May 15, 2020
The guideline for long-term use of opioids updated in Germany
After the consultation phase, an updated version of the S3 guideline "Long-term use of opioids in chronic non-tumor-related pain (LONTS)" has been published in mid-April 2020. Representatives of 30 specialist societies and organizations, including two patient self-help organizations, worked on an update of the guideline under the leadership of the German Pain Society.

In Germany, around 70% of opioid prescriptions are for chronic non-tumor-related pain. In about 1% of the German population, opioids for this type of pain are prescribed for the long term, i.e., with at least three prescriptions a year.

The updated guideline has defined evidence-based and consensus-based potential indications, but also contraindications for opioids in chronic non-tumor-related pain.

Also, the authors point out the need for a priori defined therapy goals, list indications for the termination of opioid therapy, and recommend making attempts to reduce or discontinue treatment.

The updated guideline in German can be found here.

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