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When we decide to prescribe a medication we refer to the following guidelines

  • WHO Ladder  is basically a way of reminding us to start with the least invasive medications before increasing to stronger medications that may carry more risk.
  • National Opioid Use Guidelines this is a tool in chronic pain management to help develop a safe way of using this class of medication.
  • Neuropathic Pain Guidelines it is our belief that most if not all chronic pain patients have some neuropathic component.  These guidelines start with medications that have the most literature to support their use.