Choosing Wisely:

Don’t continue opioid analgesia beyond the immediate postoperative period; prescribe the lowest effective dose and number of doses required to address the expected pain.

Rationale and Comments: The use of opioid analgesia for pain is often appropriate in surgical patient care. However, due to the emergence of opioid use disorder as a public health epidemic, the appropriate use of opioid therapy must begin with adherence to minimum prescribing in terms of dose, duration, and quantity.
Sponsoring Organizations:
  • American Urological Association
  • Sources:
  • Centers for Disease Control and Prevention
  • Disciplines:
  • Neurologic
  • Surgical
  • References: • Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016. MMWR Recomm Rep 2016;65(No. RR-1):1–49. DOI:;

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