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Prescription drug monitoring programs, or PDMPs, are an example of one initiative proposed to alleviate effects of the opioid crisis. [1] The programs are designed to restrict prescription drug abuse by limiting a patient's ability to obtain similar prescriptions from multiple providers (i.e. “doctor shopping”) and reducing diversion of controlled substances.
Voluntary patient-centered opioid tapering has shown success with engagement and reduction of moderate and high-dose opioid doses over the course of months. [2] Principles of patient-centered opioid tapering include: patient consent to taper, patient ability to control the pace of the taper, and pause the taper if desired. Recent published ...
Long-term opioid use occurs in about 4% of people following their use for trauma or surgery-related pain. [20] In the United States, most heroin users begin by using prescription opioids that may also be bought illegally. [21] [22] People with opioid use disorder are often treated with opioid replacement therapy using methadone or buprenorphine ...
While the legality of e-prescribing controlled substances will vary from state-to-state for some time to come, e-prescribing as a whole will likely take a firm hold throughout the country and achieve its potential as a universal, efficient, and safer method of helping patients access their medications. [8]
All available studies collected in the 2005 Australian National Evaluation of Pharmacotherapies for Opioid Dependence suggest that maintenance treatment is preferable, [22] with very high rates (79–100%) [22] of relapse within three months of detoxification from levo-α-acetylmethadol , buprenorphine, and methadone.
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However, since opioid antagonists also block the beneficial effects of opioid analgesics, they are generally useful only for treating overdose, with use of opioid antagonists alongside opioid analgesics to reduce side effects, requiring careful dose titration and often being poorly effective at doses low enough to allow analgesia to be maintained.
Electronic prescription (e-prescribing or e-Rx) is the computer-based electronic generation, transmission, and filling of a medical prescription, taking the place of paper and faxed prescriptions.
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