Navigation Links
User Registry May Help Docs Stem Painkiller Abuse
Date:4/10/2008

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:
*Name:
*Comment:
*Email:
(Date:5/24/2017)... ... ... of a visit to San Francisco , fall is a great time to visit. ... Business Architecture Associates is pleased to offer 5 days of training courses, available to the ... individuals, and as 4-½ day corporate package for up to 3 employees with the option ...
(Date:5/24/2017)... ... 2017 , ... Technique, technique, technique – with a dash of common sense. ... training and exercise or simply lifting heavy objects, advises Dr. Kaliq Chang, interventional pain ... Chang says. “Improper technique in lifting anything heavy or an attempt to lift too ...
(Date:5/23/2017)... (PRWEB) , ... May 23, 2017 , ... ... the pharmaceutical and medical device sectors, today announced the winners of its 3rd ... Entrepreneurs) represent the most influential people in the healthcare industry today. , Out ...
(Date:5/23/2017)... ... 2017 , ... London, May 23, 2017: Walter Schindler, the Founder and Managing ... Guest Speaker and Contributor to a weeklong series of classes, meetings, field trips and ... , Walter Schindler and SAIL Capital have received an increasing number ...
(Date:5/23/2017)... ... 2017 , ... Diagnotes, an Indianapolis-based digital healthcare communication company, ... secure clinical communication platform. The platform allows clinicians to easily escalate their preferred ... urgency of a situation. , “We know from our daily lives that ...
Breaking Medicine News(10 mins):
(Date:5/23/2017)... May 23, 2017  Leaf Healthcare, recognized for ... devices for pressure ulcer prevention, will unveil its ... of Critical Care Nurses, National Teaching Institute and ... The Leaf Patient Monitoring System is the ... hospital environment.  The system seamlessly tracks patient movement ...
(Date:5/18/2017)... -- Two Bayer U.S. Pharmaceutical leaders received top awards from ... th Woman of the Year event ... mission of furthering the advancement and impact of women ... Powell-Steffen , senior director of brand activation and inside ... Howe , a regional business manager for New England ...
(Date:5/15/2017)... , May 15, 2017 Enterin Inc., a privately-held ... and developing novel compounds to treat Parkinson,s disease (PD), has ... is a Phase 1/2a randomized, controlled, multicenter study involving patients ... will enroll 50 patients over a 9-to-12-month period. The first ... 10 patients with PD. Participating sites include Denver ...
Breaking Medicine Technology: