Weaning from Long-term Opioid Therapy

Research output: Contribution to journalArticle

Abstract

Opioid use for chronic noncancer pain poses a challenge to the gynecologist, and weaning opioids is often a goal for clinicians and patients. In some cases, opioid cessation can be achieved by weaning a patient's prescribed opioid or with symptomatic management with long-acting opioids or alpha2-adrenergic medications. This review imparts a basic understanding of the physiology of opioid withdrawal, strategies for achieving opioid abstinence, medications for treating the symptoms of withdrawal, and alternatives to opioid taper.

Original languageEnglish (US)
JournalClinical Obstetrics and Gynecology
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Weaning
Opioid Analgesics
Therapeutics
Substance Withdrawal Syndrome
Chronic Pain
Adrenergic Agents

Keywords

  • opiates
  • opioid replacement therapy
  • opioid substitution treatments
  • opioid weaning
  • opioids
  • pain management
  • withdrawal symptoms

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

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title = "Weaning from Long-term Opioid Therapy",
abstract = "Opioid use for chronic noncancer pain poses a challenge to the gynecologist, and weaning opioids is often a goal for clinicians and patients. In some cases, opioid cessation can be achieved by weaning a patient's prescribed opioid or with symptomatic management with long-acting opioids or alpha2-adrenergic medications. This review imparts a basic understanding of the physiology of opioid withdrawal, strategies for achieving opioid abstinence, medications for treating the symptoms of withdrawal, and alternatives to opioid taper.",
keywords = "opiates, opioid replacement therapy, opioid substitution treatments, opioid weaning, opioids, pain management, withdrawal symptoms",
author = "Chailee Moss and Carla Bossano and Silka Patel and Anna Powell and {Chan Seay}, Rachel and Mostafa Borahay",
year = "2018",
month = "1",
day = "1",
doi = "10.1097/GRF.0000000000000425",
language = "English (US)",
journal = "Clinical Obstetrics and Gynecology",
issn = "0009-9201",
publisher = "Lippincott Williams and Wilkins",

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AU - Bossano, Carla

AU - Patel, Silka

AU - Powell, Anna

AU - Chan Seay, Rachel

AU - Borahay, Mostafa

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Opioid use for chronic noncancer pain poses a challenge to the gynecologist, and weaning opioids is often a goal for clinicians and patients. In some cases, opioid cessation can be achieved by weaning a patient's prescribed opioid or with symptomatic management with long-acting opioids or alpha2-adrenergic medications. This review imparts a basic understanding of the physiology of opioid withdrawal, strategies for achieving opioid abstinence, medications for treating the symptoms of withdrawal, and alternatives to opioid taper.

AB - Opioid use for chronic noncancer pain poses a challenge to the gynecologist, and weaning opioids is often a goal for clinicians and patients. In some cases, opioid cessation can be achieved by weaning a patient's prescribed opioid or with symptomatic management with long-acting opioids or alpha2-adrenergic medications. This review imparts a basic understanding of the physiology of opioid withdrawal, strategies for achieving opioid abstinence, medications for treating the symptoms of withdrawal, and alternatives to opioid taper.

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KW - opioid replacement therapy

KW - opioid substitution treatments

KW - opioid weaning

KW - opioids

KW - pain management

KW - withdrawal symptoms

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