Abstract
Opioid abuse and overdose continue to be a major public health crisis in the United States. As a result, legislation regarding the prescription of controlled substances has grown in complexity and is continually changing. As the surgeon, it is imperative to remain knowledgeable regarding federal and state regulations and how they affect one’s prescribing practices. Being cognizant of the policies that govern the distribution of controlled substances and best practices is a responsibility of the utmost importance. Laws on prescription of pain medication have both state and federal levels and can vary significantly.
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References
Jones MR, Viswanath O, Peck J, Kaye AD, Gill JS, Simopoulos TT. A brief history of the opioid epidemic and strategies for pain medicine. Pain Ther. 2018;7(1):13–21. https://doi.org/10.1007/s40122-018-0097-6.
DEA. Drug scheduling. https://www.dea.gov/drug-scheduling. Accessed 22 Dec 2019.
National Conference of State Legislatures. Prescribing policies: states. Published June 30, 2019. http://www.ncsl.org/research/health/prescribing-policies-states-confront-opioid-overdose-epidemic.aspx
Davis CS, Lieberman AJ, Hernandez-Delgado H, Suba C. Laws limiting the prescribing or dispensing of opioids for acute pain in the United States: a national systematic legal review. Drug Alcohol Depend. 2019;194:166–72. https://doi.org/10.1016/j.drugalcdep.2018.09.022.
Gray H. Overview of state pain management and prescribing policies. Published online January 2016. https://namsdl.org/wp-content/uploads/Overview-of-State-Pain-Management-and-Prescribing-Policies-1.pdf. Accessed 23 Dec 2019.
Federation of State Medical Boards. Continuing medical education: board-by-board overview. Published online November 20, 2019. http://www.fsmb.org/siteassets/advocacy/key-issues/continuing-medical-education-by-state.pdf. Accessed 23 Dec 2019.
Haffajee RL, Jena AB, Weiner SG. Mandatory use of prescription drug monitoring programs. JAMA. 2015;313(9):891. https://doi.org/10.1001/jama.2014.18514.
Green S. Established and operational prescription drug monitoring programs – map. Published online July 21, 2017. https://namsdl.org/wp-content/uploads/Established-and-Operational-Prescription-Drug-Monitoring-Programs-PMPs-%E2%80%93-Map.pdf
Zazadril C. Prescriber mandated use of prescription drug monitoring programs – map. Published online January 2, 2019. https://namsdl.org/wp-content/uploads/Prescriber-Mandated-Use-of-PDMPs-Map.pdf. Accessed 23 Dec 2019.
Dowell D, Haegerich TM, Chou RCDC. Guideline for prescribing opioids for chronic pain – United States, 2016. MMWR Recomm Rep. 2016;65(1):1–49. https://doi.org/10.15585/mmwr.rr6501e1.
Kroenke K, Alford DP, Argoff C, et al. Challenges with implementing the centers for disease control and prevention opioid guideline: a consensus panel report. Pain Med. 2019;20(4):724–35. https://doi.org/10.1093/pm/pny307.
Neuman MD, Bateman BT, Wunsch H. Inappropriate opioid prescription after surgery. Lancet. 2019;393(10180):1547–57. https://doi.org/10.1016/S0140-6736(19)30428-3.
US Food & Drug Administration. Opioid analgesic REMS program. Published online September 2018. https://www.accessdata.fda.gov/drugsatfda_docs/rems/Opioid_Analgesic_2019_11_14_REMS_Full.pdf. Accessed 23 Dec 2019.
115th Congress. Substance use-disorder prevention that promotes opioid recovery and treatment for patients and communities act. Published online October 24, 2018. https://www.congress.gov/115/plaws/publ271/PLAW-115publ271.pdf. Accessed 22 Dec 2019.
Gabay M. Federal controlled substances act: dispensing requirements, electronic prescriptions, and fraudulent prescriptions. Hosp Pharm. 2014;49(3):244–6. https://doi.org/10.1310/hpj4903-244.
US Department of Justice. Electronic prescriptions for controlled substances; final rule. Published online March 31, 2010. https://www.govinfo.gov/content/pkg/FR-2010-03-31/pdf/2010-6687.pdf. Accessed 22 Dec 2019.
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Majmundar, J., Zhou, G., Svider, P.F. (2021). Pain Prescription Legislation: What You Need to Know as the Surgeon. In: Svider, P.F., Pashkova, A.A., Johnson, A.P. (eds) Perioperative Pain Control: Tools for Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-030-56081-2_3
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DOI: https://doi.org/10.1007/978-3-030-56081-2_3
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