"It doesn't tell us the why, it doesn't tell us about the appropriateness of the prescriptions and whether they're necessarily wrong. Certainly it's a pattern that needs to be investigated," said the study's author, the University of Melbourne's Dr Leanne Teoh, who is a dentist and pharmacist.Dr Teoh said for dental pain, opioids should not be prescribed as first-line treatment.
"Codeine prescribing has likely decreased since then as educational programs and the Therapeutic Guidelines encourage dentists to use non-opioid products for management of acute dental pain," said ADA President Dr Carmelo Bonanno.Dentists are not able to access real-time monitoring systems on consumers who are known to be drug seekers such as Safe Script in Victoria.
"All prescribers should be part of the safescript system and pharmacists provide the backstop to make sure these drugs are not causing harms, said PSA National President Associate Prof Chris Freeman. There are now campaigns to educate patients about the risks of taking opioids, especially those struggling with chronic non-cancer patient.
"We need to raise awareness about the alternatives for patients," said Rawa Osman, pharmacist and clinical lead for the NPS MedicineWise opioids program.
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