The supplementary materials to support the systematic review of the evidence for long term outcomes of tapering opioid doses in patients on long term opioid therapy for chronic pain from the Veterans Affairs Evidence Synthesis Program (ESP). These materials include search strategies used in the systematic review, inclusion/exclusion criteria for studies reviewed, evidence tables, and quality assessment of studies included in the review.
A systematic review of the evidence for long term outcomes of tapering opioid doses in patients on long term opioid therapy for chronic pain from the Veterans Affairs Evidence Synthesis Program (ESP). The report analyzes published studies to determine the benefits and harms for patients when tapering their opioid medications to lower doses or discontinuation and reviews whether benefits and harms vary by
This website for the SAFE Project (Stop the Addiction Fatality Epidemic) provides evidence-based information, resources, and speakers to help individuals and groups address addiction in their communities. The Project has special focus campaigns to work with SAFE Campuses, SAFE Communities, and SAFE Veterans.
This 7 minute video shows a patient-pharmacist conversation about naloxone, the importance of having it with you, and safe storage instructions. The video demonstrates how to use a naloxone auto-injector kit. Part of a 2 video series; the first video shows a conversation between the patient, his spouse, and his prescriber about the importance of understanding the risk of overdose when taking prescription opioids. Funding Source: Veterans Health Administration
This 6 minute video shows a patient-provider conversation about naloxone and how to prevent opioid overdose for people taking prescribed opioids. It features a man who has been prescribed opioids for pain and his spouse. The conversation covers the risks of accidental overdose from prescription opioids, how to recognize
This 7 minute video shows a patient-pharmacist conversation about how to use naloxone nasal spray and safe practices in overdose prevention and treatment for individuals with opioid use disorder. It features a woman who has completed treatment and is on methadone as part of her treatment plan
A toolkit prepared by the Veterans Health Administration to help primary care providers manage opioid tapering in their practices. It includes steps to take before beginning a taper including assessing the patient for conditions that might complicate the tapering process and communicating directly with the patient about opioid safety and tapering options.
A guide from the Veterans Health Administration to assist clinicians in moving away from using opioids to treat chronic pain in favor of non-pharmacological and non-opioid treatments for chronic pain. Includes sections on how to talk to veterans about opioid safety and alternatives to opioid treatment, Includes a step model approach to chronic pain management with step one offering self-management of pain with
This patient guide from the Veterans Health Administration addresses safe and responsible use of opioids to treat chronic pain. It includes information about opioid medications, patient pain care plans, alternatives to opioids for pain management, possible side effects of opioids, and how to take opioids
A patient brochure from the Veterans Health Administration about the risks of taking opioids and benzodiazepines together. Discusses the heightened risk of overdose when the medications are taken together and dispels myths about the medications such as the idea that people who have been taking the two medications for a long time are not at risk of overdose. Part of a series of resources about opioid safety for patients