Description of Pain and Associated Features Description of Pain Likely Cause Initial Management by Medical Practitioners Dental Treatment Intermittent dental pain experienced when exposed to stimuli (hot, cold, sweet), resolves when removed Reversible pulpitis – Advise avoiding provoking food/drink– Cover cavity with inert material (e.g., chewing gum, Blu Tack)– Advise…

Drug Misuse Behaviours Characteristics of Drug-Seeking Patients Spectrum of Drug Misuse Behaviours Managing Drug Misuse Managing Manipulative Behaviors Strategies for Clinicians Summary

Comprehensive Assessment and Management Awareness of Risks Opioid Indications Opioid Prescribing Guidelines Non-Cancer Pain Cancer Pain Minimize Risks: Prescribe opioids at the lowest effective dose for the shortest timeframe. Comorbidities: Avoid prescribing opioids to patients with alcohol or substance use disorders or polydrug use. Seek specialist opinion for these patients.…

Trends in Opioid Use in Australia General Trends Increasing Use and Prescription Patterns Over-the-Counter Opioid Trends Non-Medical Use of Opioids Reasons for Opioid Prescription Demographics and Opioid Prescribing Geography and Opioid Prescribing Implications of Prescribing Variation Problematic Use of Opioids Prevalence and Incidence Sources and Treatment Seeking Overdose and Mortality…

Medications Evidence for Use of Opioids for Chronic Non-Cancer Pain (CNCP) Evidence in Different Chronic Pain Conditions Musculoskeletal Pain Neuropathic Pain challenge of putting evidence into practice Translating Evidence to Practice Efficacy of Analgesics Clinical Trials vs. Real-World Practice Implications for Clinical Practice Specific Treatment Considerations Opioids – Mode of…

The Pain Experience based on : https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/drugs-of-dependence/part-c2/approach-to-pain-management Definition and Types of Pain: Biopsychosocial Model of Pain: Individual Pain Experience: Management of Pain: Patient-Doctor Relationship: Role of the GP: Placebo Effects: Determinants of Placebo Effects: Pathways for Placebo Effects: Ethical Considerations and Practical Use: Pathophysiology-based Classification Nociceptive Pain Neuropathic Pain Nociplastic…

Caffeine Antidepressants General Considerations Tricyclic Antidepressants (TCAs) Musculoskeletal Pain Neuropathic Pain Fibromyalgia Serotonin Noradrenaline Reuptake Inhibitors (SNRIs) Musculoskeletal Pain Neuropathic Pain Fibromyalgia Selective Serotonin Reuptake Inhibitors (SSRIs) Anticonvulsants Alpha-2-Delta Ligands (Gabapentin and Pregabalin) Neuropathic Pain Fibromyalgia Carbamazepine Valproate Lamotrigine Naloxone (Low-Dose ) Naloxone, traditionally known as an opioid antagonist used…

Psychological Interventions Psychological assessment and treatments aim to manage pain, distress, and disability. These can be provided by primary physicians or in collaboration with clinical psychologists. The efficacy of these interventions varies, and for chronic neuropathic pain, there is insufficient evidence to support their effectiveness. Activity and Exercise Interventions Exercise…

from :Prescribing drugs ofdependence in generalpractice, Part C1 – RACGP Opioid Use in Pregnancy and Breastfeeding Pregnancy Breastfeeding Opioid Use in Workers’ Compensation Injuries Risks Rehabilitation Focus Prescribing Opioids to Patients Who Drive Risks Guidelines Licensing Opioid Therapy in Sleep Apnoea or Disordered Breathing Risks Recommendations Opioid Therapy in Patients…

NPS Medicinewise. 5 steps to tapering opioids for patients with chronic non-cancer pain. 2020. Step 1: Explore the Patient’s Expectations Empower the Patient Provide Reassurance Step 2: Review Pain Management Plans Step 3: Develop a Tapering Plan Step 4: Expect Some Withdrawal Symptoms Step 5: If in Doubt, Seek Support…