Alternatives to Opioid Therapy

  • Clinical Pearls
    • Recognize that opioids are not an appropriate therapeutic choice for all patients
    • Alternatives vary by case, may include
      • Nonpharmacologic modalities
      • Nonopioid adjuvant analgesics
      • Psychological therapies
      • Invasive or physical rehabilitation modalities
      • Complementary medicine
    • Treatments may be combined and should be tailored to patient circumstances and integrated as part of a multimodal plan
      • Specialist referral may be necessary
    • Sometimes there are no clear alternatives to opioid therapy
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Remember: in all cases, rely on your clinical judgment and individualize treatment to each patient.