Page 18 - Volume 70 Number 2
P. 18

How Do Michigan Laws
Compare to National and Local
Groups’ Recommendations?
By Richard E. Burney, MD
What are Some of the National Guidelines?
CDC Recommendations
The CDC in 2016 released its Guideline for Prescribing Opioids for Chronic Pain. Although the recommendations are directed primarily at reducing the prescribing of opioids for chronic pain, “i.e. pain
conditions that typically last >3
months or past the time of normal
tissue healing,” it also included the
following regarding acute pain:
When opioids are used for acute pain, clinicians should prescribe the lowest effective dose of immediate-release opioids and should prescribe no greater quantity than needed for the expected duration of pain severe enough to require opioids. Three days or less will often be sufficient; more than seven days will rarely be needed.
This statement would seem to be the basis for the Michigan law allowing prescribing of opioids for 3 days or less without requiring a MAPS inquiry.
National Center for Addiction and Substance Abuse
In October 2017, the National Center for Addiction and Substance Abuse released a report entitled, Ending the Opioid Crisis: A Practical Guide for State Policymakers. One of the chief recommendations is the establishment of a prescription drug monitoring program. Michigan was one of the first states to do this. Its MAPS program is fully functional and responsive.
Also recommended:
■ Adopt professional guidelines on opioid treatment for chronic pain as the state’s prescribing guideline.
■ Utilize the Centers for Disease Control and Prevention’s (CDC) Guideline for Prescribing Opioids for Chronic Pain.
■ Educate and train health professionals in safe prescribing.
Washtenaw County Medical Society BULLETIN

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