Implications of Controlled Substance Prescribing

Safe prescribing of controlled substances mandates that the Advanced Nurse Practitioner is aware of State and Federal laws regulating this process. In this presentation, rules for prescribing each of the controlled substances will be discussed. Methods to decrease drug diversion including risk evaluation mitigation strategies, prescription drug monitoring programs, and dear prescriber letters will also be illustrated. To help the ANP with prescribing certain controlled substances—the opiates--in certain situations, methods for opioid rotation, discontinuance, and use in the patient taking these medications for chronic conditions will be discussed. Finally, inappropriate prescribing and high-risk situations in which controlled substances are sometimes prescribed will be highlighted in an effort to ensure the APN uses these agents in the safest manner possible.

Learning Objectives—Implications of Controlled Substance Prescribing
  • To understand the rules for controlled substances prescribing in each of the schedules.
  • To discuss manners in which to decrease controlled substance abuse and diversion, including REMS, Dear prescriber letters and prescription drug monitoring programs.
  • To recognize high-risk use of certain controlled substances, and ways to decrease this risk, including opioid rotation, or planned discontinuance as methods of treatment.