Laws are made in USA for pain killers. So that no one can abuse or overdose or making a habit of taking on daily basis. Law made doesn’t include patient who are already under medication. Even patients who suffer from cancer, patient taking care from licensed hospitals treatment of substance abuse or opiod dependence. All the doctors such as physicians, dentists, podiatrists, certified nurses, etc are authorized to prescribe controlled substance.
Laws are such that doctors must know all the medical history previously and presently. If the patient was using any opiod substance. Even non- opiod medications and non- pharma cological pain management approaches and substance abuse history. Doctor must make a perfect plan to how the medicines should be given to patient in proper way, according to the patients history and patient should follow it strictly.
There are many programs held under prescription monitoring programs. On the prescription patient cannot buy medicine for more than six months. Initially, no prescription is available for acute pain of schedule II. Treatment of acute pain should not exceed more than 5 days. Initial prescription should be low. It means no heavy doses where given in last year. After prescribing medicine for 5 days, patient do not get relief than only an authorized prescription can be used for 30 days with same medicine and same dose.
If the pain is chronic, doctor can prescribe the higher dosage of medicine or higher level medicine. Without prescription medicals are not permissible to give the medicine to the patients. Using pain killers for chronic pain for more than 3 months period been a BME guideline in current regulation.
Opiod or schedule II drug can be prescribed for more than 3 months in chronic pain. patient need to get new prescription after 3 months. Regular visits to the doctor is must since doctor should know about the effect of the medicine or can change the medicines accordingly. Schedule III and IV medicines are not rarely given, in some cases they are used that too in controlled form and under doctor’s guideline. There are strict rules given to medical stores for pain killers. Doctors must have all the information of these three months whether the medicine worked according to the dose or patient have got some issues or need to change prescription. Is the situation under control or need some other medical help. Laws for pain killers should be made around the globe. So people would avoid abusing it.