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It’s your worst clinical nightmare: providing dosing recommendations for opioid and/or nonopioid pain medication treatment for a patient with renal or hepatic impairment.

Even scarier, a patient with end-stage renal or hepatic disease! Put your panic aside and learn about the INs and OUT of...

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Ah… drug math. Those 2 little words can make a strong healthcare provider want their mommy. But no fear. Armed with an understanding of conversion calculations, some semisolid facts about equivalencies, and a healthy sense of “Does that LOOK right?”—you’ll be just fine!

This lively session will...

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With our current climate of opioid overuse and increasing opioid related deaths, alternatives to pure mu opioids are necessary. Buprenorphine, an important weapon in the arsenal for management of substance use disorder, is now rising in popularity as an opioid option for chronic pain. Evidence has...

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Chronic pain involves a complex process, with an underlying pathophysiology that is now understood to involve a sensitized state. Understanding the etiology is essential to selecting appropriate treatment modalities. It is also essential to educate patients in a way that can be understood and...

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The number of deaths from prescription opioids from 2014 to 2016 were essentially unchanged, but deaths from illicit fentanyl derivatives over the same time period increased by almost 650%. Between 2010 and 2015, we know that by county, prescribed morphine daily dose equivalents (MEDD) per capita...

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In professional practice, numerous medications are disguised as “muscle relaxants”; however, just how many actually are true relaxants of peripheral muscle? In this discussion on the overall classes of muscle relaxants, we will endeavor to evaluate these medications based on respective mechanisms of...

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When treating acute and chronic pain conditions, there is a need for “balanced” analgesia or multimodal analgesia. These are cases in which opioids as monotherapy are rarely appropriate. The therapeutic role of adjuvant analgesics is to increase the therapeutic index of opioids by producing an...

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Throughout the course of history, mankind has experienced heightened effects from natural sources, and even delved into creating or modifying substances to the same accord. In our society we have a very “objective” classification of materials based on generally accepted medical use and propensity to...

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A perennial PAINWeek favorite returns! Many patients receiving opioids will need to be switched from one to another during therapy, or at least from one dosage formulation or route of administration to another. During this session, practitioners learn to recognize clinical situations in which opioid...

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The gabapentinoids are a popular class of medications among prescribers for use in chronic pain and various other neurological conditions. In fact, prescription rates for both gabapentin and pregabalin have increased in the United States and other countries in recent years. However, these...

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