Preventing and recognizing prescription drug abuse
The risks for addiction to prescription drugs increase when the drugs are used in ways other than for those prescribed. Healthcare providers, primary care physicians, and pharmacists, as well as patients themselves, all can play a role in identifying and preventing prescription drug abuse.
Physicians. Because about 70 percent of Americans (approximately 191 million people) visit their primary care physician at least once every 2 years, these doctors are in a unique position-not only to prescribe medications, but also to identify prescription drug abuse when it exists, help the patient recognize the problem, set recovery goals, and seek appropriate treatment. Screening for prescription drug abuse can be incorporated into routine medical visits by asking about substance abuse history, current prescription and OTC use, and reasons for use. Doctors should take note of rapid increases in the amount of medication needed, or frequent, unscheduled refill requests. Doctors also should be alert to the fact that those addicted to prescription drugs may engage in "doctor shopping"- moving from provider to provider?n an effort to obtain multiple prescriptions for the drug(s) they abuse.
Preventing or stopping prescription drug abuse is an important part of patient care. However, healthcare providers should not avoid prescribing or administering stimulants, CNS depressants, or opioid pain relievers if needed. (See text box on "Pain Treatment and Addiction.")
Pharmacists. By providing clear information on how to take a medication appropriately and describing possible side effects or drug interactions, pharmacists also can play a key role in preventing prescription drug abuse. Moreover, by monitoring prescriptions for falsification or alterations and being aware of potential "doctor shopping," pharmacists can be the first line of defense in recognizing prescription drug abuse. Some pharmacies have developed hotlines to alert other pharmacies in the region when a fraudulent prescription is detected.
Patients. There are also steps a patient can take to ensure that they use prescription medications appropriately. Patients should always follow the prescribed directions, be aware of potential interactions with other drugs, never stop or change a dosing regimen without first discussing it with their healthcare provider, and never use another person's prescription. Patients should inform their healthcare professionals about all the prescription and OTC medicines and dietary and herbal supplements they are taking, in addition to a full description of their presenting complaint, before they obtain any other medications.
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The risks for addiction to prescription drugs increase when the drugs are used in ways other than for those prescribed. Healthcare providers, primary care physicians, and pharmacists, as well as patients themselves, all can play a role in identifying and preventing prescription drug abuse.
Physicians. Because about 70 percent of Americans (approximately 191 million people) visit their primary care physician at least once every 2 years, these doctors are in a unique position-not only to prescribe medications, but also to identify prescription drug abuse when it exists, help the patient recognize the problem, set recovery goals, and seek appropriate treatment. Screening for prescription drug abuse can be incorporated into routine medical visits by asking about substance abuse history, current prescription and OTC use, and reasons for use. Doctors should take note of rapid increases in the amount of medication needed, or frequent, unscheduled refill requests. Doctors also should be alert to the fact that those addicted to prescription drugs may engage in "doctor shopping"- moving from provider to provider?n an effort to obtain multiple prescriptions for the drug(s) they abuse.
Preventing or stopping prescription drug abuse is an important part of patient care. However, healthcare providers should not avoid prescribing or administering stimulants, CNS depressants, or opioid pain relievers if needed. (See text box on "Pain Treatment and Addiction.")
Pharmacists. By providing clear information on how to take a medication appropriately and describing possible side effects or drug interactions, pharmacists also can play a key role in preventing prescription drug abuse. Moreover, by monitoring prescriptions for falsification or alterations and being aware of potential "doctor shopping," pharmacists can be the first line of defense in recognizing prescription drug abuse. Some pharmacies have developed hotlines to alert other pharmacies in the region when a fraudulent prescription is detected.
Patients. There are also steps a patient can take to ensure that they use prescription medications appropriately. Patients should always follow the prescribed directions, be aware of potential interactions with other drugs, never stop or change a dosing regimen without first discussing it with their healthcare provider, and never use another person's prescription. Patients should inform their healthcare professionals about all the prescription and OTC medicines and dietary and herbal supplements they are taking, in addition to a full description of their presenting complaint, before they obtain any other medications.
E-mail: Support@SoftLandingRecovery.com>
Source: The National Institute on Drug Abuse (NIDA), part of the National Institutes of Health (NIH) , a component of the U.S. Department of Health and Human Services.
Content provided by the Editorial Board.
Information on this page last updated on 06/10/2007