PDMP & Opioid Abuse News
PDMP & Opioid Abuse News
- NegOcc hopes to get national Drug Abuse Council award 28 Nov 2022 04:16 SunStar Following the recognition of Negros Occidental for its functional Anti-Illegal Drug Abuse Council, the provincial government is gunning for a national award from the Department of Interior and Local Government. (File Photo) NEGROS Occidental provincial …
- Breaking Free of Opioids 28 Nov 2022 02:22 The Good Men Project By Jane Racey Gleeson A neurologist shares alternative treatments for chronic pain and the importance of steering clear of opioids. With established evidence supporting the relationship between opioid usage and addiction, it’s no surprise that physicians …
- Opioids – The Good, the Bad, and the Ugly 26 Nov 2022 23:33 Fairfield Sun Times - Montana In the last two columns, we discussed invasive plants on the Great Plains. Today, we’ll take a twisty turn on that theme and talk about the cultural invasiveness of licit and illicit substances inspired by the opium poppy. The Good: Opioids (a general term …
- What is behind the rise in India's youth's drug abuse? 26 Nov 2022 17:12 FairPlanet 26.Nov November 26, 2022 With around 100 million substance addicts in the country, India has seen a 70 percent rise in narcotic consumption in the past eight years. In what can be considered a conservative estimate, the United Nations has found that 13 …
- Drug abuse leads to crime for Oak Hall man 26 Nov 2022 11:08 Shore Daily News - Virginia By Linda Cicoira A 25-year-old Oak Hall man testified Thursday in Accomack Circuit Court that using illegal drugs since he was 10 led him to commit a series of crimes. Timothy John Vanhart will be behind bars for nine years. Judge W. Revell …
- Cannot get pregnant? Male infertility is on the rise, with smoking, stress, obesity, hormones, and alcohol and drug abuse all likely factors, doctors say 26 Nov 2022 10:27 South China Morning Post
- NSF: Edo Govt charges Athletes on Drug Abuse 26 Nov 2022 00:45 Tribune Online With less than 72 hours to the commencement of the 2022 National Sports Festival held in Asaba, Delta State between Monday, November 28 through December 10 2022, the chairman of the Edo Sports Commission, Mr Yussuf Alli has charged Athletes to the Festival …
- NDLEA trains security operatives on drug abuse prevention, management 26 Nov 2022 00:45 Tribune Online The National Drug Law Enforcement Agency (NDLEA) in collaboration with the Advocate for Global Peace Forum International, have trained security operatives and caregivers on prevention and management of drug abuse. Acting State Commander of the NDLEA in Imo …
- What is the *Real* Shelf Life of Prescription Opioids? 25 Nov 2022 22:59 ACSH Here's a message from the FDA. [Emphasis mine]: Don’t Be Tempted to Use Expired Medicines...Out with the old! Be it the fresh start of a new year or a spring cleaning, consumers are encouraged to take stock of what has surpassed its usefulness. …
- $48,000 worth of opioids seized in joint police operation 25 Nov 2022 18:42 The Expositor Article content About $48,000 worth of fentanyl and other opioids were seized through an OPP Guns and Gangs Joint Forces Operation in Brantford. Article content A 27-year-old Brantford man is facing charges. Police say investigation into this drug …
Follow Prescription Advisory
The CDC advises providers to use PDMPs… States should consider ways to increase their use … available real-time, and alerts to prescribers.
Prescription drug monitoring programs (PDMPs) are now active in most states to assist clinicians in identifying potential controlled drug misuse, diversion, or excessive prescribing. Little is still known about the ways in which they are incorporated into workflow and clinical decision making, what barriers continue to exist, and how clinicians are sharing PDMP results with their patients.
Design
Qualitative data were collected through online focus groups and telephone interviews.Setting
Clinicians from pain management, emergency and family medicine, psychiatry/behavioral health, rehabilitation medicine, internal medicine and dentistry participated.Patients
Thirty-five clinicians from nine states participated.Methods
We conducted two online focus groups and seven telephone interviews. A multidisciplinary team then used a grounded theory approach coupled with an immersion–crystallization strategy for identifying key themes in the resulting transcripts.Results
Some participants, mainly from pain clinics, reported checking the PDMP with every patient, every time. Others checked only for new patients, for new opioid prescriptions, or for patients for whom they suspected abuse. Participants described varied approaches to sharing PDMP information with patients, including openly discussing potential addiction or safety concerns, avoiding discussion altogether, and approaching discussion confrontationally. Participants described patient anger or denial as a common response and noted the role of patient satisfaction surveys as an influence on prescribing.Conclusion
Routines for accessing PDMP data and how clinicians respond to it vary widely. As PDMP use becomes more widespread, it will be important to understand what approaches are most effective for identifying and addressing unsafe medication use.
