It was with much pleasure that I hosted once again Dr. Mark Donaldson on CDA Oasis. Dr. Donaldson has been kind and most generous in sharing his recent publications as well as his expertise on very important pharmacological topics. Today he speaks to our audience about the liabilities dentists might incur when prescribing opioids in light opioid crisis experienced in North America.
Dr. Donaldson is senior executive director at Vizient Pharmacy Advisory Solutions as well as clinical professor in the Skaggs School of Pharmacy at the University of Montana.
I hope you enjoy and benefit from the conversation. Always remember that your questions, thoughts and suggestions are welcome on CDA Oasis and you may share them with us at firstname.lastname@example.org
Until next time!
- Unlike the original war on drugs, the campaign to address this new epidemic is complicated by the fact that access to these prescription opioids is often attained via legal means. In many cases, it is the misprescribing or overprescribing of narcotic-containing medications that creates the conduit for public access to these drugs.
- Since dentists follow primary care physicians as the second-leading prescribers of immediate release opioids, oral healthcare professionals have been identified as having an important role in opioid abuse prevention efforts.
- If changing current prescribing habits based on new data and guidelines is not enough for individual clinicians, then recent legal cases may be the impetus for change.
- Before determining the “safe” amount of opioids to prescribe patients for postoperative orofacial pain, clinicians must realize that opioid analgesic prescriptions should not be an initial treatment strategy except in extreme cases.
- In fact, nonsteroidal anti-inflammatory analgesics (NSAIDs) such as ibuprofen are at least as effective as acetaminophen-opioid pain relievers and have lower incidences of adverse effects. Because of the safety and efficacy of NSAIDs, they should continue to be first-line medications for managing postoperative pain unless contraindicated.
- Consistent with best-practice recommendations, opioids should be reserved for only a minority of cases involving moderate to severe postoperative pain in which all other management options have been exhausted.
Full Interview (13.49″)