Validation and Counseling of Prescriptions for Controlled Substances and Opioids
Monograph
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Course Summary
Patients may be prescribed controlled substances for legitimate medical purposes. These controlled substances include prescription opioids. Because of the risk for opioid misuse, addiction, and dependence, patients must be assessed for the appropriate therapeutic use of controlled substances, which, by definition, involves detecting when a prescription is not based on a legitimate medical purpose. In order to protect patients from the inappropriate use of controlled substances, clinicians must know the laws and rules related to the prescribing and dispensing of controlled substances, the use of the Prescription Drug Monitoring Program Database, and the protocols for addressing and resolving problems recognized during a drug utilization review. Patients must be educated on the proper storage and disposal of controlled substances. In the event of a suspected overdose, clinicians and patients must know how to treat an opioid overdose, which includes standing orders for naloxone. Finally, pharmacists are particularly situated to counsel patients with opioid prescriptions and guide them toward available treatment resources for opioid physical dependence, addiction, or misuse.
Course Objectives
Identify the legitimate medical purposes for prescribing controlled substances
Identify the risk for controlled substance misuse, addiction, or dependence
Describe the laws and rules related to the prescribing and dispensing of controlled substances
Describe how Prescription Drug Monitoring Programs can be used to help identify inappropriate drug use and prescribing
Counsel patients about the proper storage and disposal of controlled substances and the available treatment resources for opioid physical dependence, addiction, or misuse
Describe how to treat an opioid overdose, which includes standing orders for naloxone
I. Introduction
II. Controlled Substances Act and Other Regulations
1. Schedules of Controlled Substance
2. Stock Ordering of Controlled Substances
3. Storage, Recordkeeping, and Disposal of Controlled Substances
4. State-Level Scheduling and Regulations
5. Staying Up-to-Date
III. Drug Enforcement Administration (DEA)
IV. Prevalence of Prescription Drug Misuse
V. Prevention of Prescription Drug Misuse
1. Ensuring Appropriate Access
2. Legitimate Concerns or “Red Flags”
3. Basic Prescribing Best Practices
4. Basic Dispensing Best Practices
5. Implementation and Use of PDMPs
6. Florida State Prescription Drug Monitoring
7. Drug Diversion and Doctor Shopping
VI. Safe Prescribing of Opioids
1. Indications for Opioid Pain Treatment
2. Special Considerations for Opioid Dispensing
VII. Opioid Use Disorder and Pain Management
VIII. Summary
- Read the course objectives and faculty planner disclosure
- Read the course material
- Complete the post-test with a minimum score of 70% and complete the course evaluation form.
- Results are automatically submitted to CPE Monitor
Faculty Planner Disclosure
The following individuals were involved in developing this activity: Steven Malen, PharmD, MBA, and Pamela Sardo, PharmD, BS. Pamela Sardo was an employee of Rhythm Pharmaceuticals until March 2022 and has no conflicts of interest or relationships regarding the subject matter discussed. There are no financial relationships relevant to this activity to report or disclose by any of the individuals involved in the development of this activity.
Unlabeled Use Disclosures
The information provided in this course is general in nature and it is solely designed to provide participants with continuing education credit(s). This course and materials are not meant to substitute for the independent, professional judgment of any participant regarding that participant’s professional practice, including but not limited to patient assessment, diagnosis, treatment and/or health management. Medical and pharmacy practices, rules, and laws vary from state to state, and this course does not cover the laws of each state; therefore, participants must consult the laws of their state as they relate to their professional practice. Healthcare professionals, including pharmacists and pharmacy technicians, must consult with their employer, healthcare facility, hospital, or other organization, for guidelines, protocols, and procedures they are to follow. The information provided in this course does not replace those guidelines, protocols, and procedures but is for academic purposes only, and this course’s limited purpose is for the completion of continuing education credits. Participants are advised and acknowledge that information related to medications, their administration, dosing, contraindications, adverse reactions, interactions, warnings, precautions, or accepted uses are constantly changing, and any person taking this course understands that such person must make an independent review of medication information prior to any patient assessment, diagnosis, treatment and/or health management. Any discussion of off-label use of any medication, device, or procedure is informational only and such uses are not endorsed hereby. Nothing contained in this course represents the opinions, views, judgments, or conclusions of RxCe.com LLC. RxCe.com LLC is not liable or responsible to any person for any inaccuracy, error, or omission with respect to this course, or course material.
Computer Hardware/Software Requirements
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- Target Audience: Pharmacy Tech
- Contact Hours: 2.0 (0.2 CEUs)
- Activity Release Date: 9/14/2023
- Activity Expiration Date: 9/14/2026
- Activity Type: Knowledge
- UAN: 0669-0000-23-147-H03-T
- Topic: Law
- CeBroker Number: 20-1106658
Author:
RxCe.com, LLC is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
RxCe.com, LLC, offers pharmacy technician continuing education courses for PTCB recertification. Pharmacy technician courses are indicated both in the Target Audience description and the ACPE UAN which will end with a "T".