Controlled substance prescribing is a distinct subject in the world of medicine. Government research shows the rate is approaching one prescription per state resident for specific opioids [1]. This is a staggering number, which indicates how important understanding the details is as a medical professional. Further troubling is the fact that the nation’s opioid epidemic has gotten even more complicated and deadly during the global pandemic. More than 40 states have reported increases in deaths related to opioids [2].

Here’s a detailed look at the pitfalls of controlled substance prescribing and why it’s essential for you to maintain comprehensive electronic records to regulate patient care.

Addiction Due to Controlled Substances

With the rate settling at 130 deaths related to opioids in the US [3], you must understand the role addiction has on controlled substance prescribing.

Start by paying attention to these rates and making sure you are not contributing to the negative use of controlled substances. By taking the time to analyze where the gaps are, it becomes easier for you to manage a wide array of patient needs without having to cut off controlled substances entirely.

When it comes to the pitfalls of controlled substance prescribing, addiction is a real concern, but it doesn’t have to be an impossible hurdle.

By implementing a full-fledged, customized electronic records system with the integration of PDMP (prescription drug monitoring programs), you can efficiently track what’s going on with different patients. This helps minimize the misuse of controlled substances while providing good healthcare along the way. While maintaining this balancing act may seem difficult to maintain, but good record-keeping can reduce some of the challenges that you may face with this process. PDMPs allow for checks for misuse and abuse of supplements. Given the state of affairs with opioid abuse, more and more states will mandate the use of such a system.

Controlled Substances and Fraudulent Activity

There are strict drug abuse prevention methods in place by the DEA to make sure fraudulent activity isn’t taking place. This is something you should take seriously to ensure your legitimate prescriptions aren’t mistaken for fraudulent ones.

According to the DEA, you are legally required to mention any falsifications and/or irregularities in prescriptions that are noted as being controlled substances [4]. This demonstrates the seriousness of the process and why it’s important to maintain an ironclad prescription process for your patients. Any irregularities could lead to legal issues that are not worth dealing with.
To overcome these problems while still providing good medical care, you should look at implementing a comprehensive record-keeping system. This is one of the best ways to make sure everything is tracked and any signs of fraudulent activity among patients are picked up right away. This acts as a unique safety net that will keep you and your career safe.

The rapid increase, adoption, and regulation towards EPCS (electronic prescription of controlled substances) was once seen as an enhancement of abuse and overuse. It is now a likely bright light towards better controlling such prescriptions and helping to end the epidemic of opioid abuse in our country. It does so by removing paper prescriptions from the streets and ensures that prescriptions are kept between the prescribing doctor and the pharmacy. Paper prescriptions are very simple to forge and can be stolen or sold on the black market.

Balanced Prescriptions for Controlled Substances

One of the biggest pitfalls of controlled substance prescribing has to do with finding balance. You never want to overdo the use of controlled substances and it’s always best to err on the side of caution. Unfortunately, this can cause you to offer less optimal medical solutions in a bid to avoid prescribing controlled substances.

As a medical professional, you should focus on providing a good level of care before anything else. To do this freely, it’s best to focus on setting up a complete electronic records system that is going to help maintain any irregularities that develop.

Knowing this type of system is in place, you can feel confident in the care that’s being provided without always having to look over your shoulders. This peace of mind alone is worth the hassle of moving forward with a high-grade record-keeping strategy.

Concluding Thoughts on Controlled Substance Prescribing

We have discussed above the main pitfalls of controlled substance prescribing and why it’s important to manage your prescriptions using a state-of-the-art electronic records software solution. Without this type of solution, the pitfalls become difficult to manage and that’s when loopholes are exploited. Take the time to understand these nuances and make sure your medical practice is equipped to handle the rigors of controlled substance prescribing.

References
1) https://www.cdc.gov/mmwr/pdf/ss/ss6409.pdf
2) https://www.ama-assn.org/system/files/2020-10/issue-brief-increases-in-opioid-related-overdose.pdf
3) https://www.addictioncenter.com/addiction/addiction-statistics/
4) https://www.deadiversion.usdoj.gov/pubs/brochures/pharmguide.htm