Poll of current (2024) opioid prescription trend amongst SDN - Pain Medicine members

[IDKwhattodoyet]

I was curious about the average CHRONIC opioid prescription practices of this sub forum. I could not find a similar poll.

If you supervise midlevels and they send prescriptions under your supervision, please include that number in the count.

Edit:
Referring specifically to chronic opioid prescriptions.

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[callmeanesthesia]

No chronic narcotics, which is what I’m assuming you’re asking about. I do prescribe for acute injuries (compression fractures, sometimes disc herniations), acute post-procedure pain, and procedural sedation for in office procedures. None of those are an Rx length more than 2 weeks.

 

[IDKwhattodoyet]

No chronic narcotics, which is what I’m assuming you’re asking about. I do prescribe for acute injuries (compression fractures, sometimes disc herniations), acute post-procedure pain, and procedural sedation for in office procedures. None of those are an Rx length more than 2 weeks.

Yes, I should have been a little more clear. I am referring to chronic opioid therapy specifically.

 

[au bon pain]

We don’t do COT for MSK (unless palliative).
We will occasionally see patients who are already on COT and help titrate them down or rotate them to something safer—but always with the understanding that once we’ve made whatever headway we can, pt prescribing goes back to PCP.

 

[manowar rules]

A handful of inherited legacy patients on OME<60 or buprenorphine.
Beyond that, most of my patients are 70+, and perhaps 20-25% of those are on prn tramadol or hydrocodone 5 or 7.5, sometimes 30 pills will last them for months

I used to use Tylenol #3 but pharmacies don’t have it in stock recently