Opiate Crisis

2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain

On Thursday, November 3, 2022, the CDC released it’s most recent recommendations for the prescribing of opioids for acute, subacute, and chronic pain. The new guidelines provide 12 recommendations relating to the use of opioids and mostly favor a more individualized approach. However, the CDC issued a guideline much stronger than the 2016 version defining …

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A Veritable Quandary?

One of the most common questions we hear from licensed dental healthcare professionals when considering the prospect of dropping their federal Drug Enforcement Agency (DEA) permit is “Can I do that?” The answer is “Yes you can”. Your professional license issued by the state in which you practice affords the ability to conduct patient care …

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NC Practitioner Compliance With CSRS

The home/welcome page of the NC Board of Dental Examiners has an interesting post copied from the NC Medical Board’s website. Not too unexpectedly, CSRS is flagging registrants who have been prescribing controlled substances but not reviewing a patient’s CSRS profile. In this post it states: Administrators of the state-run North Carolina Controlled Substances Reporting …

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NC CSRS Gateway Integration De-mystified

In 2009 the Obama Administration championed the development of the HITECH Act.  Among its many ramifications were the development of “meaningful use” parameters intended to provide financial incentives through health care insurance reimbursement (Medicare, Medicaid) for health care entities to adopt technological advances to make health care more accessible and affordable. The HITECH Act accomplished this through …

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Analgesia & COVID Vaccination

NSAIDS May Impair Host Defenses The preference for the use of non-opioid analgesics for pain should now be obvious.   However as the option of public COVID-19 vaccination is now widely available in many states, practitioners should be cautioned about the routine use of NSAIDS for pain relief where their treatment may overlap a patient’s vaccination window.(1) NSAIDs inhibit cyclooxygenase (COX) which plays a …

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