New Tools and Strategies for Opioid Misuse and

New Tools and Strategies for Opioid Misuse and Abuse Hal Stockbridge, MD, MPH Labor 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 120 mg, obtain a pain management consultation 3. Assess function regularly, for example using SF-36, Oswestry, Quick. Dash

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