ASCO GUIDELINES Bundle

Chronic Cancer Pain

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12 Treatment Respond to aberrant behaviors • Reconsideration of treatment to determine whether nonopioid therapies can be better used • Reconsideration of treatment to determine whether nonopioid therapies can be better used • Refills limited or not permitted • Small frequent prescriptions • No concurrent use of more than one opioid (eg, no prescription of a second short-acting drug for breakthrough pain in those prescribed a long-acting drug for daily use) • Mandated consultation with addiction specialists/ psychiatrist a e level of risk conferred is indicated by the presence of one or more factors itemized in the corresponding risk categories. Table 4. Risk Stratification and Adherence Monitoring (cont'd)

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