New Tools and Strategies for Opioid Misuse and Abuse
Hal Stockbridge, MD, MPHLabor and Industries
Opioid Dosing Guidelines
• An interagency guideline developed by DSHS, DOH, HCA, L&I, Corrections, in collaboration with pain specialists
• Purpose: assist primary care providers to prescribe in a safe and effective manner
• Applies only to chronic non-cancer pain• Only 11 pages
Opioid Dosing Guidelines -5 key points
1. In general, the total daily dose of opioid should not exceed 120 mg of oral morphine equivalents
2. If considering going above 120mg, obtain a pain management consultation
3. Assess function regularly, for example using SF-36, Oswestry, QuickDash
Opioid Dosing Guidelines
4. Free online calculator is available to determine if dose exceeds 120 mg threshold
Opioid Dosing Guidelines
Opioid Dosing Guidelines
5. Finding a pain management specialist: - List of specialists at
www.agencymeddirectors.wa.gov
Opioid Dosing Guidelines
• Weaning opioids safely• Behavioral issues• Urine drug toxicology screening• One-year educational pilot
Free Category 1 CME
- www.agencymeddirectors.wa.gov- Easy online format- Print certificate immediately- No registration needed
Consultations• Traditional• Telephone consults• Chart review• Telemedicine