Before prescribing opioids for patients with chronic pain, other options to consider include

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A. Local injections

B. Spinal cord stimulation

C. Acupuncture

D. All of the above

According to the 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain, which of the following is true?

E. Opioids are a reasonable first-line option for patients with pain lasting > 1 year

F. It is not possible to identify patients at high-risk for opioid abuse

G. Patients with active substance abuse disorders should not be prescribed opioids for chronic pain

H. Opioids may be started prior to optimization of both nonopioid pharmacologic therapy and nonpharmacologic therapies

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