DRUG TREATMENT - Opioids - General Info
FDA Risk Evaluation & Mitigation Strategy for prescribers of Extended Release or Long-Acting (ER/LA) opioid analgesics are strongly encouraged to do all of the following:
- Train (Educate Yourself) - a REMS-compliant education program offered by an accredited CME provider
- Counsel Your Patients – regarding the safe use, serious risks, storage, and disposal of ER/LA opioid analgesics every time you prescribe these medicines
- Medication Guide - stress the importance of reading the Medication Guide that they will receive from their pharmacist every time an ER/LA opioid is dispensed to them.
- Consider Using Other Tools - including Patient - Prescriber agreements and risk assessment instruments.
- Long-acting opioids may need more frequent dosing (e.g., long-acting morphine TID)
- Fentanyl patch q48 hours
- Only adjust once present dose is at steady state
- Asymmetric dosing (e.g., patient who has more pain before Noon)