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An opioid dispensing and misuse prevention algorithm for community pharmacy practice.

Nathaniel M Rickles1, Amy L Huang2, Michelle B Gunther2

  • 1University of Connecticut, School of Pharmacy, 69 N. Eagleville Rd, Unit 3092, Storrs, CT 06269-3092, USA.

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Community pharmacists can now use a new algorithm to detect and manage prescription opioid abuse. This guideline helps pharmacists identify at-risk individuals and respond appropriately to the opioid epidemic.

Keywords:
Community pharmaciesOpioid abusePrescription drug monitoring programsPrescription opioids

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Area of Science:

  • Pharmacy Practice
  • Public Health
  • Substance Abuse Research

Background:

  • Prescription opioid abuse is a national epidemic, with community pharmacies playing a key role in dispensing these medications.
  • Lack of clear guidelines hinders community pharmacists in detecting and managing prescription opioid abuse effectively.

Purpose of the Study:

  • To develop and evaluate a guideline for community pharmacists to monitor and manage potential prescription opioid abuse.
  • To provide practical tools for pharmacists to address the opioid crisis.

Main Methods:

  • An algorithm was developed using existing literature and expert input.
  • The algorithm underwent review and revision through discussion groups and interviews with community pharmacy stakeholders.

Main Results:

  • The guideline emphasizes verifying prescription authenticity and utilizing state prescription drug monitoring programs (PDMP).
  • It includes clinical profile review, patient observation, and protocols for communication with patients and prescribers.
  • The algorithm is designed to be user-friendly with color-coding for enhanced usability.

Conclusions:

  • Further research should assess the algorithm's feasibility in diverse community pharmacy settings.
  • The study aims to determine the algorithm's impact on opioid dispensing and patient referrals for abuse concerns.