Opioid Induced Hyperalgesia | Medical Algorithm

Evaluation

Are you evaluating a patient who has been receiving long-term therapy with an opioid for pain?

Yes

Has the pain become worse or taken on new features despite compliance with the opioid regimen?

Yes

Has increasing the opioid dose only made the pain worse?

Yes

Has changing to another type of parenteral analgesic resulted in a significant reduction in pain?

Yes

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of findings suggesting opioid-induced hyperalgesia

Does the patient have opioid-induced hyperalgesia?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Features Suggestive of Drug Seeking Behavior in Patient
- Clinical Criteria of Chabal et al for Prescription Opiate Abuse in a Patient with Chronic Pain
Severity, Prognosis, Stage
- Clinical Criteria of Chabal et al for Prescription Opiate Abuse in a Patient with Chronic Pain

Therapy

Options
- Management of Pain Associated with Diabetic Peripheral Neuropathy
- World Health Organization (WHO) Analgesic Ladder
Selection
Dosage Calculations
- Management of Pain Associated with Diabetic Peripheral Neuropathy
Administration
Prevention
- Risk Factors for Fentanyl Toxicity in Patient Treated with Transdermal Patch
- Management of Pain Associated with Diabetic Peripheral Neuropathy

Monitoring

Response To Therapy
- Management of Pain Associated with Diabetic Peripheral Neuropathy
- Indications for Using Parenteral Morphine for Control of Severe Pain
Compliance/adherence
- Prescription Opioid Misuse Index (POMI)

Patient Concerns

Quality Of Life
- Management of Pain Associated with Diabetic Peripheral Neuropathy

Specialty

Pharmacology, clinical

Objective

adverse effects

ICD-10

F11.0 - Mental and behavioural disorders due to use of opioids, acute intoxication

Opioid Induced Hyperalgesia (OIH)

Purpose: To evaluate a patient for opioid-induced hyperalgesia (OIH).