Utah Physician Ebook Continuing Education

Effective Management of Acute and Chronic Pain with Opioid Analgesics, 2nd Edition _ ________________

a. medication is used only as an adjunct to a comprehensive weight loss program based on supplemental weight loss activities including changing lifestyle counseling, nutritional education, and a regular, individualized exercise regimen; b. before initiating treatment the prescribing practitioner: i. determines through thorough review of past medical records that the patient has made a substantial good-faith effort to lose weight in a comprehensive weight loss program without the use of controlled substances, and the previous regimen has not been effective; ii. obtains a complete history, performs a

d. the prescribing practitioner shall immediately discontinue the weight loss medication if: i. the practitioner knows or should know that the patient is pregnant; ii. the patient has consumed or disposed of any controlled substance other than in compliance with the prescribing practitioner’s directions; iii. the patient is abusing the controlled substance being prescribed for weight loss; iv. the patient develops a contraindication of therapy; v. the medication is not effective; or vi. the patient is not complying with the agreed upon comprehensive weight loss program. R156-37-605. Emergency Verbal Prescription of Schedule II Controlled Substances. 1. Under Subsection 58-37-6(7), in an emergency situation a prescribing practitioner may give an oral prescription for a Schedule II controlled substance if: a. the quantity dispensed is only sufficient to cover the patient for the emergency period, not to exceed 72 hours; b i. the prescribing practitioner has examined the patient within the past 30 days; ii. the patient is under the continuing care of the prescribing practitioner for a chronic disease or ailment; or iii. the prescribing practitioner is covering for another practitioner and has knowledge of the patient’s condition; and c. a written prescription is delivered to the pharmacist within seven business days of the oral order. 2. Under Subsection 58-37-6(7), in an emergency situation a pharmacist may fill an oral prescription from a prescribing practitioner for a Schedule II controlled substance if: a. the amount does not exceed a 72 hour supply; and b. the pharmacist reasonably believes, or makes a reasonable effort to determine, that the prescribing practitioner is licensed to prescribe the controlled substance. R156-37-606. Disposal of Controlled Substances. 1. A licensee shall dispose of controlled substances in accordance with 21 CFR Part 1317 (July 26, 2022) which is incorporated by reference.

complete physical examination of the patient, and rules out the existence of recognized contraindications to the use of the medication;

iii. determines and documents the

assessment in the patient’s medical record, that the health benefit to the patient greatly outweighs the possible risks of the medications prescribed; and iv. discusses with the patient the possible risks associated with the medication, and has on record an informed consent that clearly documents that the long-term effects of using controlled substances for weight loss or weight control are not known;

c. throughout the prescribing period, the prescribing practitioner: i. supervises, oversees, and regularly

monitors the patient, including the patient’s participation in supplemental weight loss activities, efficacy of the medication, and advisability of continuing to prescribe the weight loss or weight control medication; and

ii. maintains a central medical record that contains at least the following information: (a) the goal of treatment or target weight; (b) the ongoing progress toward that goal or maintenance of the weight loss; (c) the patient’s supplemental weight

loss activities with documentation of compliance with the comprehensive weight loss program; and

34

MDUT1125

Powered by