Guidelines for use by GPs and Specialists
The following are active guidelines that have been produced by leading pain organisations or created for local use. As with all guidelines they are flexible and should be adapted for local use.
Waitemata Pain Services are always please to discuss management with primary or secondary care health professionals and can be contacted via the Waitemata Pain Services Clinic Office.
Opioid guidelines - opioid-prescribing.pdf
GP opioid prescribing guidelines- 2016 article outlining process to prescribe opioids in primary care.
Opioid Risk Tool.(ORT) This is a validated tool that helps identify high risk patients for potential dependence issues with opioids. An app is available for download on iTunes https://itunes.apple.com/us/app/opioid-risk-tool/id1033006495?mt=
The 5A's are a reminder about the key issues relating to ongoing opioid prescribing and how to monitor them at each consultation - activity, analgesia, adverse effects, aberrant behaviour and analgesia.
Opioid agreement - opioid agreement for use by prescribers and patients to clarify objectives for those starting and being maintained on opioid medications.
Faculty of Pain Medicine (Australian and NZ College of Anaesthetists) -statement on opioid prescribing. This is the local specialty college position statement on opioid prescribing.
Addiction and opioid prescribing- a 2016 NZ BPAC publication which outlines recent local and international data relating to risks and potential issues with opioid prescribing.