Course Overview & Target Audience:

This course is designed to address some of the unique prescribing challenges associated with care of the bariatric surgery patient. The first half of the course will be focused on an emerging topic of interest in the literature which is pain management during and after bariatric surgery. Intra-operative pain management, including non-narcotic analgesics and long-acting anesthetic agents will be discussed. Emphasis will be placed on the role of opioids following bariatric surgery, the risk for addiction, and the potential alternatives for pain management. In the second half of the course, the focus will shift to the issues of contraceptive management and pharmacotherapy for weight regain following bariatric surgery. In light of increased sexual functioning and fertility for many women following bariatric surgery and the typical recommendations to avoid pregnancy during the rapid post-surgical weight loss phase, effective contraception is imperative and options will be reviewed. Finally, as weight regain is increasingly recognized as a problem for many patients following bariatric surgery, suggestions for the appropriate use of pharmacotherapy following bariatric surgery will be discussed.

Learning Objectives:

  1. Describe options for pain management intra-operatively and identify the risks and benefits associated with each option.
  2. Identify the role of opioids following bariatric surgery, the risks associated with their use, and alternative pain management approaches in chronic pain.
  3. Consider the contraceptive alternatives available to women who have undergone bariatric surgery.
  4. Describe pharmacological options for treating weight regain following bariatric surgery.

1:30pm Welcome
Kristine Steffen, PharmD PhD; Helmuth Billy, MD
1:35pm Intra-operative Pain Management – From non-narcotic to long-acting anesthetics
Marjan Sadegh, PharmD
1:55pm Opioids and Pain Management in the Chronic Pain Patient Following Bariatric Surgery
Marjan Sadegh, PharmD
2:15pm “Don’t get Pregnant for 18 Months” – Recommending Appropriate Contraceptives for Women After Bariatric Surgery
Maureen Quigley, APRN
2:35pm Pharmacological Approaches to Weight Regain
Scott Monte, PharmD
3:00pm Adjourn