Prescribing in Pain: An Essential Q&A with Dr Giles Hazan

Our PCRMM webinar Prescribing in pain: An essential Q&A with Dr Giles Hazan, GPwER in Chronic Pain, Sussex Partnership Foundation Trust, took place in March 2026.

During the webinar Giles covers some of the following questions –

How do I deal with a chronic pain patient asking me for more medication/asking what else they can take for pain?
Overview of the Big 5 (Paracetamol, NSAIDs, Opioids, Gabapentinoids, Antidepressants)

What are the pitfalls to look out for when prescribing in pain?
Those at risk and signs of developing tolerance/addiction

How do I approach deprescribing?
Answer to include the 3 R’s framework for approaching the conversation with reference to deprescribing regimes and supporting resources

How do you sell the alternatives to drug therapy when discussing this in the clinic?
Concepts of the internal pharmacy
Efficacy and lack thereof
Screening for unwanted effects

What do I say to the patient who has been told by another doctor/friend/family member to try cannabis, methocarbamol, nefopam, or atypicals?
Overview of the above drugs and current advice (or lack of) in guidelines