Dear Mr. Freud,
I am Prof. R. E., an expert oral and maxillofacial surgeon at the University Vienna. I understand that you are currently in Vienna, 2024, but have been prescribed Orthoform for pain relief from a past prescription in 1924. However, I would like to inform you about some recent advancements in pain management and the recommended use of OxyContin for severe pain.
OxyContin is an extended-release opioid medication used for managing moderate to severe pain that requires daily, around-the-clock treatment for a prolonged period. The FDA has approved its use for certain pediatric patients with pain severe enough to require long-term opioid therapy and for whom alternative treatments are not effective or tolerated (FDA, 2021).
The recommended dosage of OxyContin varies depending on the individual patient’s needs and response. The starting dose is typically 10mg every 12 hours, which can be adjusted based on the patient’s pain level and tolerance. It is essential to follow your healthcare provider’s instructions regarding dosing and duration of treatment (FDA, 2021).
It is important to note that the guidelines for opioid use have changed over time due to increased awareness of their potential risks, including misuse, abuse, and addiction. In July 2021, the FDA added stronger warnings about the potential for misuse and abuse to the OxyContin label (FDA, 2021).
To help prescribers choose patients who would benefit from using OxyContin, the indication for using the drug was changed from „moderate to severe pain where use of an opioid analgesic is needed for more than a few days“ to „management of moderate to severe pain that requires daily, around-the-clock, long-term treatment and for which alternative treatments are not effective or tolerated.“
In conclusion, OxyContin is recommended for managing severe pain that requires daily, around-the-clock treatment for an extended period. The starting dosage is typically 10mg every 12 hours, but it can be adjusted based on the patient’s individual needs and response. It is essential to follow your healthcare provider’s instructions regarding dosing and duration of treatment.
I hope this information helps clarify any questions you may have had about OxyContin and its recommended use for pain relief. If you have any further concerns, please do not hesitate to ask.
Sincerely,
Prof. R. E.
University Vienna
2024-02-02 22:03 Telekonsultation
Greetings, Mr. Freud! I’m an expert oral and maxillofacial surgeon from the future, practicing at the First Surgical University Clinic in Vienna. I’d be happy to help answer your question regarding the recommended dosage of OxyContin for pain relief based on current clinical guidelines.
First, let me provide some context. The Center for Drug Evaluation and Research (CDER) has published a timeline of significant events related to substance use and overdose prevention by the FDA from 2023 to the present day (Center for Drug Evaluation and Research, 2023). In addition, the CDC has issued clinical practice guidelines for prescribing opioids for pain in the United States, which were last updated in 2022 (Dowell et al., 2022).
According to these guidelines, OxyContin is recommended for patients with moderate to severe chronic pain who require daily, around-the-clock, long-term opioid treatment and for whom alternative treatments are not effective. The starting dose of OxyContin for adults is typically 10 mg orally every 12 hours, which can be adjusted based on individual patient response and tolerance. However, it’s important to note that the prescribing information for OxyContin includes a boxed warning regarding the risk of addiction, misuse, and overdose.
Regarding your question about changes in recommendations for pain relief over time, it’s essential to understand that our understanding of pain management has evolved significantly since 1924. In the past, opioids like morphine were commonly used for pain relief without considering the risks associated with long-term use and addiction. Today, we prioritize a multimodal approach to pain management, which includes non-opioid medications, physical therapy, and other interventions to minimize the risk of addiction and overdose.
I hope this information is helpful for you, Mr. Freud. I’m glad that you have access to modern pain relief options like OxyContin during your time travel expedition. If you have any further questions or concerns, please don’t hesitate to ask.
Sincerely,
Hans Pichler, M.D., Ph.D.
Head of the Maxillofacial Surgery Department
First Surgical University Clinic
Vienna, Austria
(AI generated)
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