Quick steps through Opioid Management
September 08, 2020
This online tool outlines a balanced approach to safer opioid prescription as part of multimodal pain management. There is strong evidence that risk increases substantially above 60 mg/day oral morphine equivalent daily dose (oMEDD). For this reason, in this resource, 60 mg oMEDD is chosen as a threshold for increased risk and recommendations are built around this level although recognising the need to consider the specific risks of each individual. In general, in the chronic non-cancer pain setting, opioids (including codeine) should be avoided other than in exceptional circumstances. These include the presence of severe opioid responsive pain where other management options have failed or are inappropriate. Opioids should not be prescribed above 60mg oMEDD without pain medicine specialist endorsement.