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RELATED: Addicts' families to get access to life saving drug
Doctors do not have to transfer patients taking more than 120 milligram morphine equivalents a day to a pain specialist, but they do have to refer them to a pain specialist for an least one annual visit.
Men with chronic back pain may have trouble getting their usual amount of hydrocodone. Women who suffer panic attacks can expect to be asked about birth control before getting Xanax.
Addressing the committee, Dr. Scott Baker asked if the guidelines were creating an access to care issue.
The latest action occurred Friday when a committee of physicians appointed by the Vans Sneakers Mens Tennessee commissioner of health agreed on new guidelines for prescribing opioids in an attempt to curb the state's addiction problem. The guidelines set limits on daily doses doctors can prescribe to patients, spell out protocols for giving the drugs to women of childbearing age and establish new certification requirements for pain medicine specialists.
Committee member Dr. Rett Blake Mbt Shoes Women
said they were not, adding, "I think we have an over utilitzation problem."
New guidelines for prescribing controlled substances will change some doctor patient relationships in Tennessee.
They do try to address multiple primary care scenarios. For instance, the key principles for starting opioid therapy state that pregnant women should Mbt Black Mary Jane
"I think it was a perfect storm," said Dr. Mitch Mutter, who chairs the Chronic Pain Guidelines Panel and Steering Committee. "We were so bad we had to get better."
They also establish two levels of doctors who can prescribe controlled substances. Most doctors can write prescriptions for daily doses up to 120 milligrams of morphine equivalents. For example, this measure works out to four 30 milligram dosages of hydrocodone a day.
The actions are being taken because of rampant pill popping. The number of babies born dependent on drugs grew tenfold from 2001 to 2011. And Tennessee ranks second in the nation for having the highest per capita rate for opioid use. Unintentional overdose deaths increased more than 250 percent from 2001 to 2011. At that point, state legislators began passing a series of laws aimed at lowering the amount of opioid drugs available.
Tennessee docs tightening pain
Drugs in the benzodiazepine family, which include Valium, Xanax and Ativan, "should generally be avoided" in combination with pain therapy. Combining the drugs can result in lethal overdoses, Mutter said. Mbt Shoes Sale
have urine tests before being prescribed controlled substances. And they say chronic pain shall not be treated remotely through telemedicine.
Some doctors who already practice pain management question the need for having to go through a new certification process.
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