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VA/DoD Clinical Practice Guidelines

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Use of Opioids in the Management of Chronic Pain (2022)

Cover page of the guideline document.The guideline describes the critical decision points in the Use of Opioids in the Management of Chronic Pain and provides clear and comprehensive evidence based recommendations incorporating current information and practices for practitioners throughout the DoD and VA Health Care systems. The workgroup consensus statements are provided to minimize harm and increase patient safety in patients requiring opioid therapy.

Disclaimer:This Clinical Practice Guideline is intended for use only as a tool to assist a clinician/healthcare professional and should not be used to replace clinical judgment.

About the CPG

The guideline is formatted as three algorithms and 20 evidence based recommendations.

Module A: Determination of Appropriateness for Opioids for Chronic Pain
Module B: Initiation of Treatment with Opioids
Module C: Maintaining, Tapering, Discontinuing, or Switching from Full Agonist Opioids

Questions about the OT Guideline

Retired CPG's can be found on our archive page