Associate Professor of Anesthesiology and Physical Medicine and RehabilitationDirector of Pain ManagementDepartment of AnesthesiologyAlbany Medical CollegeAlbany, New York

Opioid Therapy in the 21st Century, Second Edition provides clinicians with up-to-date, evidence-based information about appropriate opioid use, including the potential benefits and adverse affects of the therapy.

• 1 Introduction to Opioids


• 2 Overview of Opioid-Related Terminology


• 3 Diagnosis and Assessment of Pain


• 4 Opioid Pharmacology


• 5 Optimizing Pharmacologic Outcomes


• 5a. Drug Selection


• 5b. Route Selection


• 5c. Assessing and Managing Opioid Side Effects


• 5d. Opioid-Induced Hyperalgesia


• 5e. Principles of Opioid Rotation


• 5f. Individualization of Therapy


• 6 Opioid Therapy for Cancer Pain


• 7 Evidence for the Use of Long-Term Opioid


• Therapy in Persistent Noncancer Pain


• 8 Pre-Opioid Prescribing Period


• 9 Identifying Patients at Risk for Pain


• Medication Misuse


• 10 Potential Documentation Tools in Long-Term


• Opioid Therapy


• 11 Managing the Risk of Abuse, Addiction, and Diversion


• 12 Special Populations


• 12a. Pediatric


• 12b. Geriatric


• 12c. Palliative care


• 13 Patients with a History of Substance Abuse


• 14 Resources


• Appendix 1. Sample AAPM Consent for Chronic


• Opioid Therapy


• Appendix 2. Sample AAPM Agreement for Long-Term Controlled Substance Therapy


• for Chronic Pain


• Appendix 3. Numerical Opioid Side Effect


• (NOSE) Assessment Tool


• Appendix 4. Translational Analgesia Score (TAS)


• Appendix 5. Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer


• Pain: Opioid Treatment Guidelines