While 99 percent exceed the recommended three-day dosage limit, a quarter write Rx for a full month
FRIDAY, March 25, 2016 (HealthDay News) — When doctors in the United States prescribe opioids for their patients, 99 percent of them hand out prescriptions that exceed the federally recommended three-day dosage limit, new research suggests.
In the results of a survey of 200 doctors conducted by the National Safety Council, nearly one-quarter (23 percent) gave out month-long dosages. And while 84 percent of doctors screen for signs of prior opioid abuse, just one-third ask about a family history of addiction. Only 5 percent offer direct help to patients when signs of abuse are uncovered, and less than 40 percent refer such patients for treatment elsewhere.
Roughly three-quarters of doctors (74 percent) indicated that they believe pain relief is best achieved by offering patients one of two opioids: morphine or oxycodone (Oxycontin). But experts from the safety council noted that over-the-counter pain relievers (including ibuprofen and acetaminophen) are more effective at providing short-term pain relief. Misinformation particularly seems to be at play when it comes to addressing back pain and dental pain. While 71 and 55 percent of doctors say they prescribe opioids for back pain and dental pain, respectively, these drugs are not considered the ideal treatment for either condition, according to the safety council.
“Opioids do not kill pain. They kill people,” Donald Teater, M.D., a medical advisor at the National Safety Council, said in a Council news release. “Doctors are well-intentioned and want to help their patients, but these findings are further proof that we need more education and training if we want to treat pain most effectively.”
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