how to handle controlled substance Rxs for patients with a "pain contract" or treatment agreement

April 2014

Questions are coming up about how to handle controlled substance Rxs for patients with a "pain contract" or treatment agreement.

These agreements, between a patient and a prescriber, are suggested by pain guidelines for patients taking long-term opioids.

The agreements outline expectations about appropriate use, refills, urine drug testing, and more.

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Table of Contents

Respiratory & Allergy Nebulizer solutions (salbutamol, ipratropium, etc) are still causing confusion
Heart Failure more focus on preventing mix-ups among digoxin products
Inhalers two new inhalers for COPD, Anoro Ellipta (a-NOR-oh ee-LIP-ta) and Ultibro Breezhaler (UHL-tee-broh BREEZE-hale-er)
Mood Stabilizers Health Canada is warning about the possibility that lithium might increase a patient's blood level of calcium
Diabetes emphasis on improving care in diabetes patients
Pediatrics dexamethasone for asthma exacerbations
Vaccines a new meningitis vaccine, Bexsero (BEX-sare-roe)
Hypertension when to treat SEVERE hypertension
Pregnancy whether acetaminophen is risky during pregnancy
Stroke more focus on preventing strokes in YOUNGER WOMEN
Controlled Substances how to handle controlled substance Rxs for patients with a "pain contract" or treatment agreement