I asked this question to ChatGPT https://chat.openai.com/chat one of the new AI BOTS and here is the answer that I got back. I am surprised that it mentioned regulations & guidelines… which the SCOTUS recently ruled in June 2022 that agencies like ATF & EPA cannot make new interpretations/regulations from the laws they are charged with enforcing. Apparently somewhere out there on the world wide web this AI BOT has identified that the DEA has stated or implied that they are in charge of enforcing regulations & guidelines. Does this suggest that the DEA has adopted the 2016 CDC opiate dosing guidelines as the standard of care and best practices, that any prescriber dosing a pt above the 90 MME/day is without a valid medical necessity and thus the prescriber is providing opiates ILLEGALLY and violating the CSA ?
what does the DEA consider standard of care and best practice when prescribing controlled substances
The Drug Enforcement Administration (DEA) considers the following to be standards of care and best practices when prescribing controlled substances:
- Thorough evaluation of the patient’s medical history and condition, including a review of any relevant records and tests.
- Use of the lowest effective dose of controlled substances for the shortest duration necessary to treat the patient’s condition.
- Monitoring of the patient’s response to treatment and adjusting the treatment plan as necessary.
- Regular assessment of the patient’s risk for abuse, addiction, and overdose.
- Maintenance of accurate and complete medical records, including all prescriptions for controlled substances.
- Implementation of proper security measures to prevent theft, loss, or diversion of controlled substances.
- Staying current with relevant laws, regulations, and guidelines related to controlled substance prescribing.
These standards are intended to ensure that controlled substances are used safely and responsibly, and to prevent the abuse, addiction, and overdose associated with these drugs.
Filed under: General Problems
If this isn’t violation of law 42-1395,,,then what is???!!!maryw
If that’s true, then #3 should include titration above 90MME. It’s not like there’s an actual ceiling where patients aren’t going to get any further therapeutic benefit from their medications or even, as they seem to like to infer, that opioids somehow become more dangerous. Not for the patient for whom they’re prescribed, as their bodies have been acclimated to such doses. It would seem that’s the part they just cannot seem to wrap their heads around. But as we all know, what could be expected when 99% of the entities and individuals involved in setting unofficial new standards through narrative alone, are uneducated in the treatment of pain or really anything pain related? Ignorance abounds.