Dosing and Titrating Opioids
This is the fourth webinar in a COCA Call series about CDC Guideline for Prescribing Opioids for Chronic Pain. To view a list of other webinars in the series, visit the opioid call series overview webpage
Date:Wednesday, August 17, 2016
Deborah Dowell, MD, MPH
Senior Medical Advisor
Division of Unintentional Injury Prevention
National Center for Injury Control and Prevention
Centers for Disease Control and Prevention
Jane Ballantyne, MD, FRCA
Professor, Anesthesiology and Pain Medicine
Director, UW Pain Fellowship
University of Washington
Mark Sullivan, MD, PhD
Professor, Psychiatry and Behavioral Sciences
Anesthesiology and Pain Medicine
Bioethics and Humanities
University of Washington
Evidence indicates that the risk for opioid-use disorder and overdose increases as dosage increases. CDC Guideline for Prescribing Opioids for Chronic Pain provides recommendations about the types of opioid formulations at initiation, starting dosages, morphine milligram equivalent dosage calculation methods, dose titrating considerations, and tapering methods. During this COCA Call, clinicians will learn about the association between opioid dosage and opioid therapy benefits and harms. In addition, presenters will use a case study of a patient with severe back pain on oxycodone to guide clinicians through safe opioid prescribing practices.
- Describe the evidence for the association between opioid dosage and opioid therapy benefits and harms.
- Compare and contrast immediate release and extended-release/long-acting opioid formulations.
- Identify methods for calculating morphine milligram equivalent dosage.
- List the steps for titrating opioids to specific dosage thresholds.
- Identify best practices for opioid tapering and discontinuation.
CDC Guideline for Prescribing Opioids for Chronic Pain and Related Materials
- SAMHSA Buprenorphine Training for PhysiciansExternal
- MMWR: CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016
- JAMA Special Communication: CDC Guideline for Prescribing Opioids for Chronic PainExternal
Guideline Resources: Clinical Tools
- Pocket Guide: Tapering Opioids for Chronic PainCdc-pdf
- Guideline for Prescribing Opioids for Chronic Pain: RecommendationsCdc-pdf
- Checklist for Prescribing Opioids for Chronic PainCdc-pdf
- Nonopioid Treatments for Chronic PainCdc-pdf
- Assessing Benefits and Harms of Opioid TherapyCdc-pdf
- Calculating Total Daily Dose of Opioids for Safer DosageCdc-pdf
- Prescription Drug Monitoring Programs (PDMPs)Cdc-pdf
CDC Vital Signs
CDC Injury Prevention and Control
- CDC Prescription Drug Overdose
- Prescription Drug Overdose: What Health Care Providers Need to Know about the Epidemic
- Prescription Drug Overdose Prevention for States
Other Agency Resources
- The White House – Office of National Drug Control Policy: Opioid Abuse in the United StatesCdc-pdf[471KB]External
- NIH Pain Consortium Centers of Excellence in Pain Education (CoEPEs)External
- Providers’ Clinical Support System for Medication Assisted TreatmentExternal
- Providers’ Clinical Support System for Opioid TherapiesExternal
- CMS Improvements to Medicare Drug and Health PlansExternal
- SAMHSA – Substance Abuse and Mental Health Services AdministrationExternal
- National Institute on Drug AbuseExternal
- PDMP Center of Excellence, Brandeis UniversityExternal
- Audio conference call on 8/17/16: 2:00 – 3:00 PM EDT
- Web-on-demand training after 3:00 PM EDT on 8/17/16
- Materials: PowerPoint slide set
“WC2286” for attendees who participate in the live call (must be completed by September 16, 2016)
“WD2286” for attendees who participate in the online presentation (must be completed by September 16, 2018)
- Physician Assistants
- Health Educators
- Other Clinicians
- Contact Information:firstname.lastname@example.org
- Support/Funding:Centers for Disease Control and Prevention, Emergency Risk Communications Branch
- Method of Participation:You may participate in the educational activity by viewing the program information above.
- Fees:COCA continuing education credits are free.
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The Centers for Disease Control and Prevention designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
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DISCLOSURE: In compliance with continuing education requirements, CDC, our planners, our presenters, and their spouses/partners wish to disclose they have no financial interests or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters. Planners have reviewed content to ensure there is no bias.
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