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Opioids: An Overview 

Opioids: An Overview
Chapter:
Opioids: An Overview
Author(s):

Daniel J. Leizman

, Alparslan Turan

, and Shahbaz Qavi

DOI:
10.1093/med/9780199349302.003.0005
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date: 07 July 2020

This chapter highlights the specifics of management of opioid-dependent patients with chronic pain in the hospital setting. It is advised that the same maintenance dose of opioids taken before admission be continued for chronic pain patients in the hospital unless contraindicated. Clinicians should consider increasing the dose to address acute pain or pain from surgery. Conversion and rotation of opioids need to be carried out effectively and safely in hospitalized patients. Patients who state a better effect of one opioid than that of another should not be categorized as drug seekers offhand as genetic and other individual factors may influence sensitivity to opioid pharmacotherapy. Inpatient pain management for hospitalized patients serves as the foundation of the inpatient treatment plan and as a conduit for subsequent treatment for the patient as an outpatient.

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