• Clinical Prescribing Guidelines

Clinical Prescribing Guidelines

Two years ago Governor John R. Kasich formed the Governor’s Cabinet Opiate Action Team to attack this statewide epidemic on multiple fronts. The Ohio Academy of Family Physicians has been an active participant in the work of the Professional Education Workgroup that has reached consensus on recommended clinical guidelines when prescribing opioids to treat chronic, non-terminal pain.

The clinical guidelines are intended to supplement – not replace – the prescriber’s clinical judgment. The Academy of Medicine of Cleveland & Northern Ohio (AMCNO) has endorsed these guidelines along with all of the state regulatory boards and other state associations and organizations. These guidelines use 80 mg morphine equivalency dosing (MED) as a “trigger threshold,” as the odds of an overdose are significantly higher above that dose. The clinical guidelines recommend that at the 80 MED range or above the physician or other clinician “press pause” and re-evaluate how to optimize therapy and ensure patient safety. This pause also is a good time to consider potential adverse effects of long-term opioid therapy.

Continuing Medical Education Video

A very important continuing medical education (CME) video outlines the scope of the prescription opioids problem in Ohio. Visit the Ohio Opioid Prescribing Guidelines website to view the video module that gives an overview of the recommended prescribing guidelines, action steps for physicians, metrics to access the guidelines, and other resources. The one-hour CME video is approved for 1.0 AMA PRA Category 1 CreditTM through the Ohio State Medical Association as an enduring material.

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