Transitioning High-Dose Opioid Chronic Pain Patients to Buprenorphine

Case-based webinar will address patients with chronic non-cancer pain who have been maintained on high dose opioids (> 90-250MED) for months or years without improvement in functional outcome and break out characteristics of what is increasingly being called the "Lost Generation:" patients taking in excess of 240 MED. The speaker will present one clinician's approach to these patients including the clinical importance of withdrawal and harm reduction strategies such as naloxone kits, supporting patients through tapering, if tapers fail, transitioning to buprenorphine from higher dose opioids to improve safety in high-risk cohort.

Recorded 9/22/2017.


ASAM and/or CSAM Members: Free
Non-Member: $50.00

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Target Audience

  1. Primary care physicians who are implimenting medication assisted treatment of opioid dependence.
  2. Other clinicians who see patients dependent on opioids.

Learning Objectives

After attending this participants will be able to:

  • Identify patients at a high risk for an unintentional opioid over-dose
  • Describe harm reduction strategies including: co-prescribing nasal naloxone, opioid taper strategies, and rotation to buprenorphine in the face of a 'failed' opioid taper
  • Acquire language to talk about the process of the opioid taper with vulnerable patients
Course summary
Available credit: 
  • 1.00 AMA Category 1
  • 1.00 Attendance
Course opens: 
Course expires: 

Paul Coelho, MD
Medical Director, 
Salem Health Pain Clinic, Salem, OR
Dr. Coelho has no relevant financial relationships to disclose.

This enduring internet activity is jointly provided by the California Society of Addiction Medicine (CSAM) and the California Health Care Foundation. CSAM is accredited by the Institute for Medical Quality/California Medical Association to provide continuing medical education for physicians. CSAM takes responsibility for the content, quality and scientific integrity of this CME activity.

CSAM designates this live educational activity for a maximum of 1.0 AMA PRA Category 1 Credit™ Physicians should only claim credit commensurate with the extent of their participation in the activity.

PA’s, nurses, pharmacists, psychologists and therapists can earn CEU credit.

Available Credit

  • 1.00 AMA Category 1
  • 1.00 Attendance


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