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Pearl · 06 of 07

Ask about opioid use at discharge after every cholecystectomy

At follow-up, ask how much opioid was actually used and adjust the next discharge prescription.

Short laparoscopic operations are often followed by an opioid prescription written by habit. Asking at the discharge and first follow-up visits how much was actually taken lets you prescribe smaller quantities next time and spots patients who need more help with pain. Pair this with regular paracetamol and a clear stop date.

  • Ask how many opioid doses were used in the first days.
  • Prescribe the smallest quantity that covers expected need.
  • Use regular non-opioid analgesia alongside.
  • Give a clear stop date.

Why it matters

Prescribing habit, not patient need, often sets the quantity sent home.

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