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Twenty years ago, there was a shift in pain management, and it became more common to prescribe opioids for chronic pain. Initially, physicians were misinformed that addiction to  these  medications was highly unlikely in a clinical setting, causing a shift towards prescribing opioids as the drug class of choice to treat moderate-to-severe pain. At the time, the addictive properties of opioids and their lack of proven effectiveness for treating  chronic pain were not fully recognized.

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