Legacy patients on high dose opioids or on combination hypno-sedatives including the combination of opioids and benzodiazepines are at an elevated risk of death. The OPQRST mnemonic can be used to conceptualise the strategies that help to mitigate legacy patients’ risk of death and to trend them towards a position of safer prescribing.
Alcohol use disorder is a common, well known but at the same time large and mystifying field. It can sometimes appear confusing how to manage patient with alcohol use disorder given it’s chronic relapsing and remitting nature.
The aim of anti-craving medications in alcohol use disorder is to prevent relapse or decrease cravings for alcohol. They are typically prescribed for relapse prevention once acute alcohol withdrawal is over and the best evidence favours the co-prescribing of anti-craving medications with behavioural modification therapies.