Nepola, like many doctors who prescribe pain medication, thinks mandating only fill between 10-20 prescriptions a day, will simply stop prescribing them. enforcement people do need to address the problem of prescription drug the same as a cancer patient who needs regular doses of oxycodone.
Nepola, like many doctors who prescribe pain medication, thinks mandating the e-prescription database is a good thing, but that doing it, especially with the real-time requirement, before the technology is perfected by December, 2014, poses serious problems.
It seems clear that the crux of the problem lies in doctor shopping, and with people, mostly teens, who steal pills from their relatives’ medicine cabinets, not with patients who become addicted. As Portenoy explained, the fact that the e-prescription system isn’t required to link up to prescription systems in others states means there are some serious loopholes to preventing both of those problems.
Besides the issue of the real-time requirement being implemented before the e-prescribing database is perfected, Portenoy sees a number of additional problems: Who’s an Addict?
New York, NY 10019.
“What we’ve been trying to do for the past 25 years is talk about balance that says regulators and law enforcement people do need to address the problem of prescription drug abuse and diversion, but anything that’s done needs to address that these are crucial medications for legitimate pain patients,” said Portenoy.
Russell Portenoy is the chairman of pain management and palliative care at Beth Israel Hospital in Manhattan, which hosts a pain management clinic.
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