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How to Taper Patients Off of Chronic Opioid Therapy
Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine
This CME activity will enable doctors to recognize when risks of chronic opioid therapy outweigh benefits, and how to safely and compassionately taper patients off of chronic opioid therapy (including the use of buprenorphine to make this transition). A real life patient case scenario will be used to illustrate these principles in practice, including what to say to patients to communicate risks and provide support through the difficult period of withdrawal. When to refer for addiction treatment will also be discussed.
Target Audience
This course is designed to meet the educational needs of physicians and nurses in primary care, family practice, internal medicine, neurology, oncology, psychiatry, addiction medicine, and interested Allied Health Professionals.
Learning Objectives
- Recognize when risks of chronic opioid therapy outweigh benefits and effectively communicate this information to patients.
- Employ language to prepare patients in advance for the opioid taper, and to provide emotional support in the midst of withdrawal.
- Integrate the key features of a successful outpatient taper off of chronic opioid therapy: go slowly, take breaks, never go backwards.
- Distinguish the signs and symptoms of opioid use disorder (addiction), and intervene with compassion when, in the process of a taper, an opioid use disorder comes to light.
- Counsel patients on non-opioid alternatives to chronic pain.
Additional Information
Anna Lembke, MD
Associate Professor of Psychiatry and Behavioral Sciences
Program Director for the Stanford University Addiction Medicine Fellowship
Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic
Stanford University School of Medicine
Course Director
Speaker/Author
Laura
Speaker
The patient in the course, using the pseudonym Laura, has indicated that she has no relationships with industry to disclose relative to the content of this activity.
Disclosures
The following planner, speakers and author has indicated that she has no relationships with industry to disclose relative to the content of this activity:
In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Designation
American Medical Association (AMA)
Stanford Medicine designates this Enduring Material for a maximum of 1.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Additional Information
Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws. You are encouraged to visit the Multicultural Health Portal: http://lane.stanford.edu/portals/cultural.html
Available Credit
- 1.25 AMA PRA Category 1 Credit™
This course is offered through Stanford Medicine.
To take this course you will be redirected to Stanford Medicine's website. You must login or create an account with Stanford Medicine in order to complete this activity.
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