Opioid prescribing for cnp speakers notes

http://tinyurl.com/6d9yxgz

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2. http://www.cdc.gov/homeandrecreationalsafety/rxbrief/

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3. http://www.ncbi.nlm.nih.gov/pubmed/23031398

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http://tinyurl.com/lrkcdql

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http://tinyurl.com/lrkcdql

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3129653/

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8. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6043a4.htm

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http://www.ncbi.nlm.nih.gov/pubmed/21751058

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http://www.fda.gov/downloads/Drugs/NewsEvents/UCM300859.pdf

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6. http://www.samhsa.gov/data/2k12/NSDUH115/sr115-nonmedical-use-pain-

relievers.htm

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http://www.cdc.gov/nchs/data/databriefs/db22.pdf

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http://tinyurl.com/mr9dttb

Y axis = Opioid Prescriptions/1000 Residents

15. Tillamook

23. Marion

36 Total Counties

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http://preview.tinyurl.com/mza7766

Approximately 150/yr in OR.

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Opioids are not the final common pathway for all chronic non-malignant pain.

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http://tinyurl.com/lr9hwhh

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DIRE: Diagnosis, Intractability, Risk, Efficacy

COMM: Current opioid misuse measure

SOAPP-R: Screener and Opioid Assessment for Patients with Pain

Naïve = < 60MED

Tolerant = > 60MED

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DIRE: Diagnosis, Intractability, Risk, Efficacy

http://tinyurl.com/lks94bf

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http://preview.tinyurl.com/lhxtoju




http://www.fda.gov/downloads/Drugs/N.../UCM307844.pdf

Dosages in excess of 100MED/day warrant a pain management consultation.

MED = Milligrams Equivalent Dose (Morphine)

University of Washington Opioid Dose Calculator:

http://agencymeddirectors.wa.gov/mobile.html

Practical Pain Management Opioid Dose Calculator:

http://opioidcalculator.practicalpainmanagement.com/

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Opioid dose conversion calculators:

http://agencymeddirectors.wa.gov/mobile.html

http://opioidcalculator.practicalpainmanagement.com/

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http://tinyurl.com/mmazr8y

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http://tinyurl.com/kzvs443

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http://gov.oregonlive.com/bill/2013/SB384/

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http://tinyurl.com/mb2lj6r

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http://tinyurl.com/kpuh547

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http://tinyurl.com/abnywac

The CDC estimates that 30% of all prescription painkillers deaths in 2010 involved

benzodiazepines.

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http://tinyurl.com/ly6o6vj

The CDC estimates that 20% of all prescription painkillers deaths in 2010 involved alcohol.

(http://www.pbs.org/newshour/rundown/prescription-drug-abuse-cdc-answers-your-

questions/)

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18. http://www.ncbi.nlm.nih.gov/pubmed?cmd=historysearch&querykey=5

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http://www.oregon.gov/omb/pdfforms/materialrisknotice.pdf

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20. http://www.oregon.gov/omb/newsletter/winter2011.pdf

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Safety surveillance measures.

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http://www.fda.gov/ohrms/dockets/ac/02/slides/3820s2_05_passik.ppt

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http://www.ncbi.nlm.nih.gov/pubmed?cmd=historysearch&querykey=3

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Doctor shopping is an aberrant behavior and grounds for discharge.

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Thanks to Dr. David Russo, Columbia Pain Management

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http://tinyurl.com/klx8vn5

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http://tinyurl.com/modae4l

The CDC estimates that less than 1% of all prescription painkillers deaths in 2010 involved

marijuana.

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http://preview.tinyurl.com/k48rkys

NSDUH: National Survey on Drug Use and Health

The CDC estimates that less than 1% of all prescription painkillers deaths in 2010 involved

marijuana.

70% of heavy users are white males under the age of 35.

For an impartial analysis of marijuana use/legalization:

http://www.amazon.com/Marijuana-Legalization-Everyone-Needs-

Know%C2%AE/dp/0199913730/ref=sr_1_1?ie=UTF8&qid=1393092023&sr=8-

1&keywords=marijuana+and+kilmer

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30% of heavy users co-utilize other illicit drugs.

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40% of heavy users use alcohol heavily.

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The 20% of all users consume 80% of the marijuana sold.

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http://www.martin.uky.edu/centers_research/Capstones_2012/Farley.pdf

Study included the 16 states with both MM & PDMP’s in 2011. Look back was 1996 – 2006.

…”I conclude that the implementation of Medical Marijuana Programs does not cause a

decline in prescription controlled substance

utilization.”

James Farley, Martin School of Public Policy

“

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http://preview.tinyurl.com/lweycl7

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http://www.ncbi.nlm.nih.gov/pubmed?cmd=historysearch&querykey=6

2x compared to alcohol’s 9x

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http://tinyurl.com/lr9hwhh

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24. http://www.deadiversion.usdoj.gov/fed_regs/rules/2006/fr0906.htm

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Special thanks to my reviewers for their critical input.

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Special thanks to my reviewers for their critical input.

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Physicians for responsible opioid prescribing. An excellent resource for responsible opioid

prescribing.

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Opioid prescribing for cnp speakers notes

Health & Medicine

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