Page 48 Acute Pain Management
P. 48
The patient with an addiction disorder
Naltrexone should be stopped at least 24 hours prior to elective surgery (U).
Patients who have completed naltrexone therapy should be regarded as opioid naive; in
the immediate post‐treatment phase they may be opioid‐sensitive (U).
Maintenance methadone regimens should be continued where possible (U).
Buprenorphine maintenance may be continued; if buprenorphine is ceased prior to
surgery conversion to an alternative opioid is required (U).
There is no cross‐tolerance between central nervous system stimulants and opioids (U).
SUMMARY
xlviii Acute Pain Management: Scientific Evidence
