Navigation Links
AAOMS develops opioid prescribing recommendations
Date:10/5/2017

ROSEMONT, Ill., Oct. 5, 2017 /PRNewswire-USNewswire/ -- In response to the nationwide opioid epidemic, the American Association of Oral and Maxillofacial Surgeons (AAOMS) released prescribing recommendations that urge ibuprofen – rather than opioids – to be used as a first-line therapy to manage a patient's acute and post-surgical pain.

Recognizing the value and importance of the doctor-patient relationship, the AAOMS White Paper "Opioid Prescribing: Acute and Postoperative Pain Management" stresses that practitioners should be allowed to make individualized pain management decisions for their patients – including drug types, dosages and treatment durations.

If opioids are considered, AAOMS recommends doctors begin with the lowest possible effective dose for the shortest duration possible. Long-acting or extended-release opioids should be avoided as a starting treatment, the document advises. As an alternative, doctors are reminded that ibuprofen and acetaminophen – taken simultaneously – can rival opioids in their analgesic effect.

"Patient safety is the top priority of the American Association of Oral and Maxillofacial Surgeons," said AAOMS President Douglas W. Fain, DDS, MD, FACS. "Therefore, AAOMS has taken a leadership role in combatting the opioid epidemic afflicting this country. It is crucial for our doctors to responsibly prescribe based on individual patient needs and to use non-opioids when appropriate."

When using opioids to manage acute and post-surgical pain, it is recommended that doctors prescribe them safely and expertly, use the state's prescription-drug monitoring program, and inform patients and their families about opioids' potential risks as well as safe use, storage and disposal. Doctors also should remain aware of the most recent public health trends, including potential alternatives to opioids, the document advises.

The white paper recommendations, published in August, are the work of a Special Committee on Opioid Prescribing appointed by the AAOMS Board of Trustees this spring.

"While oral and maxillofacial surgeons should ultimately make all final prescribing decisions, the recommendations in this AAOMS White Paper are intended to provide direction and serve as a supportive resource," the document states.

Among recommendations:

  • Prescribe non-steroidal anti-inflammatory drugs (NSAIDs, generically known as ibuprofen) as first-line pain-relief therapy, unless they are harmful to the patient. In that case, providers should prescribe acetaminophen.
  • Document dosage levels and times of administration of ibuprofen and acetaminophen taken simultaneously to prevent overdosage.
  • Inform patients not to exceed 3,200 milligrams of ibuprofen per day. In addition, the maximum recommended daily dose of acetaminophen is 3,000 milligrams.
  • Access the state's prescription drug-monitoring program or other resources if patient drug misuse is suspected.
  • Document all instructions for each patient's pain relief and prescriptions.
  • Document reasoning for not following these recommendations or those required by state laws or institutions.
  • Consider using a corticosteroid during surgery to limit swelling and lower post-surgical discomfort after wisdom teeth removal.
  • Consider using a long-acting local anesthetic to postpone the onset and severity of post-surgical pain.

According to a 2017 AAOMS survey of its fellows and members, nearly 50 percent of respondents have decreased the number of narcotics they have prescribed for wisdom teeth extraction cases in the last two years. In addition, nearly 72 percent of respondents said they would refill a narcotic pain prescription only if they see the patient first.

The AAOMS white paper is available online at www.aaoms.org/docs/govt_affairs/advocacy_white_papers/opioid_prescribing.pdf.

For information on managing chronic pain, the white paper refers to the Centers for Disease Control and Prevention's Guideline for Prescribing Opioids for Chronic Pain.

 

View original content with multimedia:http://www.prnewswire.com/news-releases/aaoms-develops-opioid-prescribing-recommendations-300531524.html


'/>"/>
SOURCE American Association of Oral & Maxillofacial Surgeons
Copyright©2017 PR Newswire.
All rights reserved


Related medicine technology :

1. Seegene Develops New Normalization Software Technology for Molecular Diagnosis
2. After A Personal Battle to Walk and Back Surgery One of the Worlds Most Prolific Inventors Develops New Product
3. Azumio Teams Up With Berkeley Test, Develops Nitric Oxide Test Strip Reader In Argus
4. Regen BioPharma, Inc. Develops BORIS Gene Silencing Based Treatment for Unresectable Liver Cancer
5. LORATI Successfully Develops Effective Treatment for AIDS
6. Ohio Entrepreneur Develops Technology that Allows Patients Control Over Their Healthcare Records
7. Sage Analytics Develops Breakthrough System for Potency Testing of Cannabis Products
8. Phoenix Arizona Hand Doctor Develops Revolutionary New Surgery System, Eliminates Need for Large Incisions
9. PuraMed BioScience Develops a Cannabis-based Epilepsy Medication
10. ITelagen Develops Templates for Urologists, Enhancing NextGen Healthcare Electronic Health Record Platform
11. Enhance Perioperative & Anesthesia Consulting Develops Indices To Measure Hospital Operating Room Efficiency, Costs, Other Key Standards
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/25/2017)... , Sept. 25, 2017  EpiVax, Inc., ... vaccine design, and immune-engineering today announced the launch ... the development of personalized therapeutic cancer vaccines. EpiVax ... provided exclusive access to enabling technologies to the ... MBA will lead EpiVax Oncology as Chief Executive ...
(Date:9/19/2017)... Inc., a venture-backed medical device company developing a non-invasive, robotically assisted, platform therapy that uses ... today:   ... Jim ... Tom Tefft ... Veteran medical device executive Josh Stopek , PhD, who has led R&D and business ...
(Date:9/13/2017)... --  OrthoAtlanta has been named the official orthopedic and ... for the 2018 College Football Playoff (CFP) National Championship to ... in Atlanta, Georgia . OrthoAtlanta is proud ... participating in many activities leading up to, and including the ... ...
Breaking Medicine Technology:
(Date:10/13/2017)... ... October 13, 2017 , ... ... process to promote standards of excellence for the field of eating disorders, announces ... 22 – 25, 2018 in Orlando, Florida at the Omni Resort at ChampionsGate. ...
(Date:10/13/2017)... Calif. (PRWEB) , ... October 13, 2017 , ... Many ... dementia. However, many long-term care insurance companies have a waiver for care if the ... 90-day elimination period, when the family pays for care, is often waived, so the ...
(Date:10/13/2017)... ... 13, 2017 , ... Talented host, actor Rob Lowe, is ... a new episode of "Success Files," which is an award-winning educational program broadcasted ... each subject in-depth with passion and integrity. , Sciatica occurs when the sciatic ...
(Date:10/12/2017)... San Francisco, CA (PRWEB) , ... October 12, ... ... and Dr. Cheng, are now treating sleep apnea using cutting-edge Oventus ... sleep apnea, a serious sleep disorder characterized by frequent cessation in breathing. Oral ...
(Date:10/12/2017)... ... ... Asante, a nationally recognized health system in southern Oregon, ... health joint venture through an agreement, effective October 1, 2017, to create AccentCare ... company with Asante, delivering clinically integrated care, for the past eight years. This ...
Breaking Medicine News(10 mins):