O Canada, We Stand on Guard for Thee


The Canadian National Pain Center just published a white paper listing opioid therapy recommendations for chronic non-cancer pain. Here is my summary:


  • Opioid therapy for chronic non-cancer pain? Strong recommendation against.
  • Have an active substance disorder? Strong recommendation against.
  • If you do start opioid therapy? Limit daily dosage to less than 90 mg morphine equivalents.
  • On opioid therapy, but difficulty with tapering? Time for a multidisciplinary program.


A wise Irishman once said, “When everyone in the room tells you you’re drunk, it’s time to sit down.”


When everyone in the room warns you about the dangers of long-term opioid use, maybe it’s time to pay attention and do better.


Call us. We can do better.
William Faris, JD
Chief Executive Officer

Posted in OMCA