The Washington State Department of Labor & Industries will adopt the new Bree/AMDG Dental Guideline for Prescribing Opioids on April 1, 2018.
The new guideline provides valuable information and is designed to give dentists, oral surgeons, and others a set of clinical recommendations and access to supporting evidence and resources to align opioid prescribing with current evidence.
Here are the changes that may affect your practice:
- In most dental cases, prescribe non-opioid analgesics as first-line treatment for pain control, unless contraindicated
- Access the state’s PMP and review the worker’s controlled substance history before prescribing an opioid
- If opioids are warranted, prescribe the lowest effective dose for 3 days or less (e.g. 8 to 12 tablets) and in combination with first-line treatment
- Complete a prior authorization form if more than a 3-day supply is needed
This guideline was developed in partnership a broad advisory group, including members of the Dr. Robert Bree Collaborative, AMDG and dentists in general care and specialty areas. The guideline reflects the best available clinical and scientific evidence and a consensus of expert opinion.
Dentists are encouraged to review the guideline and adopt its best practices.