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This paper focuses on the best practices based on available evidence and research gaps across the key steps in the tapering process:
- Review of indications for an opioid taper
- Shared decision-making and patient engagement when tapering opioids
- Selecting the speed of an opioid taper
- Considerations and potential approaches when tapering opioids
- Use of non-opioid pharmacological therapy and non-pharmacological therapies to ensure comprehensive pain management
- Managing withdrawal symptoms
- Approaches to managing a challenging taper
- Tapering a patient who is co-prescribed opioid analgesics, benzodiazepines, and other central nervous system depressants
- Priorities for future research
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