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Michigan OPEN

Adult Opioid Prescribing Recommendations

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Our adult Opioid Prescribing Recommendations are designed for patients with no preoperative opioid use and are not intended for patients taking opioids preoperatively.

Along with published studies and expert consensus, our recommendations are informed by patient-reported outcomes (PROs) on opioid consumptions, pain control, and satisfaction. The levels of evidence used to draw conclusions about opioid prescribing are clearly outlined, so providers can make educated determinations about prescribing and care – while taking individual patient needs into consideration.


Oxycodone
5mg

OPIOID PRESCRIBING

When an opioid is needed after surgery, use the OPEN prescribing recommendations as the foundation for a shared decision-making conversation with the patient to determine the best prescription size.

It’s important to note that these are not rigid rules that must be adhered to, but rather recommendations. Starting form a standardized approach and then allowing for individualization helps promote both equity and patient-centeredness.

  1. Determine the opioid prescribing range based on:
    • Type of procedure
    • Additional procedures performed
  2. With the patient, determine the best prescription size within the appropriate range
    • Assess for individual risk factors
    • Consider patient preferences and other non-opioid strategies utilized
    • Pain management at the time of discharge:
      • Pain scores in 24 hours prior to discharge
      • Medication use in 24 hours prior to discharge
      • Timing of discharge