Chronic Pain and Drug Seeking Patients - CME Conferences

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3 rd Annual Essentials in Primary Care Summer Conference: Session 1 Tuesday, July 24, 2012 Assessing Patients at Risk for Opioid Addiction: Screening for Substance-Abuse Potential Predictive of Aberrant Behavior Use Caution With Alcohol consumption Drug use Men who drink >4 alcoholic beverages per day or >16 per week Women who drink >3 alcoholic beverages per day or >12 per week Persons who admit to recreational use of marijuana or hashish in the previous year History of addictive disease Smoking Persons who are
3 rd Annual Essentials in Primary Care Summer Conference: Session 1 Tuesday, July 24, 2012 Urine Drug Screen The current recommendation is to do a urine drug screen initially before any opioid is prescribed and then subsequently on a random basis Urine Toxicology Detection time of most drugs in urine is 1-3 days; longer if drug is lipophilic Types of urine drug test – immunoassays and gas chromatography/mass spectrometry – high-performance liquid chromatography Before ordering a test, ascertain – if patient is taking any prescribed, OTC, or herbal drugs – when the last dose/quantity was – drug abuse/addiction history Make sure laboratory knows what you are looking for and how to look for it Grace Forde, MD Chronic Pain & the Drug Seeking Patient
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Chronic Pain and Drug Seeking Patients - CME Conferences

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