How to institute opioid therapy

How to institute opioid therapy

When dosing opioids for a patient with chronic severe pain remember the following:

by mouth (When giving pain medications, the oral route is always preferred over other routes like transdermal, intravenous or sub-cutaneous routes)
by the clock (Chronic basal pain is usually best treated with scheduled long acting pain medications, with short acting pain medications on an as needed basis for incidental or break through pain)
by the ladder Opioid Ladder

Pain Ladder from the World Health Organization

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