Texas’ new opioid prescribing rules, board certification, and lawsuits top the list of popular topics that Texas Medicine Today covered this year. Want to know what else intrigued Texas physicians in 2018?
The Substance Abuse and Mental Health Services Administration recently awarded the Texas Health and Human Services Commission $46.2 million to expand treatment options and to increase access to medication-assisted treatment.
Medication-assisted treatment is an expensive piece of the opioid solution, Texas lawmakers at the state and federal level explained at the Texas Medical Association’s 2018 Fall Conference on Saturday.
Marijuana has been used for health purposes for thousands of years, when the plant had THC content of 0.5-3 percent. Currently, the most common medical use is for pain. As of this writing, 30 states and the District of Columbia have some form of legalized marijuana, with eight states having legalized it for recreational use.
In case you didn’t know, several changes to the state’s prescription process for certain controlled substances are about to take place.
Opioids, cost transparency, and Medicaid: Three seemingly perennial issues that will once again take center stage when the Texas Legislature reconvenes in January.
Substance use disorders (SUD) are serious, chronic medical conditions that are manageable with the proper medical treatment and social support.
The U.S. Surgeon General last week issued an advisory stressing that the opioid antagonist naloxone saves lives of people at risk of overdose.
In an effort to address the very real and debilitating crisis caused by the misuse of pain medicines, the Texas Legislature has passed legislation to mandate that all prescribers and pharmacists check the state's Prescription Drug Monitoring Program (PDMP) before prescribing or dispensing certain medications.
NOTE: The mandate is effective Sept. 1, 2019, for prescribers and pharmacists. It applies to opioids, benzodiazepines, barbiturates, and carisoprodol (Soma), not to all controlled substances.
To help physicians set up accounts and use the new PDMP website Allison Benz, executive director of the Texas Pharmacy Board. demonstrates the new site in this brief, informative TMA-produced video. This five-minute video shows physicians how to set up, use and navigate the site.
The state legislature convened an interim special committee to discuss opioids. TMA shared the following information with the Senate Health and Human Services Committee on March 22, 2018, addressing several issues related to opioids, including disposal and maternal health.
Recent questions about Opioids issues:
What happened to the Texas Controlled Substances Registration (CSR) program?
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Physicians Will Lead Legislature’s Controlled Substances Committee - 01/18/2018When a special joint committee of the Texas Legislature tackles issues with controlled substances this year, physician-lawmakers will take the lead.
FDA Says No to Prescription Opioid Cough Meds for Children - 01/17/2018FDA officials announced recently that prescription cough and cold medications that contain codeine or hydrocodone should not be given to patients younger than 18 years because the medicines’ risks outweigh their benefits in children.
Prevention of Opioid Abuse Through Education(Testimony by John Isaac, MD HB405 (maternal health and neonatal abstinence syndrome) - March 13, 2019
A Multi faceted Approach to Combatting Substance Use Disorder - Aug. 8, 2018
Links below provide timely information from fellow health care leaders in addressing the opioid epidemic:
American Academy of Family Physicians (AAFP) Chronic Pain Resources
AAFP Pain Management and Opioid Abuse
American Academy of Orthopedic Surgeons (AAOS)
American Society of Clinical Oncology (ASCO)
American Society of Interventional Pain Physicians (ASIPP)
American Society of Anesthesiologists
American College of Emergency Physicians
American College of Surgeons
A new, free mobile app provides immediate access to information about medication-assisted treatment (MAT) for opioid use disorder.