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LIFE HEALTH-PAIN-MEDS MYO

Mayo Clinic researchers found that 1 in 4 patients prescribed an opioid painkiller for the first time progressed to long-term prescriptions.

The opioid epidemic confronting the nation leaves few areas untouched, including here in Montana where families know too well the tragic effects of opioid addiction.

Montana’s children have one of the nation’s highest rates of prescription drug misuse. Almost 10 percent of youth ages 12 to 17 report misusing prescription pain relievers. According to the Montana Department of Health and Human Services, from 2011 to 2013 prescription drug overdoses took the lives of more than 360 Montanans.

That is why the Montana Medical Association partnered with the state’s attorney general and colleagues in the insurance industry to create the Know Your Dose campaign to help educate patients and physicians and other health professionals about ways to reverse this epidemic.

Big Sky Country is a great example of how states – with elected leaders collaborating with those in the medical community – can develop real-world solutions. As physician leaders, we must do what is necessary to reverse this epidemic. Know Your Dose provides practice and policy-related solutions to make a difference.

We are making a difference.

Montana physicians made 42 percent more inquiries to the Montana Prescription Drug Registry in 2015 compared to 2014, checking it nearly 160,000 times. The registry contains helpful information on whether a patient is receiving multiple prescriptions from multiple pharmacies. Physicians are committed to using it as part of the clinical decision-making process.

Thanks to the MMA and its partners, Montana’s physicians can enroll at no cost for a pain management course designed to help medical professionals provide the best treatment for their patients, while preventing them from becoming addicted to opioids. We urge all Montana physicians who prescribe controlled substances to go to KnowYourDoseMT.org, take this course and use the other resources available for patients and health care providers.

Resolve Montana is an educational campaign developed by the state Attorney General’s Office that illustrates why it is vital to use medications as instructed, to safely store and dispose of unused medication, and how to recognize signs of a potential substance use disorder. If you or someone you know has a substance use disorder, talk to your physician today about getting help.

For our part, we understand the tremendous interest in reducing the supply of opioids. We know prescribed medications wind up being used by someone other than the intended patient. More than 70 percent of individuals misusing opioids are getting opioids from other sources, including friends or family members. From 2013 to 2015, Montana’s physicians decreased opioid prescriptions by 10.6 percent. Montanans have a proud history of judicious use of resources and are applying that philosophy to how opioids are prescribed.

These steps will help reverse the course of the epidemic, but we also must put increased energy into two key places. We need to ensure that our patients with pain receive comprehensive – and compassionate – treatment. While the nation’s opioid supply will almost certainly continue to decrease, we need to ensure that we continue to work with our colleagues in the insurance industry to provide patients with a full range of evidence-based, non-opioid and non-pharmacologic treatments.

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Similarly, patients with substance use disorders need treatment just like any other chronic, relapsing medical condition. We would never put treatment limits or prior authorization restrictions on diabetes care or heart disease, so we need to ensure our patients with substance use disorders have access to affordable, timely care that does not run out or is financially beyond their reach.

Another key element to saving lives is for our state to enact laws increasing access to naloxone and provide strong Good Samaritan protections to those who help someone experiencing an overdose. Montana is one of only a few states without naloxone access provisions. These laws have helped save tens of thousands of Americans. It’s time for Montana to enact these laws.

Montana has made progress – there’s no doubt about it. The state has stepped up to lead a strong, diligent fight against opioid misuse, overdose and death. We must continue the positive trends – and work even harder.

The American Medical Association is proud to support the work of the MMA and other leaders in this critical effort. The lives of our patients depend on it.

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Patrice A. Harris, M.D., M.A., is chair of the American Medical Association and chair of AMA’s Task Force to Reduce Opioid Abuse. Marc C. Mentel, D.O., is chair of the Montana Medical Association Prescription Drug Abuse Reduction Committee.

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