The intersection of active illicit opioid use, acute pain and serious mental illness can be particularly challenging for generalist clinicians on the inpatient service. This case discussion reviews several options for managing pain in patients with active opioid use disorder on the inpatient medical service. The case provides discussion of the issues that the healthcare team faces when treating patients with depression and chronic suicidality and provides expert opinion on managing these psychiatric comorbidities in a patient with comorbid substance use disorder. Finally, it highlights some of the practical challenges and approaches that arise in treating patients with comorbid mental illness, opioid use disorder and pain on the medical inpatient service.
Access “Managing Active Injection Opioid Use: Severe Depression and Acute Pain” at: https://pcssnow.org/event/managing-active-injection-opioid-use-severe-depression-and-acute-pain/