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Pain Management with Opioid Analgesics: Balancing Risk & Benefit

Stanos, Steven P. DO; Fishbain, David A. MD; Fishman, Scott M. MD

American Journal of Physical Medicine & Rehabilitation: March 2009 - Volume 88 - Issue 3 - pp S69-S99
doi: 10.1097/PHM.0b013e318198dcf7
CME Monograph

Stanos SP, Fishbain DA, Fishman SM: Pain management with opioid analgesics: balancing risk & benefit. Am J Phys Med Rehabil 2009;88(suppl 2):S69–S99

Learning Objectives:

At the conclusion of this activity, participants should be able to:

(1) Apply a rational approach to selecting appropriate patients for chronic opioid analgesic therapy;

(2) Optimize the therapeutic response through opioid selection, titration, rotation, conversion, and dose tapering;

(3) Assess patient outcomes in the domains of analgesia, activities of daily living, adverse effects, and aberrant drug-related behavior;

(4) Identify at least 1 method to use in their practices that will aid documentation when prescribing controlled substances.

Accreditation and Designation:

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Nebraska Medical Center, Center for Continuing Education (UNMC CCE) and PharmaCom Group, Inc.

The UNMC CCE is accredited by the ACCME to provide continuing medical education for physicians.

The UNMC CCE designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


All correspondence should be addressed to Steven P. Stanos, DO, Medical Director, Center for Pain Management, Rehabilitation Institute of Chicago, Chicago, IL. E-mail:

Please direct any CME related questions to UNMC CCE at 402-559-5929 or email

© 2009 Lippincott Williams & Wilkins, Inc.