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.
Guidance for clinicians on how to taper patients’ long-term opioid prescriptions to lower dosages or discontinuation from the U.S. Department of Health and Human Services.
This 2016 toolkit from Partnership Health Plan of California provides guidance for providers seeking to engage their patients in a step-wise, physician directed tapering of their opioid dose. The toolkit has 4 sections: how to identify candidates for tapering, how to collaboratively set a tapering plan with the patient, how to manage the tapering process and complications, and advice on planning for special situations
This 2015 video from Dr. Andrea Rubinstein provides guidance to providers on how to work with patients to taper their opioid medication dosage. Includes a discussion on indications for tapering, 10 best practices for
In 2018 the Arizona Legislature passed the Arizona Opioid Epidemic Act. This one page information sheet for patients explains how the legislation protects chronic pain patients who use opioids to treat their pain. The document clarifies that the act does not limit prescription fills for chronic
This website includes all of the pain treatment guidelines prepared by the Oregon Pain Guidance commission including guidelines on acute pain, chronic pain, low back pain, alternatives to pharmacological treatment of pain, treating pain in children and senior citizens, pain control for cancer and palliative care, opioid
In 2018, the Arizona Legislature passed the Arizona Opioid Epidemic Act. This one page information sheet for patients in Spanish explains how the legislation protects chronic pain patients who use opioids to treat their pain. The document clarifies that the act does not limit prescription fills
This 2019 bulletin describes evidence-based practices for providing medication assisted treatment (MAT) for individuals with opioid use disorder and coverage of these treatment by Virginia’s Medicaid program.
This 2018 guideline from College of Psychiatric and Neurologic Pharmacists offers advice to pharmacists and providers about tapering patients off long term use of benzodiazepines. Patients prescribed both opioids and benzodiazepines are at higher risk of overdose and death.
This clinician’s guide from the California Health Care Foundation aims to provide primary care providers with “everything they need to know” about buprenorphine. It includes background information on buprenorphine’s effectiveness as a treatment for opioid use disorder and the Drug Addiction Treatment Act