Module B (sect 3):  Initiation of Treatment with Opioids
​CONTINUED...
Are there factors that increase risks of opioids (e.g., non-adherence, co-occurring conditions, indications of OUD)?
Consider one of the following:
  • Shortening prescribing interval
  • Intensifying risk mitigation strategies (see Sidebar E)
  • Referring to interdisciplinary care
  • Consulting with or referring to specialty care
  • Switching to partial agonist opioids
  • See VA/DoD SUD CPG if there are indications of Opioid Use Disorder
Are there factors that increase risks of opioids (e.g., non-adherence, co-occurring conditions, indications of OUD)? - continued
Reassess in 1 to 3 months or more frequently as determined by patient risk factors (see Sidebar G) 
Are there indications to discontinue or taper?
​(see Sidebar F)
Taper to reduced dose or taper to discontinuation; proceed to Module C
Are there indications to discontinue or taper? - continued
Reassess in 1 to 3 months or more frequently as determined by patient risk factors (see Sidebar G).
.........END OF MODULE B