Navigation Links
User Registry May Help Docs Stem Painkiller Abuse

Stricter policies could protect patients and physicians from consequences of misuse

THURSDAY, April 10 (HealthDay News) -- Doctor's offices and clinics can help prevent the abuse of powerful narcotic painkillers such as Oxycontin or Vicodin by following a stricter policy -- including urine testing --- before dispensing the medications to patients, new research suggests.

Implementing a user registry and educating medical staff were also part of the procedures used in the University of Michigan/Ohio State University study. The policy helped identify patients using other illicit drugs and also alerted the staff to possible painkiller addicts who could then be directed to treatment facilities, according to the findings. The study was expected to be presented Thursday at the Society for General Internal Medicine annual meeting, in Pittsburgh.

In the study, which took place in a busy multi-physician clinic in Ohio, about 35 percent of the 167 patients in the newly established opioid registry were found to have violated the painkiller policy in some way. The most common violations were learned through a mandatory urine test that showed illegal street drug use, or a check of state prescription records that showed the patient was getting the painkillers from more than one physician at the same time.

Patients who were receiving Oxycontin or another medicine that contained its active ingredient, oxycodone, were twice as likely as other opioid registry patients to violate the clinic policy in some way, the report said.

"Many of us in the clinic were surprised at what we found, because a doctor's job is first and foremost to trust the patient as they tell us about their pain," study author Jennifer Meddings, a clinical lecturer in the Division of General Medicine at University of Michigan Medical School, said in a prepared statement. "But in order to confront this issue, and protect our ability to prescribe these drugs to the patients who truly need them, we need to have a uniform approach for all patients."

Under the policy used in the study, a registry of all patients receiving opioid prescriptions and their prescribing clinic physicians was established. Doctors in the offices were then trained on using the state of Ohio's online prescription database to see whether a patient attempted to get prescriptions for the same drug from several physicians or pharmacies.

Clinic staff began screening patients from the moment they called for an appointment, making them aware that monitoring was routine before they could receive opioid prescriptions. The patients, and also the doctors, were required to sign an agreement listing the standard steps required for patients seeking opioids and what types of behaviors or actions would result in the patient not receiving the meds or even being barred from the office (e.g., being abusive to staff).

Finally, the clinic implemented annual and random urine screening for all patients requiring opioids for non-cancer pain. This allowed them to monitor for illegal drugs and the unexpected use of other prescribed medications that could have dangerous interaction with the prescribed opioids.

More information

The U.S. National Institute on Drug Abuse has more about prescription drug abuse and addiction.

-- Kevin McKeever

SOURCE: University of Michigan, news release, April 10, 2008

Copyright©2008 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. First national autism registry shows notable impact on autism research in opening year
2. Registry unveils real-world data on novel excel stent
3. Matrix registry probes adherence to clopidogrel at 1 year
4. 5,000 Patients Treated With OrbusNeichs Genous(TM) Bio-engineered R Stent(TM) Now Enrolled in Real-Life Use Global Registry
5. E. Coli Registry Expanded for Victims of E. Coli Poisoning from Cargill Ground Beef
6. Establishment of Topps Meat Recall Registry for Victims of E. Coli Poisoning
7. REACH Registry Highlights That Patients With Peripheral Arterial Disease (PAD) Suffer High Rates of Heart Attack, Stroke, Hospitalization, and Death
8. Data from Patient Subsets of e-HEALING, a Worldwide Registry, Support Use of OrbusNeichs Genous(TM) Bio-Engineered R Stent(TM) as Alternative to Drug- Eluting Stents
9. Painkillers Boost Muscle Mass Among Weight-Training Elderly
10. NSAIDs: Painkillers, inflammation inhibitors, anti-cancer drugs and new de-methylating agents
11. Minorities Less Likely to Get Powerful Painkillers in ER
Post Your Comments:
(Date:11/25/2015)... ... November 25, 2015 , ... Beddit® has launched a new Android app ... new app features a more intuitive SleepScore™ that rates sleep quality on a 100-point ... SleepScore is created by a proprietary algorithm. Beddit analyzes the data to provide an ...
(Date:11/25/2015)... ... November 25, 2015 , ... “While riding the bus, ... from Bronx, N.Y. “I thought there had to be a convenient and comfortable way ... , The PROTECTOR enables disabled individuals to safely travel during cold or inclement weather. ...
(Date:11/25/2015)... ... November 25, 2015 , ... ... announces the nation’s Periwinkle Pioneers, individuals and groups responsible for advancing care for ... The Periwinkle Pioneers, nominated by the public, will receive special recognition throughout 2016 ...
(Date:11/25/2015)... ... 25, 2015 , ... An unlikely combination of recycled plastic ... for homeless people to have a more dignified and comfortable night’s sleep. , ... are repurposing plastic bags into sleeping mats for the homeless. The project, ...
(Date:11/25/2015)... , ... November 25, 2015 , ... ... has focused on providing comprehensive solutions involving adult stem cell therapies to patients ... officially deemed the “Regenestem” name as a Registered Trademark (RTM). , Organizations are ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... , Nov. 25, 2015  Trovagene, Inc. (NASDAQ: ... announced that Chief Executive Officer Antonius Schuh, Ph.D., is ... th Annual Piper Jaffray Healthcare Conference. ... New York Palace Hotel in New York ... p.m. EST. Mr. Schuh will be available for one-on-one ...
(Date:11/25/2015)... Nov. 25, 2015 Endo International plc (NASDAQ: ... Silva , President and CEO, will discuss corporate updates at ... New York on Wednesday, December 2, ... Click on Investor Relations, and then the link to the ... presentation,s start time to visit the site and download any ...
(Date:11/25/2015)... November 25, 2015 Asia ... to which BioLight and the New Investors will make ... ("IOPtima") via a private placement. The financing will help ... IOPtimate™ system used in the treatment of glaucoma, as ... for the IOPtimate™ system with the U.S. Food and ...
Breaking Medicine Technology: