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Managing Pain in the Setting of Opioid Use Disorder
Barbara St Marie1, Kathleen Broglio2
1College of Nursing, University of Iowa, Iowa City, Iowa.
Summary
Managing pain in patients with opioid use disorder requires careful consideration of treatment options. This guide assists clinicians in navigating pain management for those with active opioid use disorder and in recovery.
Area of Science:
- Pain Management
- Addiction Medicine
- Pharmacology
Background:
- Opioid use disorder (OUD) presents significant challenges for healthcare providers in managing patient pain while minimizing adverse outcomes.
- Effective pain management strategies are crucial for patients with OUD, impacting both treatment efficacy and patient safety.
Purpose of the Study:
- To provide guidance for acute and ambulatory care clinicians on managing pain in patients with opioid use disorder (OUD).
- To review medications for OUD and discuss pain management approaches for patients with active OUD and those in recovery.
Main Methods:
- Literature review of current evidence and clinical guidelines.
- Synthesis of information on pharmacotherapy for OUD and pain management strategies.
- Discussion of clinical scenarios for patients with active OUD and those in recovery.
Main Results:
- Comprehensive review of medications for opioid use disorder (OUD), including efficacy and safety profiles.
- Detailed strategies for managing acute and chronic pain in patients with active OUD.
- Guidance on managing pain for individuals in recovery from OUD, whether on or off medication.
Conclusions:
- Clinicians require evidence-based guidance for effective pain management in patients with OUD.
- Tailored approaches are necessary for patients with active OUD versus those in recovery.
- Optimizing pain management in OUD populations can improve patient outcomes and reduce healthcare burdens.
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