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Opioid Prescribing for Analgesia After Common Otolaryngology Operations

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18 Patient Information Table 7. Frequently Asked Questions Comparing Nonopioid and Opioid Medications Frequently Asked Questions Opioids NSAIDS Can I be addicted to this? Yes No When are they used —what level of pain? Severe pain Mild–Severe Should I start with this medication? No, use only if around-the- clock nonopioid medications are not enough. Yes, you may start with this medication. Is this used alone or with other medications? Should be used in combination with other pain medications. Can be used alone or in combination. Can I stop using this medication and how do I stop? Sometimes this needs to be slowly stopped ("tapered") depending on how much you have taken. Talk about this with your health care provider. is can be stopped at any time. What are the common side effects (reported in 3% or more patients)? Dizziness, nausea (very common), headache, drowsiness (feeling sleepy or tired), vomiting, dry mouth, itching, and constipation. Upset stomach What are the serious risks and what is the risk of addiction or dependence? Respiratory depression (very slow breathing ), misuse, abuse, addiction, overdose, and death from respiratory depression. Your risk of opioid abuse increases the longer you take the medication. Stomach bleeding or ulcers, heart attack, kidney damage, and stroke. Celecoxib has a lower risk of stomach bleeding and/or ulcer formation over the short term. Adapted from the American College of Surgeons patient education brochure on Safe and Effective Pain Control Aer Surgery.

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