Opioid Information - HAN
Pain Management
Pain Management Guidelines/Recommendations:
American College of Emergency Physicians’ Clinical Policy on Opioid Prescribing
ADA Statement on the Use of Opioids in the Treatment of Dental Pain
CDC Guideline for Prescribing Opioids for Chronic Pain
VA Management of Opioid Therapy for Chronic Pain (2017)
"Six Building Blocks: A Team Approach to Improving Opioid Management in Primary Care" (AHRQ)
Pain Management Clinical Tools:
· Online Morphine Milligram Equivalent Calculator :
· Illinois Perscription Monitoring Program
· PEG Pain Scale Monitoring Tool
Online Continuing Medical Education (Free):
· PCSS-O Core Curriculum on Opioid Management
· PCSS-O Additional Archived CME
Please click the links below to access to Presentations from the February 13, 2018 conference "Opioid Stewardship and Managing the Opioid Crisis: A Health-Care Perspective"
Harm Reduction and Overdose Prevention:
- Encourage patients (and their family and friends) to carry naloxone:
- Any licensed prescriber can write a prescription for naloxone, which patients can fill in a pharmacy. Any licensed prescriber can also write a prescription for naloxone for friends and family of a patient who is using opioids. For more information, click here. or contact: Wilnise.Jasmin@cityofchicago.org. **Because of the increase in fentanyl and analogs, you may want to consider prescribing 3 units of naloxone instead of the standard two units*
- To watch a video on how to talk to patients about naloxone in primary care and pain management settings, go here.
- Per Illinois law, a pharmacist who has completed training can initiate naloxone dispensing without a physician prescription. The same Illinois law requires that all Medicaid plans must provide coverage for naloxone. To date, Walgreens has trained all of its pharmacists in Illinois to be able to do this. Many other individual and chain pharmacies have trained some pharmacists.
- Overdose response education and naloxone distribution is also available through the Chicago Recovery Alliance (CRA). A schedule for the CRA mobile van can be found here.
- Patient videos of how to administer naloxone can be found here.
- Patient handout on how to administer naloxone can be found here and here. (Two handouts for patients)
- Any licensed prescriber can write a prescription for naloxone, which patients can fill in a pharmacy. Any licensed prescriber can also write a prescription for naloxone for friends and family of a patient who is using opioids. For more information, click here. or contact: Wilnise.Jasmin@cityofchicago.org. **Because of the increase in fentanyl and analogs, you may want to consider prescribing 3 units of naloxone instead of the standard two units*
- Educate patients (and their family and friends) on harm reduction techniques to avoid overdose and death:
- Avoid using drugs alone
- Know your limits- do a “test shot” to see how strong the drug is (i.e., inject or snort a smaller amount than usual to make sure that the response is as expected)
- Avoid mixing drugs when possible, especially multiple “downers” that can cause respiratory depression
- Carry an overdose rescue kit (naloxone) and be sure others know you have it
- Encourage patients and families to check out the CDPH website: "Overcome Opioids" (www.overcomeopioids.org) which includes general information and local resources.
Wilnise Jasmin, MD, MBA, MPH
Medical Director of Behavioral Health
Phone: 312-747-9762
Email: Wilnise.Jasmin@cityofchicago.org
*After hours, weekends, and holidays, call 311 and ask for the communicable disease physician on-call (or 312-744-5000 if outside the City of Chicago).
COVID-19 Resources for Opioid Treatment Programs (OTPs):
- Learn more about SAMHSA’s COVID-19 Guidance for Opioid Treatment Programs here.
- Access the Drug Enforcement Administration’s guidelines on Use of Telemedicine While Providing Medication Assisted Treatment (MAT) here.
- For the most up-to-date information on responses to COVID-19 for the Substance Use Disorder Treatment field, go to https://www.samhsa.gov/
See links below for recent opioid-related epidemiology briefs:
Chicago Opioid Update - December 2020
Data Brief: 2019 Chicago Opioid Overdose Ovedose Data Brief
Opioid Surveillance Report –Chicago 2017. City of Chicago, October 2018
Epidemiology Brief: Opioid Related Overdose Deaths in Cook County, IL 2016
Epidemiology Report: Increase in Overdose Deaths Involving Opioids - Chicago, 2015-2016
Epidemiology Brief: Characterizing Opioid Use, Misuse, and Overdose in Chicago, IL 2015
Epidemiology Brief: Opioid Related Overdose Deaths in Cook County, IL 2015
We have items for providers to share with their patients. Please click on the item you would like to download
![]() | Handout for Patients on Prescription Opioid Safety |
![]() | Handout For Patients regarding naloxone and overdose reversal |
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