We should treat acute pain.
-First consider non-opiate analgesic.
-In the Emergency Room, don’t prescribe opioids for more than 7 days
-Prescription abuse is a national problem. It is getting worse in Pennsylvania.
-Red Flags: poorly defined injury, refusing non-opiates, refusing labs, insists on which medication works best, well-rehearsed story.
-Lost medication: In most cases, it is not lost.
– Document your treatment plan.
-Use controlled substance database.
– educate patient about the complications of opiates