Opioid Counseling Checklist
Pharmacists can have a significant and positive impact on patient care and therapeutic outcomes through effective counseling. A patient’s lack of knowledge can greatly contribute to non-compliance and/or misuse of prescription medications.
Best Practices for Controlled Substances Dispensing
Red flags and potential yellow flags
Principles of Chronic Pain Management
Non-Opioid Treatments for Chronic Pain, CDC Resource Guide
Checklist for Prescribing Opioids for Chronic Pain, CDC Guide
For primary care providers treating adults (18+) with chronic pain ≥3 months, excluding cancer, palliative, and end-of-life care
Calculating Total Daily Dose of Opioids in Morphine Milligram Equivalents for Safer Dosage
Higher Dosage, Higher Risk.
Higher dosages of opioids are associated with higher risk of overdose and death—even relatively low dosages (20-50 morphine milligram equivalents (MME) per day) increase risk. Higher dosages haven’t been shown to reduce pain over the long term.
Are you compliant? Are you legally authorized to dispense naloxone?
Per Chapter 94c Section 19B, all pharmacists shall complete a training program approved by the DPH Commissioner on opioid antagonists before dispensing naloxone under the Standing Order.
As of June 2016, there are two approved trainings:
End Mass Overdose, Inc.
Prescribe to Prevent