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The Fawks Company

Independent Consultant Pharmacist

for

Ambulatory Surgery Centers

and

Recovery Care Centers

 

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USP 800 CHAPTER

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Colorado Guidelines for Safe Prescribing and Dispensing of Opioids

 

Calculating Total Daily Dose of Opioids for Safer Dosage

 

2019 Opioids Prescription Changes

 

Colorado Opioid Guidelines

https://www.colorado.gov/pacific/dora/opioid_guidelines

 

Division of Professions and Occupations (DPO): Opioid Guidelines

https://www.colorado.gov/pacific/dora/opioid_guidelines#Overview

 

Q&A: Guidelines for Prescribing and Dispensing Opioids - April 20, 2018

https://www.youtube.com/watch?reload=9&v=rsS_cDPSy6c&feature=youtu.be

 

NEW COLORADO LAW LIMITS OPIOID PRESCRIPTIONS

https://leeandbrown.com/colorado-law-limits-opioid-prescriptions/

All six dispensing Boards recommend a prescription of less than 50 MME per day and utilization of long-acting or extended relief formulations. These limits do not apply in certain discrete situations, including, if, in the judgment of the prescriber, the patient:

  • Has chronic pain that typically lasts longer than 90 days past the point of healing, as determined by the prescriber;

  • Has been diagnosed with cancer and is experiencing cancer-related pain;

  • Is experiencing post-surgical pain, expected to last longer than fourteen days due to the nature of the procedure; or

  • Is undergoing palliative care or hospice care designed to improve quality of life.

 

Opioid Dose Calculator

http://agencymeddirectors.wa.gov/Calculator/DoseCalculator.htm

Morphine Mg Equivalents

Hydrocodone 50 mg = 50 MME

Oxycodone 34 mg = 51 MME

Hydromorphone 12 mg = 48 MME

 

Question: What information is required on a prescription for a controlled substance?

https://www.deadiversion.usdoj.gov/faq/prescriptions.htm#rx-2

Answer: A prescription for a controlled substance must include the following information:

  • Date of issue;

  • Patient's name and address;

  • Practitioner's name, address, and DEA registration number;

  • Drug name;

  • Drug strength;

  • Dosage form;

  • Quantity prescribed;

  • Directions for use;

  • Manual signature of prescriber.

A prescription must be written in ink or indelible pencil or typewritten and must be manually signed by the practitioner. Prescriptions for schedule II controlled substances must be written and be signed by the practitioner.