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Ep 47 – Prescribing medicines associated with dependence: how can NICE guideline NG215 support our practice?


Posted 3 May 2022

Dr Peter Bagshaw, Dr Rob Hampton

In this episode, which has been recorded for Chronic Conditions Month 2022, Dr Peter Bagshaw (Clinical Lead in Dementia and Mental Health, South Glos CCG) and Dr Rob Hampton (Portfolio GP, Leicestershire) discuss the prescribing of medicines associated with dependence and approaches to their withdrawal. Is there a link between deprivation and long-term use of pain medications? What is the role of "sensitisation" in primary pain conditions? What are the particular challenges associated with benzodiazepine withdrawal? What alternatives should we be considering?


Note: Peter and Rob refer to the draft version of NICE guideline NG215, which was published in its final form shortly after the episode was recorded.
More information on Chronic Conditions month can be found here.
Resources discussed in the episode:
NICE. Medicines associated with dependence or withdrawal symptoms: safe prescribing and withdrawal management for adults (NG215).
Faculty of Pain Medicine. Opioids Aware.
Somerset Emotional Wellbeing Podcast.
Flippin' Pain.
Versus Arthritis website.
Live Well with Pain.
Tame the Beast.

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