Dangers of Tramadol Recognized

On the Job Recently, the DEA made the decision to reclassify Tramadol as a schedule IV controlled substance and the decision will officially go into effect on August 18th. Tramadol is an opioid analgesic and aside from its generic form it can also be found in brand names such as Ultram, ConZip and Ryzolt. This is considerably important news for [...] Continue reading →

Chronic Pain Can Be Managed With Alternative Therapies

alternative therapy Traumatic injuries and opioid therapy can alter the pain pathways in the central nervous system, and this process is called neuroremodeling. This can cause unwanted or undesirable reactions to pain and negatively impact the recovery process. There are several approaches to reversing the neuroremodeling, some of these alternative treatments include cognitive behavior therapy and opioid [...] Continue reading →

Can A Medicare Beneficiary Obtain Coverage Under ACA Compliant Major Medical Plan?

Medicare Beneficiary This was a question raised recently within the NAMSAP (National Association of MSA Professionals) listserv.   While it seemed simple and straightforward, it generated so much interest from so many within our organization, I thought it worthy of a blog post to communicate both dialogue and  dilemma . Setting the Stage n 2011, a medical liability claim was filed [...] Continue reading →

Is Opioid Use Under Control in Workers’ Compensation?

is opioid use under control in Workers' Compensation? With the recent publication of the ACOEM Guidelines for Opioid Use and new guidelines from the American Chronic Pain Association (ACPA) that include very specific recommendations to monitor opioid use, the question was raised generically as to whether opioid use is under control in workers’ compensation.  Certainly, with greater specificity in Morphine Equivalent Dosage (MED) directives, reducing the maximum threshold for potential concern [...] Continue reading →

Managing Chronic Pain in Older Adults

elderly man speaking with doctor According to the ACPA (American Chronic Pain Association) Resource Guide to Chronic Pain Management, “persistent or chronic pain is prevalent in older adults.” “Nearly one third of all prescribed medications are for patients over the age of 65 years.   More than thirty percent of hospital admissions among the elderly may be linked to an adverse drug related [...] Continue reading →

DEA Proposes Reclassification of Hydrocodone Products

On  March 5, 2014, the DEA issued an NPRM (Notice of Proposed Rule Making) to move hydrocodone combination products (HCPs) from their current classification as Schedule III narcotics to Schedule II, a classification reserved for the most harmful and potentially addictive medications.  http://www.deadiversion.usdoj.gov/fed_regs/rules/2014/fr0227.htm. As one of the most frequently prescribed drugs in workers compensation, this [...] Continue reading →
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