McMaster University

Michael G. DeGroote
National Pain Centre

Scope of Search



The 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain


The 2017 Canadian Guideline for Opioid for Chronic Non-Cancer Pain was developed in response to concerns that Canadians are the second highest users per capita of opioids in the world, while the rates of opioid prescribing and opioid-related hospital visits and deaths have been increasing rapidly.

The guideline's recommendations for clinical practice have been developed by an international team of clinicians, researchers and patients, led by the Michael G. DeGroote National Pain Centre at McMaster University and funded by Health Canada and the Canadian Institutes of Health Research. The guideline was published by the Canadian Medical Association Journal (CMAJ).

The guideline incorporates medical evidence published since the previous national opioid use guideline was made available in 2010. They are recommendations for physicians, but are not regulatory requirements.

The guideline does not look at opioid use for acute pain, nor for patients with pain due to cancer or in palliative care, or those under treatment for opioid use disorder or opioid addiction

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2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain

Trouvez le 207 lignes directrices a l’utilisation des opioids ici

2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain

Recommandations Canadiennes 2017 sur l'utilisation des opioïdes pour le traitement de la douleur chronique non cancéreuse.


- Values and Preferences Statement (English)

- Values and Preferences Statement (French)

- Conflict of Interest Declaration (Panel)

- Conflict of Interest Declaration (Experts)

- Search Methods and Stratagies

- NPC Response to Public Feedback


- Opioid Tapering (Patient Info English)

- Opioid Tapering  (Patient Info French)

- Opioid Manager (English/French)

- Opioid Manager Switching Opioids Form



2010 -Guideline

[Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain] (2010)