• When
• Order for opioid analgesics with ambulatory misuse potential:
• Opioid review is useful for this patient:
{% include opioid-review-useful-functional-description.html %}
• Patient is not currently prescribed naloxone medications
• Factors that increase risk for opioid overdose are present:
• Currently receiving benzodiazepine or other central nervous system depressant medications, or
• High opioid dosages (MME/day >= 50), or
• History of substance use disorder, or
• Diagnosed with sleep-disordered breathing condition
• Then
• Incorporate Risk Mitigation Strategies Into Opioid Therapy:
• Order - Order naxalone
• Document - Risk mitigation strategy implemented, snooze 3 months
• Snooze - N/A see comment, snooze 3 months