2026 Pediatric Update (On-Demand)-Dr. Black-Langenau Opioid Perscribing Outpatient

Video Transcription

Video Summary

Christine Black-Langoneau reviews the AAP guideline on outpatient opioid prescribing for acute pain in children and adolescents. The guideline emphasizes that pediatric pain is often undertreated, but opioids must be used cautiously and only as part of multimodal care. First-line treatment should combine non-pharmacologic methods and non-opioid medicines like acetaminophen and NSAIDs. If opioids are needed, use immediate-release formulations, the lowest age- and weight-appropriate dose, and a short supply, usually five days or less. Codeine and tramadol should be avoided in children under 12, in certain higher-risk patients over 12, and after tonsillectomy/adenoidectomy. The guideline also stresses naloxone access, overdose education, safe storage, direct observation of dosing, and proper disposal of leftovers. It highlights special considerations for children with chronic pain, sedating medications, developmental disabilities, and health equity.

Keywords

pediatric opioid prescribing

acute pain management

AAP guideline

non-opioid analgesics

naloxone safety