Hospital tells GPs: cut opioid doses before referring for surgery

A Perth Hospital is ordering GPs to reduce patients’ opiate doses before being sent for hip or knee surgery.

Orthopaedic surgeons at Sir Charles Gairdner Hospital say they won’t book elective surgery for patients on potent analgesics such as oxycodone until doses are reduced.

The surgeons say pain control during and after invasive hip and knee replacements is becoming too difficult in patients who have developed a high tolerance to the drugs.

Regular users of opioids are also more likely to develop wound infections and worse functional outcomes, the surgeons say.

The ban will even

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