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Drug Abuse, Prescription

Pamela R. Tsinteris, MD, MPH and Matthew A. Silva, PharmD, RPh, BCPS Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Prescription drug abuse behaviors exist on a continuum and may include:

    • Use of medication for nonmedical reasons such as to get high or enhance performance

    • Use of medication for medica...

DIAGNOSIS

  • Initial screening: “How many times in the past year have you used an illegal drug or used a prescription medication for nonmedical reasons?”; primary care setting sensitivity of 100% and spe...

TREATMENT

Addiction is a treatable chronic disease. The general approach to treatment includes inpatient, residential, or outpatient detoxification as required; counseling and intensive counseling as ...

ONGOING CARE

PATIENT EDUCATION

  • Controlled medication should be inaccessible to others (ideally in locked box/bag). Diverting medication may result in legal charges. Patients should be aware of addictio...

REFERENCES

1
Smith PC, Schmidt SM, Allensworth-Davies D, et al. A single-question screening test for drug use in primary care. Arch Intern Med.  2010;170(13):1155–1160. [View Abstract on OvidMedli...

ADDITIONAL READING

  • Ahrnsbrak R, Bose J, Hedden S, et al. Key Substance Use and Mental Health Indicators in the United States: Results from the 2016 National Survey on Drug Use and Health. Rockville, ...

CODES

ICD10

  • F19.10 Other psychoactive substance abuse, uncomplicated

  • F11.10 Opioid abuse, uncomplicated

  • F15.10 Other stimulant abuse, uncomplicated

  • F13.10 Sedative, hypnotic or anxiolytic abuse, uncomplic...

CLINICAL PEARLS

  • Education and PMPs help prevent prescription drug abuse.

  • Standardized office practice agreements can help manage controlled substance prescriptions.

  • Perform informed consent about all ri...

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