Escalla
what are the contraindications for opioid use?
uh...Relative and Absolute Contraindications for Opioid Use
Relative Contraindications (use only after careful consideration of risks and benefits)
• Unwilling or unable to comply with treatment plan
• Unable to manage therapy responsibly
• Social instability
• Acute psychiatric instability or high suicide risk
• Substance abuse including alcohol (recent or past)*
• Current substance use disorder according to DSM-IV criteria (excluding caffeine and nicotine )*
• Pregnancy
• Suspected illegal activity
Absolute Contraindications (should not be used)
• Absence of pathology
• Illegal activity: active diversion, prescription forgery, active or recent illicit drug use, history of significant illegal
activity
• Active untreated addiction
• Current substance abuse, including alcohol*
• Buprenorphine + naloxone therapy (partial mu opioid agonist prescribed for and approved for opioid dependence only)
• Naltrexone therapy (opioid antagonist prescribed for treatment of alcohol or opioid dependence only)
* Reflects difference in opinion among health care providers
anyway ... grandma's chocolate cake
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