Kentucky Doc Spring 2016 - Page 7

doc Spring 2016 • Kentucky Kentucky is second among all states in our country for resident age-adjusted drug overdose death due to opioids. The Food and Drug Administration (FDA), in February 2016, published, A Proactive Response to Prescription Opioid Abuse (Califf et al. 2016). FDA policy is being revised immediately to respond to prescription opioid abuse by examining and promulgating regulations and guidelines for the following issues: 1. Balancing individual need and societal risk, 2. Meeting the need for timely action, 3. Reviewing labeling and post-marketing surveillance requirements, 4. Prioritizing abuse-deterrent formulations and overdose treatments, 5. Addressing the lack of non-opioid alternatives for pain management, 6. Creating clear guidelines for opioid use, 7. Managing pain in children, and 8. Developing a better evidence base. It is hoped that Kentucky physicians will meet the challenge of modifying opioid prescription practices in Kentucky and increase their level of awareness by reviewing guidelines for opioid use and incorporating them into practice for the chronic pain patient. Moreover, medical schools, residencies and fellowship programs, should incorporate clear evidence-based curricula to teach the biological ramifications of acute versus chronic pain. All medical students, residents and fellows should be provided with up-to-date and evidence-based curricula to inform them of the contemporary management of chronic pain utilizing non-opioid treatments whenever possible. About the Author Robert P. Granacher, Jr., MD, MBA practices clinical and forensic neuropsychiaty in Lexington and Mt. Vernon, KY. He is a noted scientific author and past president of the Kentucky Psychiatric Medical Association. He is currently president-elect of the Lexington Medical Society and Clinical Professor of Psychiatry at the University of Kentucky College of Medicine. References Califf, R.M., Woodcock, J., Ostroff, S. (2016). A proactive response to prescription opioid abuse. N.Eng. J. Med. Epub ahead of print February 4, 2016. DOI: 10.1056/NEJMsr1601307 C.D.C. (2016). CDC guideline for prescribing opioids for chronic pain: United States, 2016. MMWR 65; 1-37. Larochelle, M.R., Liebschutz, J.M., Zhang, F., et al, (2016). Opioid prescribing after nonfatal overdose and association with repeated overdose: a cohort study. Ann. Int. Med. 264: 1-9. Slavova, S., Bunn, T.L., Gao, W. (2015). Drug overdose deaths in Kentucky, 2013. Lexington, KY: Kentucky Injury Prevention and Research Center. Prescription Drug Addiction Can Be Treated! Every patient recovery is different. Begin yours with us today. visit www.renewrecovery.com for more information • Intensive Outpatient Program (IOP) Offered • Medication- Assistance Treatment when Indicated • Daytime and Evening Counseling Appointments Available • Most Private Insurance Plans Accepted • Accredited by Joint Commission GEORGETOWN OFFICE: 100 Eastside Drive Georgetown, KY 40324 (502) 868-7272 LONDON OFFICE: 2645 N. Laurel Rd. London, KY 40741 (606) 712-0043 7