Risk Mitigation Strategies to Reduce Opioid Overdoses

When prescribing opioids, risk mitigation strategies can be an effective way to reduce abuse and overdose. Strategies described in CDC’s Guideline for Prescribing Opioids for Chronic Pain include reviewing prescription drug monitoring program (PDMP) data, urine drug testing (UDT), and co-prescribing naloxone.

Date: Tuesday, December 6, 2016
Time: 2:00-3:00 pm (Eastern Time)
Dial In: 800-779-0686 (U.S. Callers);
312-470-0194 (International Callers)
Passcode: 3377346
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During this COCA Call, clinicians will learn about steps they can take when concerning information is discovered through PDMP checks or UDT. Presenters will review how to evaluate factors that increase risk for opioid overdose and how to determine when co-prescribing naloxone would be beneficial. In addition, a case study of a 46-year-old man with chronic low back pain, on high-dose opioid, will be presented to illustrate how PDMP and UDT results and medical evaluation can be used for opioid treatment decision-making.

Objectives:

• Describe the evidence for opioid prescribing risk mitigation strategies.
• Review different risk opioid prescribing mitigation strategies.
• Summarize steps that clinicians can take when concerning information is discovered through prescription drug monitoring program checks and urine drug testing.
• Evaluate factors that increase risk for opioid overdose and determine when co-prescribing naloxone would be beneficial.

Presenters: 
Deborah Dowell, MD, MPH
Senior Medical Advisor
Division of Unintentional Injury Prevention
National Center for Injury Control and Prevention
Centers for Disease Control and Prevention

Jane C Ballantyne, MD, FRCA
Professor
Anesthesiology and Pain Medicine
Department of Medicine
University of Washington
Harborview Medical Center

​Joseph O. Merrill MD, MPH
Associate Professor
Department of Medicine
University of Washington
Harborview Medical Center