Calculation of Oral Morphine Equivalent doses

College of Physicians and Surgeons of Alberta Messenger, Prescribing Corner Leave a Comment

Calculation of daily oral morphine equivalent (OME) dose is an important practice tool when monitoring chronic pain patients or rotating opioid medications in a chronic pain or palliative patient. Hydromorphine is five times more potent than morphine and a 25 mcg/day fentanyl patch is equivalent to approximately 100 mg oral morphine daily. Monitoring total OME dose is an important tool …

New high risk patient identification process

College of Physicians and Surgeons of Alberta Messenger, Prescribing Corner Leave a Comment

The College of Physicians & Surgeons of Alberta (CPSA) and the Alberta College of Pharmacists (ACP) are collaborating to identify potential high risk patients and using Triplicate Prescription Program (TPP) data to provide information to the physicians and pharmacists involved in the care of these patients. Patients receiving daily OME (oral morphine equivalent) doses > 600mg and seeing more than …

Prescription drug misuse and abuse in First Nation communities in Alberta: What is the role of the family physician?

College of Physicians and Surgeons of Alberta Messenger, Prescribing Corner Leave a Comment

In January, the College published an article about codeine prescribing in Alberta raising the concern First Nation communities in Alberta have the highest opioid utilization among First Nation communities in Canada. In response, the Drug Utilization Prevention & Promotion (DUPP) Project provided information to assist physicians when seeing First Nation patients. Dr. Esther Tailfeathers says there are many factors contributing …

Codeine Prescribing in Alberta

College of Physicians and Surgeons of Alberta Messenger, Prescribing Corner Leave a Comment

Alberta has the highest retail pharmacy dispensing rates for codeine and its combinations in Canada (Fischer, 2011). First Nations communities in Alberta have the highest opioid utilization among First Nations communities in Canada, and the most frequently dispensed opioids are acetaminophen and codeine combinations (Health Canada Non-Insured Heath Benefits, 2011).It is unclear why codeine and its combinations are more commonly …