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Managing Opioid Use Disorder with Medications

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Overview

According to the Centers for Disease Control and Prevention (CDC), drug overdose deaths have increased during the COVID-19 pandemic in the US. In fact, over 81,000 drug overdose deaths occurred over a 12-month time period ending in May 2020 – a 38% increase over the 12-month period through May of 2019. Synthetic opioids, specifically illicitly manufactured fentanyl, appear to be the driver behind this increase. Opioid use and associated overdoses may continue to rise as the long-term consequences of the pandemic (eg, job loss, lost relationships, anxiety, depression) become palpable. CDC recommendations for the prevention of opioid overdoses include expanded access to the life-saving opioid reversal medication naloxone, overdose prevention education efforts, and awareness of treatment options for opioid use disorder. The CDC’s Rx Awareness campaign highlights personal stories of individuals impacted by prescription opioid abuse, to shed light on this important topic, reduce the stigma, and educate the public about treatment options.

Opioid use disorder (OUD) can involve misuse of opioid prescription medications, use of diverted drugs, or illicit heroin and fentanyl use. OUD is typically a chronic, relapsing illness, linked with a significantly increased risk of death.

Details

Publication Date: 04/21/2021
Expiration Date: 04/21/2024
CE Credit: 1.5 (0.15 CEU)
Type of Activity: Knowledge-based

This program was developed by The Rx Consultant and published by Continuing Education Network, Inc. The Rx Consultant accepts no advertising or financial support from the pharmaceutical industry and is funded solely by the purchase of programs. The Rx Consultant is dedicated to providing unbiased, balanced information to health care practitioners.

Programs developed by The Rx Consultant are written by health care providers with expertise in the topic area, peer-reviewed, extensively edited, and fact-checked. This development process was created to insure that every program presents information that is current, accurate, relevant to "real world" health care providers, and written in an easy reading, "plain English" style.

Authors

Jennifer Gershman, PharmD,CPh is a medical writer in South Florida specializing in drug information, medication safety,vaccines, and legal and regulatory issues. She completed a Drug Information residency and is also certified as a Consultant Pharmacist.

Disclosure Statement

Dr.Gershman reports no financial relationship with the manufacturer(s) or provider(s) of any commercial product(s) or service(s) that appear in this issue.

Target Audience

This accredited program is targeted to pharmacists .

Goals & Objectives

At the conclusion of this program, participants will be able to:

    1. Discuss prescription drug abuse prevention strategies, including education campaigns such as Rx Awareness; risk factors for opioid use disorder (OUD); and validated screening tools.
    2. Compare and contrast the 3 FDA-approved medications (buprenorphine, methadone, and naltrexone) for the treatment of OUD, including dosing, side effects, and drug interactions.
    3. Identify the role of naloxone when prescribing or dispensing opioid medications. List important administration counseling points for patients, family, friends, and caregivers.

Accreditation Statements

The Rx Consultant is a publication of Continuing Education Network, Inc.

ACPE logo
Continuing Education Network, Inc. is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education as a provider of continuing pharmacy education.

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Continuing Education Network is approved by the California Board of Registered Nursing, Provider Number CEP 13118. Programs approved by CA BRN are accepted by most State Boards of Nursing.

ACPE Universal Activity Number: 0428-0000-21-004-H08-P


Exam & Credit Statement Procedures

Upon successful completion of this program and the post test (70%), 1.5 hours of continuing education credit will be awarded. To receive credit and your exam score, please complete the exam questions and program evaluation.

Editorial and Review Board

Chief Editor and CE Administrator


Terry M. Baker, PharmD

Managing Editor


Tracy Farnen, PharmD

Associate Editors


James Chan, PharmD, PhD
Pharmacy Quality and Outcomes Coordinator
Kaiser Permanente
Oakland, CA

Associate Clinical Professor
School of Pharmacy
University of California San Francisco
San Francisco, CA

Richard Ron Finley, B.S. Pharm.,R.Ph.
Clinical Pharmacist (volunteer faculty)
University of California, San Francisco (UCSF) Memory and Aging Center
Lecturer (Emeritus) UCSF, Department of Clinical Pharmacy
Health Sciences Clinical Professor, UCSF School of Pharmacy
San Francisco, CA

Consultant Pharmacist
Ray Dolby Brain Health Center, Sutter Health/CPMC
San Francisco, CA

Consult Pharmacist Aging and Adult Health Services
San Francisco Health Department
San Francisco, CA

Julio R. Lopez, PharmD, FCSHP
Chief of Pharmacy Service
VA Northern California Health Care System

Adjunct Clinical Professor
College of Pharmacy
Touro University
Vallejo, CA

Assistant Clinical Professor
School of Pharmacy
University of California, San Francisco
San Francisco, CA Adjunct Professor
Thomas J. Long School of Pharmacy
University of the Pacific
Stockton, CA

Visiting Associate Professor and Lecturer
Nursing School
Samuel Merritt University
Oakland, CA

Pamela Mausner, MD

Helen Berlie, Pharm.D. CDE, BCACP
Clinical Assistant Professor, Pharmacy Practice
Wayne State University
Detroit, MI

Ambulatory Care Specialist - Diabetes
Health Centers Detroit Medical Group
Detroit, MI

Senior Editorial Advisor


Gerard Hatheway, PharmD, PhD

Editorial Advisors


Belinda M. Danielson, RPh
Christopher M. DeSoto, PharmD
Angie S. Graham, PharmD
Cynthia Chan Huang, PharmD, MBA
Fred Plageman, PharmD

Editorial Advisor and Clinical Practice Consultant for Nurse Practitioners


Emily K.
Meuleman, RN, C, MS

About the Rx Consultant

The Rx Consultant is a monthly publication dedicated to providing health care professionals with the information they need to educate patients about drugs and manage drug therapy. The reader is responsible for confirming the information presented here and interpreting it in relation to each patient's specific situation before utilizing the information.

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