Five of those patients asked for
an opioid prescription refill.
For example, after taking account of other potentially influential factors,
each opioid prescription refill was associated with a 44 % increase in misuse and each additional week of opioid use was associated with a 20 % increase in opioid misuse among these patients.
Not exact matches
New
prescription guidelines for
opioids reduced
prescription size but did not increase
refill requests.
They looked for persistent
opioid use, defined as continued
prescription refills 90 to 180 days after the surgical procedure and beyond what is expected after routine surgery.
A subsequent
opioid risk reduction initiative included standards for patient monitoring and urine drug screening, periodic monitoring visits, and modifications to the
prescription refill process to prevent urgent
refill requests.
In light of the growing
opioid crisis, the Federal Drug Administration in October 2014 reclassified all hydrocodone products in a way that makes them more carefully controlled, including limiting
prescriptions to a 30 - day supply with no
refills.
But many primary care doctors simply
refill the
opioid prescription for another 30 days or longer, a phenomenon Barnett calls clinical inertia.
And patients typically require a
prescription for only a few days» worth of painkillers, rather than an initial
prescription for 60
opioid tablets that could often be
refilled.
Length of
Opioid Prescription, Number of
Refills Spell Highest Risk for Misuse after Surgery January 18, 2018 [Source: Beth Israel Deaconess Medical Center]