Does pain get worse if you discontinue long-term opioid therapy?
If you discontinue long-term opioid therapy what are the impacts? Will it get worse or not? Well Let’s find out
Lots of people who take opioids regularly to help their chronic pain may cringe at thought of discontinuing their usage. They may fear that the pain intensity would become worse, which keeps them from even wanting to try transitioning away from using them, or going to intermittent usage of them. Researchers wanted to put this issue to the test, so they could see what happened when those using long-term opioid therapy transitioned to something else, or discontinued therapy all together.
The findings of their research were published in the June 2021 issue of the Journal of Pain (1). For the cohort study, they had over 30,000 veterans who fit the criteria to participate in the study.
- Some of the participants were to transition away from using the long-term opioid therapy altogether
- While others would replace it with using the opioid therapy intermittently, rather than using it ongoing.
Those who participated in the study were on long-term opioid therapy for their chronic pain. When the study began, the researchers took the participants’ pain assessments, using a numeric rating scale. They then followed up with them every 90 days after they transitioned to repeat the assessment.
What they found was pain scores were lower during follow-up period for both groups that transitioned away from opioid therapy. Those who switched to intermittent opioid therapy and those who discontinued opioid therapy altogether both reported they experienced less pain. Meanwhile, those participants who continued with the long-term opioid therapy did not have any reduction in the amount of pain they reported having.
Those who fear transitioning away from long-term opioid therapy should find hope in the results that this study shares. The researchers found the opposite to be true, that if you transition away from them, either by discontinuing their usage altogether or switching to using them intermittingly, there’s a good chance that the chronic pain intensity will reduce as well.
Long-term opioid therapy for chronic pain can be problematic. According to the National Institute on Drug Abuse, up to 29% of those who are prescribed opioids for chronic pain misuse them (2). In 2019, there were around 50,000 people in the U.S. who died from opioid-involved overdoses. In response to the opioid crisis, U.S. health authorities are focusing on five efforts, which include advancing better practices for pain management.
Will you discontinue long-term opioid therapy or not based on what you’ve just read
Sources:
- Journal of Pain. Association Between Pain Intensity and Discontinuing Opioid Therapy or Transitioning to Intermittent Opioid Therapy. https://pubmed.ncbi.nlm.nih.gov/34186177/
- National Institute on Drug Abuse. Opioid Overdose Crisis. https://www.drugabuse.gov/drug-topics/opioids/opioid-overdose-crisis
