Consider coordinating with the pain and/or rehabilitation doctor and surgeon to establish a plan regarding adjusting substance use disorder medications for an elective procedure, balancing the risk between relapse, perioperative complications, and/or pain control in the perioperative period
Among medical specialties, anesthesiologists tend to have a higher rate of substance abuse likely related to a stressful environment and ease of diversion [12]
Varenicline
Treatment for nicotine abuse
Mechanism of Action
Partial nicotinic receptor agonist
ClinicalImplications
Continue drug perioperatively
Chronic exposure may lead to negative cardiovascular effects [13]
