Article

How to avoid opioid misuse

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Key Point

Some preliminary evidence supports off-label use of sublingual buprenorphine for chronic pain, but more research is needed.

Maintaining a rational, evidence-based approach

Opioid analgesic misuse is a serious public health problem. It would be unfortunate, however, if clinicians were to avoid medically appropriate opioid prescribing for people with chronic pain. Rational, evidence-based strategies to mitigate opioid misuse are the appropriate goal, accompanied by efforts to improve chronic pain treatment with and without opioids. To provide safe and effective opioid therapy, we urge you to develop a proactive approach informed by clinical guidelines, clinical experience, and the scientific literature.


Key Point

While opioid analgesic misuse is a serious problem, it would be unfortunate if clinicians avoided prescribing opioids for people in chronic pain.


Disclosure

Dr. Potter receives grant support from the National Institute on Drug Abuse K23 DA02297 (Potter) and U10 DA020024 (Trivedi) and serves as a consultant to Observant LLC. Ms. Marino reported no potential conflict of interest relevant to this article.

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