RULE 360-3.06 PAIN MANAGEMENT FREQUENTLY ASKED QUESTIONS The Rule became effective February 1, 2012. If I prescribe schedule II or III substances to ANY patient more than 90 days, am I. Should you withhold pain medication from a patient under a narcotic agreement. The DEA relies on a drug “schedule” to classify and restrict use of certain medications and substances. Schedules range from I to V. Schedule I is the category for drugs and substances with no currently accepted medical use in the United States, a lack of accepted safety for use under medical supervision, and a high potential for abuse. Below is a list of common medications used to treat or reduce the symptoms of pain. Follow the links to read common uses, side effects, dosage details and read user reviews for the drugs listed below.
For more coverage on the newest drugs and biggest headlines surrounding painkiller therapies,. As part of federal efforts to curb prescription drug abuse, the US Drug Enforcement Agency (DEA) has reclassified hydrocodone-combination drugs (Vicodin/AbbVie) as a schedule 2 controlled substance. That will mean physicians will no longer be able to write prescriptions for a 6-month’s supply, but will be limited to half that. Patients will now have to go to a physician’s office at least every 90 days to get a new prescription. “That could mean a decrease in hydrocodone-combination sales—that’s probably why there was resistance from the drug companies--but for most doctors it won’t be that big deal,” said Mark Melrose, MD, commenting on the switch to schedule 2.
Melrose is an emergency medicine specialist who is a partner in Urgent Care Manhattan, a two-location walk-in emergency care practice in New York City. “If there’s a legitimate need for a patient to get Vicodin, why wouldn’t you prescribe it?” he said. “Even when it was class 3, we still had to follow up with a written prescription and look up a patient on the prescription drug registry,” something most states have now, he said. But even if the tighter controls mean some doctors will switch appropriate patients to schedule 3 drugs, like acetaminophen with codeine, alternative painkillers have a long way to go to topple the market leader, according to data from IMS Health. Check out MD Magazine' s coverage of the of top drugs by spend.