Opioid Medication Counseling and Safety

Introduction

• Every opioid or narcotic pain medication dispensed includes a Massachusetts Department of Public Health handout.
  • Covers:
    • Information about pain medication.
    • Risks of abuse and addiction.
    • Proper disposal.
    • Importance of having a nasal naloxone kit.
    • Overdose risks, including for new users.

Major Side Effects and Management

Constipation

• Common with almost every opioid prescription.
• Often dispensed with medications to prevent constipation:
  • Stool Softener: Colace (Docusate).
  • Laxative: Senna.
• Recommended to take these bowel regimen medications alongside opioid medications.

Drowsiness

• Significant risk when taking opioids.
• Dangerous when combined with other sedatives or alcohol:
  • Avoid Benzodiazepines (e.g., Lorazepam, Ativan, Xanax).
• Recommendations:
  • Avoid driving.
  • Avoid operating heavy machinery.
  • Stay home and rest while on medication.

Counseling Points

• Emphasis on the potential for overdose, even for new users.
• Detailed education on side effects and preventive measures.
• Strong advice against activities requiring full alertness.