Role Of Opioid-Involved Drug Interactions In Chronic Pain Management Discussion

Role Of Opioid-Involved Drug Interactions In Chronic Pain Management Discussion

Response to Mohammad

I totally agree with Mohammad that non-opioid analgesics such as NSAIDs should be the analgesics of choice in patients with some comorbidities such as cardiovascular diseases. PAMI guidelines should adhere so as to provide the most appropriate medication to manage pain and at the optimum dosage. It is crucial to involve the patient in making decisions on the analgesics to manage their pain. Thorough patient education must be done before the patient is involved in medical decision-making so that they make informed decisions. Opioids have significant drug interactions and therefore necessary to review all medications the patient is taking before administration of opioid analgesics (Bain and Knowlton, 2019). Some of these interactions include interaction with: drugs with serotonergic effects such as serotonin reuptake inhibitors, drugs that cause respiratory depression such as benzodiazepines, and drugs that cause constipation such as over-the-counter laxatives Role Of Opioid-Involved Drug Interactions In Chronic Pain Management Discussion.

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Reference

Bain, K. T., & Knowlton, C. H. (2019). Role of opioid-involved drug interactions in chronic pain management. Journal of Osteopathic Medicine, 119(12), 839-847.

Please use website below for your info. Look for module 4

https://pami.emergency.med.jax.ufl.edu/e-learning-modules/pami-module-downloads/

First page write: answer question 1 & 2 double space, does not need to be full page.

1. How will you use the knowledge you have gained from this module to improve your patient’s pain management in various settings to improve their pain outcomes? 1 reference please.

This module is formative info…I learn a lot from this module such as under title Opioid Therapy: MU, KAPPA, DELTA… this is new for me…

Also learning to considering patient age: elderly & pediatric….

 

What content in this module made the most impact in the way you think about pain management and possibly effecting your practice? 1 reference.

Regarding my clinical setting, we use a lot of non-opiod such as Acetamenophen, Ketorolac, Ibuprofen. Opiod: oxycodone, Hydromorphone.  Before administering, I usually tell patient what pain med and side effect. Thus, when reading this module, I agree…..

Second page response to Erita only one for ½ paragraph for 1 subject and one reference is ok with me,  and another half repones to Mohammad Role Of Opioid-Involved Drug Interactions In Chronic Pain Management Discussion.

Response to Erita posting

This module shared many excellent points that will help me improve pain outcomes for my patients. Firstly, I learned tips for selecting various pharmacological treatments such as acetaminophen or NSAIDS for mild to moderate somatic-nociceptive pain and opioid consideration when moderate to severe pain is not responding to standard treatment. I will use these tips to guide me in the care of my patient. Additionally, the medication charts were helpful in differentiating dosing for both the adult and pediatric populations for the opioids and non-opioids drugs. I really appreciate these charts, as I can always reference back to them in my clinical practice.

The part of the module that made the most impact on me and potentially my future practice was the data regarding equianalgesic dosing and the fact that there are multiple factors that need to be taken account when converting opioids. I learned that when switching between different classes of opiates it is essential to reduce the newly calculate dose by 30%. I know that there are many patients that are taking opiates in primary care, and it is essential for my practice to implement these guidelines when changing treatment regimens. As this may happen often, I will keep it in mind for my future practice. Additionally, it is important to be aware that these guidelines do not account for genetic factors, pharmacogenetics, ethnicity or so forth. Therefore, extra caution needs to be taken when certain factors are present, and it is important to be keen on these details.

 

Response to Mohammad’s posting

1 – How will you use the knowledge you have gained from this module to improve your patient’s pain management in various settings to improve their pain outcomes?

This model reinforced the need to consider NSAIDs prescription in patients with chronic pain and cardiovascular comorbidities. PAMI pain management and dosing guide is an essential and valuable reference source when treating pain. From my personal experience, I can attest that educating the patient from the beginning of the treatment with mutually agreed pain goals and treatment modalities results in better pain management.

2 – What content in this module made the most impact in the way you think about pain management and possibly effecting your practice?

The serotonergic effects of opioids and the possibility of serotonin syndromes are areas of concern. I was not fully aware of such interactions and resultant adverse effects. As such, the knowledge I gained will help me recognize, understand, and mitigate potential interactions and adverse effects Role Of Opioid-Involved Drug Interactions In Chronic Pain Management Discussion.