Weaning from Long-term Opioid Therapy

Chailee Moss; Carla Bossano; Silka Patel; Anna Powell; Rachel Chan Seay; Mostafa A. Borahay

doi:10.1097/GRF.0000000000000425

Weaning from Long-term Opioid Therapy

Chailee Moss, Carla Bossano, Silka Patel, Anna Powell, Rachel Chan Seay, Mostafa A. Borahay

School of Medicine

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

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 alpha 2 -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 language	English (US)
Pages (from-to)	98-109
Number of pages	12
Journal	Clinical obstetrics and gynecology
Volume	62
Issue number	1
DOIs	https://doi.org/10.1097/GRF.0000000000000425
State	Published - Mar 1 2019

Keywords

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

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1097/GRF.0000000000000425

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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 alpha 2 -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 Borahay, {Mostafa A.}",

year = "2019",

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AU - Moss, Chailee

AU - Bossano, Carla

AU - Patel, Silka

AU - Powell, Anna

AU - Chan Seay, Rachel

AU - Borahay, Mostafa A.

PY - 2019/3/1

Y1 - 2019/3/1

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 alpha 2 -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 alpha 2 -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.

KW - opiates

KW - opioid replacement therapy

KW - opioid substitution treatments

KW - opioid weaning

KW - opioids

KW - pain management

KW - withdrawal symptoms

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Weaning from Long-term Opioid Therapy

Abstract

Keywords

ASJC Scopus subject areas

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