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Pain Management in the Setting of Opioid Use Disorder

The stigma associated with addiction frequently results in improper treatment of patients who struggle with opioid use disorder (OUD). Patients with OUD are often denied opioids altogether, despite the severity of their pain. Contrarily, when providers are unaware of the consequences of irresponsible opioid utilization, patients with OUD may be given excessive opioids despite lack of necessity. While first-line management of pain should include non-opioid analgesics, multi-modal analgesia, and non-pharmacological strategies, opioids may be appropriate in select scenarios when combined with careful monitoring. Treatment should be based on patient-specific factors including urgency, severity, and the type of pain, as well as the patient’s personal medical and pharmacologic history. This module reviews data required to make evidence-based recommendations on regimen adjustments, for medications used to treat OUD, that can be applied to a variety of unique situations, and to assist providers in developing strategies to safely treat this patient population with opioids when appropriate.

Learning Objectives

Upon completion of this activity, the participant should be able to:

  • Identify the shared pathological components of pain and addiction
  • Explain the challenges involved in managing pain in patients with opioid use disorder
  • Discuss myths and facts associated with pain management in patients who struggle with opioid use disorder
  • Explain treatment recommendations for patients suffering from co-occurring pain and opioid use disorder


Joseph Ricciutti, PharmD grew up in West Greenwich, RI. He received his PharmD from MA College of Pharmacy and Health Sciences University in Boston, MA. He is currently completing his PGY-1 Residency training at Mount Auburn Hospital in Cambridge, MA His professional interests include pain management, palliative care, addiction, and academia. Following completion of his PGY-1, Joseph will begin a PGY-2 program in Pain Management and Palliative Care at Dana-Farber Cancer Institute in Boston, MA.

Registration Fee: Free to all.


ACPE logo 

Release Date: June 18, 2021
Expiration Date: June 17, 2022
Contact Hours: 1.0
ACPE UAN: 0026-0000-21-007-H08-P | Knowledge-based
ACPE Topic Designator: Pain Management


MCPHS is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. MCPHS designates this educational activity for a total of 1 contact hour (0.01 CEUs).

Requirements for Credit

In order to receive credit, the participant must view the entire presentation and complete the pre and post-test, and evaluation. Upon completion, participant credit will be reported to CPE Monitor. Transcripts may be printed from CPE Monitor.

Statement of Disclosure

It is the policy of MCPHS-CE to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. All individuals engaged in the planning of a continuing education activity and who are in a position to control the educational content are required to disclose any financial relationships with ineligible companies occurring within the past 24 months. The intent of this policy is to identify and mitigate any potential conflict of interest that may directly or indirectly affect the activity. All recommendations involving clinical medicine must be based on evidence accepted within the medical profession.

MCPHS will identify, review and mitigate all conflicts of interest that speakers, authors or planners disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

No funding from industry provided for this event. No exhibitors will be present.
Joseph Ricciutti and MCPHS CE Staff hold no financial relationships with ineligible companies relevant to the content being presented.