BMJ recently published an analysis of opioid prescribing among Medicare patients –“Opioid prescribering by multiple providers in Medicare: retrospective observational study of insurance claims”.

A couple of things jumped out:

  • Just over two thirds of opioid recipients had more than one opioid prescription.
  • Usually the opioid recipients had prescriptions from two or more doctors, if they had multiple prescriptions.

For patients taking opioids, this means an over 40% chance that your patient has at least one other opioid prescription from another practice.

 

Checking the PDMP is the only reliable way to get this information.

 

Of course, at Prescription Advisory, we do this for every patient, every time, automatically, and bring prescriptions from outside your practice to your immediate attention.

 

How do you find your 40% with outside prescriptions? How do you manage the conversation? I’d love hear your solution.

 

David Stengle, Chief Marketing Officer

 

Whenever possible, orthopaedic surgeons should request and review old medical records and speak with the patient’s primary physician about past medication problems. Currently, states have Prescription Drug Monitoring Programs designed to assist law enforcement in the identification of doctor shoppers; these data are also accessible to physicians.

American Academy of Orthopaedic Surgeons, Now, March 2014

What prescribers can do to safely and effectively use opioids for CNCP (includes the following)

  • Screen for prior or current substance abuse/misuse
  • Do not use concomitant sedative–hypnotics or benzodiazepines
  • Track daily MED using an online dosing calculator
  • Use the state Prescription Drug Monitoring Program to monitor all sources of controlled substances

Neurology, 2014; 83; 1277-1284, September 2014
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