Drug Testing and Adherence Monitoring in Substance Abuse Patients

  • Steven Michael Lampert
  • Alan David Kaye
  • Richard D. Urman
  • Laxmaiah Manchikanti


A Russian proverb was espoused by former president Ronald Regan in the 1980s in negotiations with the Soviet leadership, “Trust, but verify.” This same concept has been adopted by many physicians working with patients on chronic opioid therapy. Physicians that prescribe chronic opioid therapy have an ethical and legal responsibility to monitor for treatment adherence. One way to enhance the trust between the prescribing physician and the patient is to implement a comprehensive adherence-monitoring program.


Drug testing Adherence monitoring Substance abuse Prescription drug monitoring programs Stratification of risk Pill counts An algorithmic approach 


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Steven Michael Lampert
    • 1
  • Alan David Kaye
    • 2
  • Richard D. Urman
    • 1
  • Laxmaiah Manchikanti
    • 3
  1. 1.Department of Anesthesiology, Perioperative and Pain MedicineBrigham and Women’s Hospital, Harvard Medical SchoolBostonUSA
  2. 2.Departments of Anesthesiology and PharmacologyLouisiana State University Health Sciences Center Louisiana State University Interim Hospital, and Ochsner Kenner HospitalNew OrleansUSA
  3. 3.Anesthesiology and Perioperative MedicineUniversity of Louisville, KentuckyPaducahUSA

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