PCMS_Philadelphia_Medicine_Summer2017 - 10
p h i l a m e d s o c .org
P h ila d e lp h ia Ta sk Fo rce Rep o r t o n Op io id Ep id emic
FEATURE
Opioid Task Force Recommendations for Physicians
Physicians should prescribe opioid painkillers less often, in
lower doses, and for shorter duration. The CDC recently issued
prescribing guidelines that discourage use of opioids for chronic
pain. It also advised that for acute pain, treatment for three days
is usually sufficient and that treatment for more than seven days
is rarely necessary.
People in contact with those who use opioids should obtain the
antidote naloxone (Narcan™), which can immediately reverse a
potentially fatal opioid overdose. In 2014, Pennsylvania's Physician
General signed a standing order for naloxone. This action, combined
with passage of PA Act 139 of 2014, is intended to expand access to
naloxone by first responders and families and friends of opiate users.
Physicians should use great caution when prescribing opioid pain
relievers in patients who are also taking benzodiazepines and should
avoid prescribing benzodiazepines in patients taking opioids because
the combination of benzodiazepines and opioids is so dangerous.
In April 2016, the Pennsylvania Department of Health joined other
state health agencies and professional organizations in requesting
that Medicare, Medicaid, and hospital accreditation programs roll
back aggressive pain management rules that require hospitals to ask
every patient about pain routinely-a practice that has prompted
overuse of opioid pain relievers. *
Physicians should help their patients who are dependent on
opioids get treatment. This can be through referral to methadone
treatment or prescribing buprenorphine (Suboxone™), an opioid-like
medication that reduces withdrawal symptoms and is safer than
methadone. With readily available training and certification, officeor clinic-based physicians can prescribe buprenorphine.
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10 Philadelphia Medicine : Summer 2017
https://philamedsoc.org/
http://www.gosfield.com
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