(On-Demand) Approach to Opioids and Pain Management (4 hours)-On-Demand Recordings: Approach to Opioids and Pain Management

Video Transcription

Video Summary

The transcript focused on opioid abuse, addiction, safe prescribing, and treatment of opioid use disorder (OUD), with added sections on patient communication and pediatric opioid use.<br /><br />Key points included the U.S. opioid crisis and how it grew from increased prescribing, pain being labeled the “fifth vital sign,” aggressive marketing, and patient satisfaction pressures. The speakers reviewed opioid basics, including receptor action, formulations, and examples of natural, semi-synthetic, and synthetic opioids.<br /><br />A major theme was distinguishing tolerance, physical dependence, misuse, abuse, and addiction. Tolerance means needing more drug for the same effect; physical dependence means withdrawal occurs if the drug is stopped; addiction/OUD involves compulsive use despite harm and loss of control. OUD diagnosis was linked to DSM-5 criteria and severity levels.<br /><br />Treatment options included medication-assisted treatment with buprenorphine, methadone, and naltrexone, plus withdrawal agents like clonidine and lofexidine. Buprenorphine was highlighted as a partial mu-agonist with a ceiling effect. Methadone required QTc monitoring. Naloxone was emphasized for overdose reversal.<br /><br />The speakers also covered risk assessment tools, PDMP checks, urine drug testing, pill counts, informed consent, treatment agreements, and safe storage/disposal. Communication strategies using motivational interviewing were recommended to reduce defensiveness and support change.<br /><br />Finally, pediatric guidance stressed multimodal pain control, using opioids only when necessary, immediate-release only, lowest effective dose, short duration, avoiding codeine/tramadol, and always educating families on naloxone, safe storage, and disposal.

Asset Caption

On-Demand Recordings: Approach to Opioids and Pain Management

Presentation Modules include:
Opioid Abuse and Addiction
Talking About Opioids with Patients in Primary Care
Perils and Pitfalls of Opioid Management for Primary Care
Safe Opioid Prescribing (for those who need it)
Opioid Prescribing for Acute Pain Management for Children and Adolescents

Keywords

opioid abuse

opioid addiction

safe prescribing

opioid use disorder

OUD treatment

buprenorphine

methadone

naltrexone

naloxone

withdrawal management

DSM-5 criteria

pain management

prescription monitoring

motivational interviewing

pediatric opioid use