Prescription Drug Diversion and Pain

History, Policy, and Treatment

Edited by John F. Peppin, John J. Coleman, Kelly K. Dineen, and Adam J. Ruggles

Offers the reader a single, comprehensive source for understanding the specialized field of the opioid crisis
Contributing authors come from diverse backgrounds in medicine, psychiatry, pharmacy, and drug regulatory law
Addresses provocative topics including how pain drugs came to be regulated by the U.S. Government and the marketing behind the spread of these drugs

Prescription Drug Diversion and Pain

History, Policy, and Treatment

Edited by John F. Peppin, John J. Coleman, Kelly K. Dineen, and Adam J. Ruggles

Description

Prescription Drug Diversion and Pain provides an interdisciplinary overview of medications used to treat chronic pain, specifically the benefits and risks that are posed by long-term opioids use. These essential pain-relieving medications must be carefully managed to prevent serious side effects that may include physical dependence, addiction, and even death, which has led in recent years to increased attention on the development of alternative treatments for chronic pain. This book not only offers a single, comprehensive source for understanding the specialized field of the opioid crisis, but also addresses provocative topics including how pain drugs came to be regulated by the U.S. Government and the rarely-discussed aggressive marketing behind the spread of these drugs. Chapters are written by expert contributors from diverse backgrounds in medicine, psychiatry, pharmacy, nursing, health law, and ethics. Prescription Drug Diversion and Pain is a must-read for healthcare professionals, caregivers, policy makers, regulatory officials, law enforcement, and those in the pharmaceutical industry seeking to address the current and future opioid crisis.

Prescription Drug Diversion and Pain

History, Policy, and Treatment

Edited by John F. Peppin, John J. Coleman, Kelly K. Dineen, and Adam J. Ruggles

John F. Peppin, John J. Coleman, and Kelly K. Dineen
Chapter 1: Opioid Medications: Old Wine in New Bottles
Timothy Atkinson, John J. Coleman, and Jeffrey Fudin
Chapter 2: Legal Regulation of Prescription Opioids and Prescribers
Kelly K. Dineen and Adam J. Ruggles
Chapter 3: Monitoring Prescriptions, Third-Party Healthcare Payers, Prescription Benefit Managers, and Private Sector Policy Options
John J. Coleman
Chapter 4: Whatever Happened to the Decade of Pain Control and Research?
John J. Coleman
Chapter 5: Evaluation and Treatment of the Chronic Pain Patient: Practice and Complexity
John F. Peppin, Pravardhan Birthi, Bill H. McCarberg, and Yvonne D'Arcy
Chapter 6: An Overview of the Abuse Potential of Non-Opioids: Sedatives, Hypnotics, and Stimulants
Christopher M. Herndon and Kelly N. Gable
Chapter 7: Psychiatry and Chronic Pain: An Associative Connection
Hani Raoul Khouzam
Chapter 8: Managing Pain in Patients with a History of a Substance Use Disorder: Challenges and Opportunities
Martin D. Cheatle
Chapter 9: Special Populations
Kelly K. Dineen
Chapter 10: The Demise of Interdisciplinary Chronic Pain Management and Its Relationship to the Scourge of Prescription Opioid Diversion and Abuse
Michael E. Schatman
Chapter 11: Pain Management Assessment Beyond the Physician Encounter: Urine Drug Monitoring and Patient Agreements
Anand C. Thakur
Epilogue
John F. Peppin, John J. Coleman, and Kelly K. Dineen

Prescription Drug Diversion and Pain

History, Policy, and Treatment

Edited by John F. Peppin, John J. Coleman, Kelly K. Dineen, and Adam J. Ruggles

Author Information

Edited by John F. Peppin, Director, Center for Bioethics, Pain Management and Medicine, Edited by John J. Coleman, Founder and President (retired), Prescription Drug Research Centre, Edited by Kelly K. Dineen, Assistant Professor of Law, Creighton University School of Law, and Edited by Adam J. Ruggles, Attorney and bioethicist

Dr. Peppin is board certified in Internal Medicine and pain medicine and is a certified EPEC trainer. Elected Fellow of the American College of Physicians, Kentucky Colonel in 2009 and PainWeek 2011 Clinician of the Year he has been active in the pain, palliative medicine, bioethics and internal medicine fields for over 20 years. Has published over 65 articles in the fields of pain management, palliative care and bioethics and edited books and given numerous lectures, papers and posters at conferences nationally and internationally. Dr. Peppin has been a reviewer for the Cochrane PaPaS group. Additionally he has been on editorial boards and is a reviewer for multiple journals. He currently has an active health care consulting business.

