This booklet provides primary care providers with guidelines and tools to support them as they work with patients on long-term opioid therapy. It is also intended to provide materials for academic detailing on tapering.

It incorporates guidance and content from these key sources:

• U.S. Department of Health and Human Services CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022
• Oregon Health Authority — Opioid Tapering Guidelines — Recommendations for individualized care to reduce harm from opioid use
• BRAVO — A protocol developed by Dr. Anna Lembke (credits below)
• Risk Benefit Analysis flowchart — Developed by the Oregon Pain Guidance Clinical Advisory Group and incorporated into the HHS guidelines on tapering
• Veterans Health Administration Opioid Taper Decision Tool (withdrawal medications)

Download the BRAVO! Opioid Tapering Booklet