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Prescribing Issues

Professionals in pain management often have special challenges and the Academy is here to help. Below are several documents which will aid professionals in their practice-specific challenges.

In response to the DEA's Interim Policy Statement (IPS) issued in the November 16, 2004 Federal Register, the American Academy of Management has submitted a written response. (link above).

In response to the DEA's Interim Policy Statement (IPS) issued in the November 16, 2004 Federal Register, the University of Wisconsin Pain & Policy Studies Group has submitted a written response. A PDF version of the letter, as well as the sequence of events prior to this response, is available (link above).

It is essential for prescribers of controlled substances to understand that there are risks associated with prescribing these agents and that it is essential to have rigorous adherence to state and federal controlled substance rules and regulations. This article describes three "sting" techniques used by law enforcement to induce practitioners to prescribe controlled substances without appropriate evaluations. Issues concerning medication diversion, post-dating prescriptions, destruction of medication and similar topics are additionally discussed.

Prescribers are increasingly in need of agreements to manage patients with controlled substances over time. This document provides background information about opioid agreements, provides a model agreement to use and has many other resource components.

The linked article provides prescribers with current information about prescribing controlled substances. Problems that have gotten other practitioners into trouble are initially discussed, followed by practical suggestions for staying out of trouble with regulators. Other prescribing related links are mentioned in the article.

This document is very helpful for documenting the authenticity of prospective patients. Unlike typical opioid agreements this Treatment Attestation form necessitates patients to make formal declarations about the truthfulness of information provided, willingness to work with the prescribing practitioner, and establishes their intent to obtain treatment only for personal health matters.

Prescribers often need to dispose of controlled medications. This short article from the KY Board of Medical Licensure reviews best practices for disposing of returned medications from patients, office stocked medications and pharmaceutical samples. Use of a tracking document, having consistent policies, and adhering to DEA and EPA regulations are emphasized in the article. Contact numbers are provided through a web link to DEA registered reverse distributors who remove controlled substances from practitioners' offices for incineration.

 


Downloadable files
in Acrobat® .pdf
Format.

Opioid Agreements

Prescribing
Opioids

Treatment
Attestation

Proper Disposal
of Medications

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Special Links

Pain and the Law