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.
Although relieving pain and reducing suffering are primary emergency physician responsibilities, there is a concurrent duty to limit the personal and societal harm that can result from prescription drug misuse and abuse.
Recommendations for full use of PDMP include:
- PDMPs can be effective clinical tools in medication management involving controlled substances.
- PDMPs should be available for clinicians across state boundaries.
- Every prescribing clinician should be familiar with the process of accessing and utilizing information from PDMP’s so that they can incorporate this information in their practices.
The use of PDMPs…is helping to reduce misuse of prescription drugs.
Prescribing or dispensing to an abuser, diverter, misuser or ‘doctor shopper’ puts the provider, their practice and or institution, as well as the patients at high risk.
Although relieving pain and reducing suffering are primary emergency physician responsibilities, there is a concurrent duty to limit the personal and societal harm that can result from prescription drug misuse and abuse.
The abuse of opioid pain medication has a devastating impact on public health and safety in this country, killing 46 people every day… Prescription Drug poisoning deaths – now over 30,000/yr – outnumber deaths from motor vehicle crashes.
Effective monitoring systems [PDMPs] will augment clinical judgment, provide evidence of misuse, and facilitate prescription of the most appropriate analgesic for the situation…The Emergency Department is regarded as the nation’s safety net…the last bastion of around-the-clock access to care … Unfortunately, some of the solutions to opioid misuse [limiting ED physicians to 3-day opioid prescriptions] preempts judgments from trained emergency medical providers.
When a clinician is prescribing a controlled substance, readily available information about the drugs that a patient is receiving from other providers can be a critically important component of the decision-making process…Increasingly, these [PDMP] programs have evolved into a useful tool for the clinician who must incorporate careful risk management into the prescribing of opioid analgesics or any other controlled substance.
Increasingly, these programs have evolved into a useful tool for the clinician who must incorporate careful risk management into the prescribing of opioid analgesics or any other controlled substance Prescription Drug Monitoring Programs Serve a Vital Clinical Need.
Recommendations for full use of PDMP include:
- PDMPs can be effective clinical tools in medication management involving controlled substances.
- PDMPs should be available for clinicians across state boundaries.
- Every prescribing clinician should be familiar with the process of accessing and utilizing information from PDMP’s so that they can incorporate this information in their practices.
The use of PDMPs…is helping to reduce misuse of prescription drugs.
PDMPs have many limitations in their current format, including complex access issues, timeliness, and whether the data are presented to the physician automatically or require physician effort to retrieve.
The CDC advises providers to use PDMPs… States should consider ways to increase their use … available real-time, and alerts to prescribers.
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
Doctors (and other clinicians) need to know what prescriptions have been given to their patients by other practitioners. This information should be included in the patients’ electronic health care records accessible through a Prescription Drug Monitoring Program (PDMP) that provides immediate information.
Prescribing or dispensing to an abuser, diverter, misuser or ‘doctor shopper’ puts the provider, their practice and or institution, as well as the patients at high risk.
Although relieving pain and reducing suffering are primary emergency physician responsibilities, there is a concurrent duty to limit the personal and societal harm that can result from prescription drug misuse and abuse.
The AAOS recommends the following tools, which have been shown to significantly reduce medication errors:
- computerized physician order entry
- computerized decision support systems
- computerized monitoring of adverse drug events
- pharmacist-assisted rounds
- high-risk drug protocols
Overdose deaths are “just the tip of the iceberg”: that for every death there are many more hospital treatment admissions, emergency room visits, people who abuse or are dependent on prescription drugs and nonmedical users.
Always check the medical record… and a prescription drug monitoring database.
Although relieving pain and reducing suffering are primary emergency physician responsibilities, there is a concurrent duty to limit the personal and societal harm that can result from prescription drug misuse and abuse.