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B.C. opioid rules were to reduce overdoses. But they cut cancer patients' pain meds

  • In 2016, British Columbia's medical regulatory authority implemented a binding opioid prescribing guideline aimed at lowering overdose fatalities in response to the province's declared public health crisis.
  • This rule aimed to curb opioid misuse particularly among patients with chronic non-cancer pain, but misinterpretation led to more conservative prescribing affecting cancer and palliative-care patients too.
  • Between 2016 and its 2018 revision, opioid doses and days supplied declined significantly for cancer patients, palliative-care patients, and those with chronic non-cancer pain despite different prescribing concerns for the groups.
  • Opioid dispensations were 15% lower per cancer patient translating to 4.5 fewer supply days over 30 days, while palliative-care dosage dropped 6.1%, with the study warning that aggressive tapering may increase pain and overdose risk.
  • The 2018 revision addressed concerns about misinterpretation causing widespread conservative prescribing, highlighting the need for diverse input in policymaking to avoid unintended patient harm.
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Winnipeg SunWinnipeg Sun
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B.C. opioid rules were to reduce overdoses. But they cut cancer patients' pain meds

By Brenna Owen

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tv2kosmopol.dk broke the news in on Wednesday, May 14, 2025.
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