7 doctors weighed in:

If you suffer from a chronic pain disorder, do you have to switch pain meds every few months to maintain effectiveness?

7 doctors weighed in
Dr. Stuart Wasser
Addiction Medicine
4 doctors agree

In brief: Controversial

The idea of switching opioids periodically to maintain their effectiveness has been around for years.
Nevertheless, there are no studies demonstraing that this stategy helps maintain their effectiveness any better then maintaining one drug. What is most important is to avoid the routine use of short acting opiods and/or sedatives.

In brief: Controversial

The idea of switching opioids periodically to maintain their effectiveness has been around for years.
Nevertheless, there are no studies demonstraing that this stategy helps maintain their effectiveness any better then maintaining one drug. What is most important is to avoid the routine use of short acting opiods and/or sedatives.
Dr. Stuart Wasser
Dr. Stuart Wasser
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1 comment
Dr. Kenneth Choquette
You only have to switch meds if they become ineffective. Tolerance is the issue, but that doesn't happen to everyone. If the meds still work, we don't switch.
Dr. Richard Rosenthal
Pain Management
2 doctors agree

In brief: No

Opioid rotation (as it's called) is useful when the medication that one is taking no longer provides pain relief.
As long as the current medication is working for you, keep taking it. You should not evan have to raise the dose more often than yearly. Opioid rotation is useful when a dose increase does not help.

In brief: No

Opioid rotation (as it's called) is useful when the medication that one is taking no longer provides pain relief.
As long as the current medication is working for you, keep taking it. You should not evan have to raise the dose more often than yearly. Opioid rotation is useful when a dose increase does not help.
Dr. Richard Rosenthal
Dr. Richard Rosenthal
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