When there is consideration of more than two opioids, a second opinion from a specialist who is Board-certified in addiction <a href="https://thelomad.com/getmad.today/wp-contentwww.getmad.today/blog/2014/11/non-acute-pain-medical-treatment-guidelines-offer-a-framework-for-controlling-costs-associated-with-chronic-pain-management-especially-opioid-use/">medication or pain</a> medicine is strongly recommended