Medical Student 8 Hour Buprenorphine Training-Webinar 4b: Guide to Rational Opioid Prescribing - Initiating a Therapeutic Trial of Opioids

Webinar 4b: Guide to Rational Opioid Prescribing - Initiating a Therapeutic Trial of Opioids

Video Transcription

Video Summary

The video features Dr. Steven Pracken discussing the initiation of opioid therapy for pain management. He explains that when considering pharmacologic treatments, it's important to consider the type of pain condition being treated. He discusses different medications for nociceptive pain and neuropathic pain, including duloxetine, tepentadol, and tramadol. Dr. Pracken mentions the importance of understanding contraindications and potential risks when prescribing opioids, highlighting the need to have a non-judgmental and curious approach when assessing patients' addiction or substance use history. He emphasizes the importance of setting specific goals for opioid therapy and treating it as a trial, with clear endpoints for success or failure. Dr. Pracken also discusses the differences between immediate-release and extended-release opioids, as well as the stimulation effects some individuals experience from opioids. He concludes by providing guidance on initiating opioids based on different levels of risk and the importance of addressing comorbid psychiatric and substance use issues.

Keywords

opioid therapy

pain management

pharmacologic treatments

addiction

substance use history

trial