universal precautions for prescribing controlled substances

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Physician ClinicalSupport SystemPCSS…• answers questions about opioids, includingmethadone, for treatment of chronic pain• answers questions about use ofbuprenorphine for treatment of opioiddependence
Physician ClinicalSupport SystemPCSS…• is free, for interested physicians and staff• is supported by SAMHSA through the Centerfor Substance Abuse Treatment (CSAT) andadministered by the American Society ofAddiction Medicine (ASAM)
Page 1 and 2: UNIVERSAL PRECAUTIONSFOR PRESCRIBIN
Page 3 and 4: CONTACT INFORMATION• 540-941-2500
Page 6 and 7: Epidemiology• While there are mor
Page 10 and 11: Cost• Treated and untreated subst
Page 12 and 13: From a VA Board of Medicine’s Ord
Page 14 and 15: OUR COMMUNITY…OURRESPONSIBILITYAp
Page 16 and 17: HigherBrainAA=AddictionPP=physicalt
Page 18 and 19: Factoid• It is AGAINST THE LAW to
Page 20 and 21: DIVERSION• Obtaining mood alterin
Page 22 and 23: ADDICTION• “the substance use i
Page 25 and 26: What is needed to trigger thenatura
Page 27 and 28: BRAINBLOOD BRAIN BARRIERPCNBLOOD
Page 29 and 30: Well, This Is One Way AroundThat Pe
Page 31 and 32: Which Substance, A B C or D, isthe
Page 33 and 34: Non-controlled substances withstree
Page 35 and 36: What Changes Does AddictionMake to
Page 37 and 38: CRAVINGCRAVINGCRAVINGCRAVINGCRAVING
Page 40 and 41: In Animals AND Humans• Addiction
Page 42 and 43: Animal studiesAGENES=Rat with Addic
Page 44 and 45: Genetic Predisposition• Some peop
Page 46 and 47: Can people given pain medicationsfo
Page 50 and 51: Physician ClinicalSupport SystemAsk
Page 52 and 53: Universal Precautions forPrescribin
Page 54 and 55: Con’t5. Assess Risk Factors for S
Page 56 and 57: Con’t10. Prescribe the fewest num
Page 58 and 59: Urine Drug Screens• For the BENEF
Page 60 and 61: UDS• WOULD YOU PRESCRIBE COUMADIN
Page 62 and 63: MEDICATION ASSITEDADDICTION TREATME
Page 64 and 65: From a VA Board of Medicine’s Ord
Page 66 and 67: More References• Slides 8 & 9 cou
Page 68 and 69: More References• Hojsted J, Sjogr

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