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Use of Controlled Substances for the Treatment of Chronic Pain

ARIZONA MEDICAL BOARD
9545 East Doubletree Ranch Road, Scottsdale, Arizona 85258

NOTICE OF AGENCY
SUBSTANTIVE POLICY STATEMENT #7


1. Title of the guidance document or subject of the substantive policy statement and the guidance document number or substantive policy statement number by which the document or policy statement is referenced:

Guidelines for the Use of Controlled Substances for the Treatment of Chronic Pain (SPS #7)

2. Date of the application of the guidance documents or the date the substantive policy statement was issued and the effective date of the document or policy statement if different from the publication or issuance date:

Originally published November 1997; revised May 1999; revised June 2003.

3. Summary of the contents of the guidance document or the substantive policy statement:

The Board recognizes that inappropriate prescribing of controlled substances including the opioids can lead to drug abuse and diversion. Inappropriate prescribing also can lead to ineffective pain management, unnecessary suffering of patients and increased health care costs. The Board recognizes that some physicians do not treat pain properly due to lack of knowledge or concern about pain. Fear of discipline by the Board may also be an impediment to medically appropriate prescribing for pain. This guideline outlines the Board’s proactive approach to improving appropriate prescribing for effective pain management while preventing drug diversion and abuse. Additionally, this guideline is intended to encourage effective pain management in Arizona and to help physicians reach a level of comfort about appropriate prescribing by clarifying the principles of professional practice that are endorsed by the Board.

4. A statement as to whether the guidance document or substantive policy statement is a new document or statement, or a revision:

Revision

5. The name, address and telephone number of the person to whom questions and comments about the guidance document or substantive policy statement may be directed:

Legislative Liaison
Arizona Medical Board
9545 East Doubletree Ranch Road
Scottsdale, Arizona 85258
(480) 551-2700

6. Information about where a person may obtain a copy of the guidance document or the substantive policy statement and the costs for obtaining the document or policy statement:

Copies of all guidance documents and substantive policy statements referenced are available from the Arizona Medical Board through its web site at www.azmdboard.org, or by phoning, writing or visiting the Arizona Medical Board at the address given above. A nominal fee may be charged for photocopies.