Provide potentially life-saving information and interventions.Confirm PDMP information with your patient.1 Clinicians should take actions to improve patient safety. Such care includes proper evaluation to identify potentially reversible causes of pain and establish a diagnosis and measurable treatment outcomes that focus on optimizing function and quality of life. Such scores have not been validated against clinical outcomes such as overdose and should not take the place of clinical judgment.Ī key aim of pain management is the provision of person-centered care built on a foundation of trust between patients and clinicians.
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PDMP-generated risk scores are created by algorithms in software applied to patient information.Clinicians should also consider whether benefits outweigh risk of concurrent prescribing of opioids and other central nervous system depressants (e.g., muscle relaxants, non-benzodiazepine sedative hypnotics, potentially sedating anticonvulsant medications such as gabapentin and pregabalin) ( Recommendation 11). Use caution when prescribing opioid medications and benzodiazepines concurrently.Before increasing total opioid dosage to greater than or equal to 50 MME/day, carefully reassess evidence of individual benefits and risks.Many patients do not experience benefit in pain relief or function from increasing opioid dosages to greater than or equal to 50 MME/day but are exposed to progressive increases in risk for opioid-related harms as dosage increases.The 2022 Clinical Practice Guideline does not specify a limit for total MME/day.Do not include buprenorphine in the total MME/day calculations.Calculate the total morphine milligram equivalents (MME)/day for concurrent opioid prescriptions to help assess the patient’s overdose risk.Use PDMP data in the context of other clinical information including patient history, physical findings, and relevant testing and screening to help with patient communication and to improve patient safety. Clinicians should check PDMP data for prescription opioids and other controlled medications patients have received from other clinicians to determine whether a patient is receiving opioid dosages or combinations (e.g., opioids combined with benzodiazepines) that put the patient at high risk for overdose.
PDMPs can help inform point-of-care clinical decision-making to improve patient care and safety. Ĭhecking the PDMP is an important step to improve opioid prescribing practices. This page provides an overview of using a PDMP. The 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain (2022 Clinical Practice Guideline) recommends that clinicians who are prescribing initial opioid therapy should first review a patient’s history of controlled substance prescriptions using a state PDMP ( Recommendation 9in the 2022 Clinical Practice Guideline). You can take action to improve patient safety. Information from prescription drug monitoring programs (PDMPs) can alert you to opportunities to provide potentially lifesaving information and interventions.
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