Opiate Painkiller Review "*" indicates required fields Opiate painkillers include Co-codamol, Co-Dydramol, Codeine, Dihydrocodeine, Tramadol, Morphine, Oxycodone and Fentanyl. After submission of this form: – The practice will continue your medication as usual if you have indicated you are happy with things – Otherwise the practice will contact you in a few days time days time to arrange a review.Name* First Last Date of birth* DD slash MM slash YYYY Mobile number to get in touch*Usual GP* eg Dr Turnbull / Dr Brooks What pain or pains do you take your opiate painkillers for?* IMPORTANT POINTS – Opiates are good painkillers for short term pain but there is no evidence that they are helpful for long-term pain. Despite this, they are still widely taken long-term. – Opiate prescribing more than doubled in the past 20 years. This has been referred to as an opioid epidemic in the UK, similar to the opioid crisis in the USA. – The harms of Opiods are now better understood and include addiction, fatigue, constipation and long term bowel damage. The body also becomes ‘tolerant’ to the painkillers over time meaning that they stop working. – Guidance is clear that the painkillers are not indicated for chronic pain and should be reduced and stopped.Please confirm you have considered the above information* I have considered the above information*Do you feel that you are dependent or addicted to your opiate painkillers?* No POSSIBLY. I would like to DISCUSS THIS WITH A GP Alternative treatments – There are currently few effective treatments for chronic pain, however we would always advise you to consider reducing and stopping opiate painkillers. This allows you to use them on an as required, short-term basis for flares of pain. – In Lothian there is a Pain Management Clinic and online Cognitive Behavioural Therapy (CBT). – We have a physio in the practice that you can book in with to help with lower back, neck and sciatica pain. – We would recommend reading these additional resources to to help you manage your pain.Would you like referred for online CBT to help with the psychological effects of chronic pain?* No thanks YES. Please REFER ME FOR CBT (SILVERCLOUD CHRONIC PAIN) Please provide an email address for your CBT referral* Would you like referred to the Pain Management Clinic?* No thanks YES. Please REFER ME TO THE PAIN CLINIC How would you like to proceed with your painkiller?* I would like to CONTINUE my painkiller for the next year Please STOP my opiate painkiller I would like to DISCUSS A REDUCTION of my painkiller with a GP Comments Optional This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our privacy policy to discover how we protect and manage your submitted data.Consent* I agree to the privacy policy.*© 2022 Kristian TurnbullCAPTCHA OptionalEmail OptionalThis field is for validation purposes and should be left unchanged.