Opioid-Induced Hyperalgesia: The Problem No One Talks About

Pain specialist Dr Nick Christelis explores the fraught but important role of opioids in chronic non-cancer pain. Drawing on up-to-date evidence, clinical guidelines, and real-world cases, he walks GPs through when opioids may be appropriate—and when they cause more harm than good. You’ll learn how to: • Safely initiate and trial opioid therapy with clear functional goals • Screen for risk factors using validated tools • Recognise and respond to aberrant behaviours • Understand opioid-induced hyperalgesia, dependence, and weaning strategies • Engage pain specialists and addiction services when required You’ll leave with a clearer, evidence-backed strategy for managing inherited opioid patients, navigating difficult decisions, and putting safety—and dignity—at the centre of your prescribing practice.