Dr. Coleman's career began with fighting the French Connection, first in New York City, and then as Narcotics Attaché assigned to the American Embassy in Paris, France. His assignments carried him throughout the U.S. and around the world. He was appointed Assistant Administrator of the DEA in charge of operations, including the Office of Diversion Control. After retiring, Dr. Coleman founded the Prescription Drug Research Center LLC to assist companies in developing Abuse-Deterrent Drugs. Dr. Coleman was elected President of DrugWatch International, Inc., a global non-profit group dedicated to fighting drug abuse through education and prevention.

Dr. Dineen is the director of the health law program at Creighton University School of Law. Before earning her JD and PhD (health care ethics), she practiced nursing in several practice areas, including working with many patients with chronic persistant pain. Her law practice included representing individual and institutional health care clients in regulatory and licensure matters. Dr. Dineen's current research focuses on the decision making in health policy and regulation and the impact on people with highly stigmatized conditions, such as high-impact chronic pain and addiction.

Mr. Ruggles is a licensed attorney and current Ph.D. student. While earning his J.D. from Saint Louis University, he served the indigent population within the Archdiocese of Saint Louis through his work with Catholic Legal Assistance Ministry. Following law school and admittance to the Missouri Bar, he finished coursework towards a Ph.D. in health care ethics. His areas of interest include addiction, end of life issues, and the various other intersections of law and bioethics.

Contributors:

Timothy Atkinson, PharmD, BCPS, CPE
Clinical Pharmacy Specialist, Pain Management
Veterans Affairs, Tennessee Valley Healthcare System
Murfreesboro, TN

Pravardhan Birthi, MD
Interventional Pain and PM&R physician
CHI Health Saint Fancies Pain and Physical Medicine Clinic
Grand Island, NE

Martin D. Cheatle, PhD
Associate Professor
Center for Studies of Addiction
Perelman School of Medicine
University of Pennsylvania
Philadelphia, PA

Yvonne D'Arcy, MS, ARNP-C, CNS, FAANP
Pain Management and Palliative Care Nurse Practitioner
Ponte Vedra, FL

Jeffrey Fudin, BS, PharmD, FCCP, DAIPM
Chief Executive Officer and Chief Medical Officer, Remitigate LLC
Delmar, NY
Clinical Pharmacy Specialist and Director, PGY2 Pharmacy Pain Residency (WOC)
Stratton VA Medical Center
Adjunct Associate Professor of Pharmacy Practice
Albany College of Pharmacy & Health Sciences
Albany, NY
Adjunct Assistant Professor of Pharmacy Practice
Western New England University College of Pharmacy
Springfield, MA

Kelly Gable, PharmD, BCPP
Associate Professor
Southern Illinois University Edwardsville
School of Pharmacy
Edwardsville, IL

Christopher M. Herndon, PharmD, BCPS, CPE, FASHP
Associate Professor
Southern Illinois University Edwardsville
School of Pharmacy
Edwardsville, IL

Hani Raoul Khouzam, MD, MPH, FAPA
Staff Psychiatrist
Chief of Salinas Outpatient Adult Services
Natividad Medical Center
Salinas, CA

Bill McCarberg, MD, FABPM
Neighborhood Healthcare (FQHC)
Elizabeth Hospice
San Diego, CA

Michael E. Schatman, PhD
Department of Public Health and Community Medicine
Tufts University School of Medicine
Medford, MA

Anand C. Thakur, MD
CEO/Medical Director, ANA Pain Management
Clinical Assistant Professor, Department of Anesthesiology
Wayne State University
Detroit, MI

Prescription Drug Diversion and Pain

History, Policy, and Treatment

Edited by John F. Peppin, John J. Coleman, Kelly K. Dineen, and Adam J. Ruggles

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