of overdose,...

• Physicians should review the patient’s prescription drug
monitoring program data (PDMP) to determine if he or she is
re...

• Consider testing the patient’s urine for opioid use before
initiating a treatment plan using opioids. Test annually, at...

• Avoid prescribing opioids with benzodiazepines whenever
possible.
11 AVOID
CONCURRENT
BENZODIAZEPINE
USE

• Offer or arrange treatment for a patient if he or she develops
opioid use disorder.
12 OFFER
TREATMENT
FOR OPIOID USE
D...

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