Tag Archives: prescription drug monitoring database

Doctors’ group backs stricter painkiller controls

Doctor with RX padA major doctors’ organization is urging its members to practice greater caution and restraint when prescribing prescription painkillers in light of the abuse epidemic. The American College of Physicians said in a policy letter published in the Annals of Internal Medicine that prescription drug abuse is a “serious public health problem” and that physicians and other health professionals with prescribing privileges play an important role in helping to ensure safe and effective use of drugs like OxyContin and Vicodin.

According to the group, evidence-based, nonbinding guidelines should be established regarding recommended maximum dosage and duration of therapy that a patient taking controlled substance medications may receive.

In addition, the ACP called for the establishment of a national prescription drug monitoring program to help doctors detect and prevent prescription drug abuse by identifying individuals who seek to obtain prescriptions for addictive medications from multiple physicians for themselves or to sell. Former President George W. Bush launched an initiative in 2005 authorizing federal grants for states to establish or enhance PDMPs, the group said, but funding was initially delayed and has been inconsistent.

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Missouri lags behind nation on pill monitoring database

computerpillsForty-nine states have taken measures to implement prescription drug monitoring databases in light of the pill addiction epidemic, but Missouri lacks such a program — despite the fact that it has the seventh highest drug overdose death rate in the country, a majority of which are from prescription drugs, according to this article.

Approximately 3,200 people in Missouri seek treatment for a prescription drug abuse problem each year, and the most commonly used drugs were controlled substances such as Xanax, OxyContin, and Vicodin, the article says, pointing to data from the Missouri Department of Mental Health. Yet efforts to establish a prescription drug monitoring program were stymied when a Missouri senator filibustered the legislation that would have brought the database to the state, citing concerns over patient privacy, the article says.

The U.S. Centers for Disease Control and Prevention recently found that drug overdose deaths increased for the eleventh consecutive year in 2010. According to the agency, 38,329 people died from a drug overdose in the U.S. that year, up from 37,004 deaths in 2009.

Overdose deaths involving opioid analgesics have shown a similar increase, the CDC found: starting with 4,030 deaths in 1999, the number of deaths increased to 15,597 in 2009 and 16,651 in 2010.

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Minn. medical group wants MDs to take action

RXThe Minnesota Medical Association is considering requiring doctors to take continuing education courses on pain management and addiction and increasing use of the Minnesota Prescription Monitoring Program in order to deal with the state’s prescription drug abuse issue, according to this article. As of March 2013, only 40% of pharmacists and 30% of doctors in Minnesota were using the monitoring system, according to the article.

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N.H. becomes 49th state to monitor painkiller prescriptions

New Hampshire is now the 49th state to use a database to keep track of commonly abused drugs, with Gov. John Lynch signing a bill on Tuesday establishing a prescription drug monitoring system.

In 2007-2008, New Hampshire was one of the top ten states for rates of drug use in several categories, including past-year non-medical use of pain relievers among young adults age 18-25, and opiates are the most commonly cited drugs among primary drug treatment admissions in the state.

All other states except Missouri have such databases or have authorized them, according to the National Alliance for Model State Drug Laws. But many clinicians are unaware of these programs, and their use varies among states and specialties, notes a recent article published in the New England Journal of Medicine.

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