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Controlled Substance Management in Chronic Pain


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Table of Contents

1 Scope of the pain problem 2 Scope of the problem: Intersection of chronic pain and addiction3 Evidence-based treatment for chronic pain with opioids4 Opioid pharmacology5 Pharmacokinetics6 Benzodiazepines, Alcohol and Stimulant Use in Combination with Opioid Use7 Marijuana and cannabinoids for pain8 Adjuvant agents in chronic pain therapy9 Complications of opioid therapy10 Risk mitigation strategies11 Naloxone Treatment of Opioid Overdose12 From Patient Evaluation to Opioid Overdose Prevention: Ten Steps to Make the Law Work for You and Your Patients13 Treating the difficult patient14 Controlled Substance Management: Exit Strategies for the Pain Practitioner15 Alternatives to opiates in the management of non-cancer related painAppendix A: American Society of Interventional Pain Physicians (ASIPP) Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer PainAppendix B: Sample Opioid Agreement/Informed ConsentAppendix C: Opioid Risk ToolAppendix D: Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP (R)-R)Appendix E: McGill Pain Questionnaire

About the Author

Peter S. Staats, MD, MBA, FIPP ABIPPPresident, American Society of Interventional Pain PhysiciansJohns Hopkins UniversityDepartment of Anesthesiology and Critical Care, and Department of OncologyPremier Pain Centers Shrewsbury, NJ

Sanford M. Silverman, MD, DABPM, DABAMCEO and Medical Director of Comprehensive Pain Medicine, Pompano Beach, FL


"Clinicians who care for patients with chronic pain on a regular basis in their practice are the intended audience. ... It helps to make sense of the chaotic world of opioid therapy for chronic conditions. I cannot think of any other book that comes close to doing justice to this important topic. This is a must read for all pain physicians at all levels of training and experience." (Tariq M. Malik, Doody's Book Reviews, August, 2016)

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