The CDC issued new guidance for doctors that recommends how and when to prescribe opioids, but avoids strict figures on dosage and length of prescriptions.
Discuss alternative therapies and prescribe the lowest dosage for patients who have not taken opioids before.chronic pain patients only if the benefits and ability to do daily tasks outweigh known risks, which can include addiction, overdose and death.Rely on other therapies and try to gradually lower dosages or discontinue opioids for patients already on higher dosages.
"Patients with pain should receive compassionate, safe and effective pain care," said Christopher Jones, acting director of CDC’s National Center for Injury Prevention and Control. "We want clinicians and patients to have the information they need to weigh the benefits of different approaches to pain care, with the goal of helping people reduce their pain and improve their quality of life.
The original guidance stressed that doctors should be careful to avoid daily opioid doses that exceed 90 morphine milligram equivalents. The new version recommends doctors be cautious but does not forbid prescribing daily doses of more than 50 morphine milligram equivalents.
Abruptly tapering or discontinuing opioids increases pain patients' risk of addiction and suicide. Jones said abrupt tapering"creates a very real risk" for patients, including mental health, thoughts of suicide, or seeking illicit opioids to stave off withdrawal.
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