Discussion Forum: Controlled Substance Prescribing Name Institution Discussion Forum: Controlled Substance Prescribing According to the Centers for Disease Control and Prevention (CDCP) the prescription and supply of opioids as the main CS remains high as it is estimated that 1 of 5 patients without any pain-related diagnoses are prescribed opioids in various office-based settings across the United States (CDCP 2017). Putting this issue into perspective CDCP highlighted that the opioid prescribing rate between 2007 and 2012 steadily increased among medical specialists especially those that were more likely to handle acute and chronic pain. Accordingly the rate of prescription opioids are highest at 49% among paid medicine surgery (38%) and physical rehabilitation/medicine (36%); however of concern is that primary care providers can only account for approximately the dispensation of half of the opioid pain relievers (CDCP 2017). to opioids which means there should be structures and strategies put in place to thwart the menace. In this case I would first focus on prescribing available alternatives to manage chronic pain such as neuropathic medications instead of such opioids as aspirin and ibuprofen. Additionally I would suggest the use of other alternatives; for example I would recommend exercise cognitive behavioral therapy physiotherapy and mindfulness. Through these alternatives I will be able to emphasize their influence as well as effectiveness in handling such patients. References Brushwood D. B. (2003). Maximizing the Value of Electronic Prescription Monitoring Programs. The Journal of Law Medicine & Ethics 31(1) 41-54. CDCP (2017). Prescribing data. Retrieved from www.cdc.gov Jena A. B. Barnett M. & Goldman D. (2017). How health care providers can help end the over-prescription of Opioids. Harvard Business Review 1. [...]
Controlled substances have become problematic drugs in the US--but not just street drugs or the CS1 agents that we typically think of as being an issue. Prescription drugs have become much more of a problem, leading to addiction, issues with substance abuse, and creating problems for prescribers as well--how can a prescriber best treat a patient when it may be difficult to determine patient motives for treatment? We all know of stories of CS prescribing or use that is inappropriate. Cases where parents of pediatric patients receiving opioids take the medication themselves, for instance. Or of patients "doctor shopping" for multiple prescriptions. In the state of Alabama, it is estimated that for every 100 residents, there are 143 prescriptions for opioids. The southeast in general has a reputation for overprescribing these medications. I put this forum in unit 4 as a reminder--not all CS are opioids. Remember that certain steroid hormones, diet medications, stimulants, drugs for insomnia, drugs for seizures and anxiety also fall under the CS classifications. So even if you do not see yourself as prescribing opioids in the near future or any future, you may still prescribe some of the "other" CS that have gains that make them attractive to patients. In this forum, share your thoughts on opioid or other CS prescribing or over-prescribing If you have clinical experience with this issue and want to share or comment on this, feel free to do so. What do you think can be done to limit over-prescribing of these drugs? What can be done for patients who become problematic? If you see yourself working in a practice where you may prescribe CS, do you have an idea of how you would work with "difficult" patients? After you post, you will be able to comment on and cross-post to comments posted by your classmates. This Forum post is worth 20 points. You will post your comment on drug pharmacokinetics. Once you post, you will be able to see posts by your classmates. Cross-posting is necessary to get all 20 points.The rubric is below: 20 points: student posted information relevant to the topic with up-to-date information and discussion pertinent to the forum topic. On cross-post, the student continued to contribute in a meaningful way. You will have to cite at least one credible (somewhat current) medical reference.