Recognizing Prescription Opioid Abusers
Medication Related Indicators:
· Purposeful over sedation
· Uses pain medication in response to stress
· Uses more than prescribed
· Requests frequent early renewals
· Runs out of medication early
· Reports lost or stolen prescriptions
· Attempts to obtain prescriptions from other doctors
· Hoards or stockpiles medications
· Buys medication on the street
· Insists on certain medications by name
· Expresses a strong preference for certain medications or routes of delivery
· Expresses concern over future availability of controlled substances
· Misrepresents analgesic prescription or use
· Indicated that he/she must have analgesic
· Predominant issue of office visit is discussion of analgesic medication
· Reports minimal/infrequent relief from opioid analgesic
· Difficulty agreeing to medication agreement
· Some of these behaviors can be normal.
· None are diagnostic.
· Take a therapeutic approach with your patient.
· Set limits.
From “Managing “Chronic Pain with Opioids in Primary Care” by M. Karz. MD, et al
Because we frequently talk about this, I thought this was interesting because the source is from and actual MD's check list. Just an FYI
Co-Forum Moderator for Chronic Pain
Rare neurodegenerative /movement disorder called “Multiple System Atrophy”. Mobility issues,, neuropathic pain, spasticity, central apnea, collagenous colitis, joint and body pain, swallowing and respitory involvement, Implants: intrathecal pump & neurostimulator. Extra features: O2 & wheelchair
Not all of us can be Cinderella, but some of us can be Fairy Godmothers.......
Post Edited (Stella Marie) : 9/4/2009 1:52:23 AM (GMT-6)
Good morning *huggs* How are you? I hope you are doing okay. I am hoping to try to accomplish some rather large tasks today, and here I sit.. Procrastinating!! hehe
I really liked this post. Alot of food for thought. I am glad you posted this. This subject does seem to come up very frequently, esp with new members worried about addiction vs. dependence.
...Sometimes I think it is a blessing to be allergic to most Narcs. On the other hand, it sure does make it hard for my doctors to treat my "chronic pain". (inflammation / bone loss)