The new Canadian guideline presents evidence-based recommendations for prescribing of opioids for chronic non-cancer pain, including maximum dose recommendations, avoiding opioids in high-risk populations, and guidance for tapering.
Jason Busse, Associate Professor in the Department of Anesthesia at McMaster University and researcher with the Michael G. DeGroote National Pain Centre in Hamilton, Ontario, co-authored the guideline (open access). In this podcast, he speaks with Dr. Diane Kelsall, interim editor-in-chief, CMAJ, and explains the recommendations.
The March 3rd issue summary podcast is presented by Dr. Kirsten Patrick, deputy editor, and Dr. Domhnall MacAuley, associate editor.
Dr. Patrick and Dr. MacAuley discuss the following:
Seasonal variation of nocturnal leg cramps
Concerns over the use of quinine to treat leg cramps
Quality indicators of pharmacotherapy
Dangers of trimethoprim-sulfamethoxazole co-prescribed with spironolactone
IV immunoglobulin as therapy
Human myiasis in Canada
Use of primary care EMR data for research
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