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Opioid zone

In response to concerns the increasing opioid prescribing for chronic pain in the UK, and the current surge of interest in reversing this trend, Live Well with Pain has collected a library of resources. These focus on opioid management, safety and tapering.

The resources come from a range of trusted national and international sources. Some are for clinicians to guide their practice. Other resources provide information for patients in the safe use of opioids, or guide them if they are considering reducing or stopping using opioids.

If starting an opioid prescription

…for clinicians

Chronic Pain Pathway Ladder

A pathway for non-cancer chronic pain, longer than three months duration in adults in primary care.

West Suffolk CCG Medicines Management Team and West Suffolk Pain Services, 2017

National guidance: a resource for patients and healthcare professionals

Information from Opioids Aware to support a safe and effective prescribing decision.

The Royal College of Anaesthetists Faculty of Pain Medicine, 2017

Opioid equivalence, risks and recommendations

How much opioid is the person taking? A valuable guide to dosing based on oral morphine equivalent dose/day to enable safe prescribing.

WSCCG Medicines Management Team and West Suffolk Integrated Pain Management Service, 2018

Opioid Manager

Need more detail? These charts for clinicians to support effective, safe prescribing and management of opioids for people with chronic non-cancer pain.

National Pain Centre, McMaster University, Canada, 2017

Person Centred Management of Chronic Non Cancer Pain

Two resources from Centre for Effective Practice in Canada, with clear information on non-pharmacological treatments, non-opioid medications and opioids prescribing.

Centre for Effective Practice, Canada, 2017

Opioid search strategies in practice

Medicines Management, University Health Board, NHS Wales

…for patients

Ten Opioid Safety Messages

A patient information leaflet

West Suffolk Community Pain Management Service, 2016

Taking Opioids for Pain

A patient information leaflet from Opioids Aware

The Royal College of Anaesthetists Faculty of Pain Medicine, 2016

Opioids and Driving

Information for patients from Opioids Aware

The Royal College of Anaesthetists Faculty of Pain Medicine, 2016

Reviewing prescribed opioids

…for clinicians

Opioid Tapering Resource Pack

Simple and structured guidance for clinicians.

West Suffolk CCG and West Suffolk Integrated Pain Management Service, 2018

Medication Review and Tapers form

For completion with the patient during face-to-face review in practice

Medicines Management, University Health Board, NHS Wales

…for patients

Using My Medicines

A patient decision guide to self complete and share with reviewing clinician.

Live Well with Pain, 2018

Reducing Opioid Medications

Information for patients.

Medicines Management, University Health Board, NHS Wales

Opioid Tapering

Information for patients.

National Pain Centre, McMaster University, Canada, 2017

Risks of Opioid Medications

Information for patients.

Medicines Management, University Health Board, NHS Wales

Further resources will be added as they become available. If you are aware of other resources which can help clinicians to work efectively and safely with opioids, please get in touch.