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Michigan OPEN

Adult Opioid Prescribing Recommendations

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OPEN’s Opioid Prescribing Recommendations help frame conversations between patients and providers, so every pain management plan is individualized. They are rooted in research and expert consensus, and are intended for patients, adult and pediatric, who haven’t used opioids before surgery.


Oxycodone
5mg Tabs

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