Responsible prescribing practices Pain relief can be life changing for patients with chronic pain, but ob/gyns need to be mindful of how to prescribe medication properly.
Counsel regarding safe use, such as avoiding taking during any activity in which sedation would cause risk of harm to self or others and storing safely and securely.
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Clearly definine and document the prescribing relationship (opioid contract).
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Utilize a prescription monitoring database.
Closely montitor for abuse/diversion (dosing adjustments without discussion, lost prescriptions, additional substance abuse).
Consider suboxone in cases of comorbid depression/concern for overdose.
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Concurrently consult with a pain specialist.
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