Fewer Opioids More Options PartridgeGP Movement Theory

Did you know that here have been some big changes with the pack sizes of immediate release opioids/narcotics under the PBS as of June 1?

 

Me neither!

 

What does this mean in English? It means that doctors will be unable to prescribe large packs of addictive medication without ringing the government and asking for permission (with good reason!). 

 

Why?

 

Some good information can be found here

 

But to summarise:

 

The drugs work in the short term – but they don’t keep working

We have better and safer options

These drugs kill people

 

These changes haven’t been well publicised…but here they are:

 

 

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pbs changes 2

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And:

 

Patients who require long-term treatment of chronic pain with opioids will still be able to access larger pack sizes and prescribers will be able to prescribe repeats where they meet the new restrictions requirements.


For chronic pain, increased quantities and/or repeats may be authorised by Services Australia where the patient meets the restriction requirements. Increased quantities to extend treatment up to one month may be requested via telephone/electronic authority request, and up to 3 months’ supply (up to 1-month quantity and up to 2 repeats) may be requested via an electronic/written authority request.


To be eligible for treatment with high strength opioids such as morphine, patients will need to be unresponsive or intolerant, or have achieved inadequate relief of their acute pain, following maximum tolerated doses of other lower strength opioid treatments.


These new arrangements apply to all PBS listings for opioid medications and therefore there will also be amendments to the tramadol and paracetamol/codeine restriction requirements.


All new and amended restrictions will be updated on the PBS website (pbs.gov.au) from
1 June 2020.

 

What does this change mean for prescribers?


The new opioid listings for reduced pack sizes will provide a simplified way for prescribers to  prescribe smaller quantities of immediate release opioids for acute, short-term treatment.


Prescribers must ensure that patients meet the relevant restriction criteria when prescribing opioids under Restricted Benefit and Authority Required (STREAMLINED) PBS listings. The ‘streamlined authority code’ is located on the relevant PBS listing on the PBS website. To prescribe an Authority Required (Telephone/Electronic) item, the prescriber is required to request authority approval from Services Australia through the Online PBS Authorities System or by calling 1800 888 333.


To ensure appropriate use of opioid medicines for the management of pain, patients must be referred to a pain specialist or alternative prescriber for clinical review if opioid use exceeds or is expected to exceed 12 months. The date of the review and name of the medical practitioner consulted must be provided for every authority application.

 
low angle photography of a road
Moving Forward

 

So from June 1:

 

  • If these addictive narcotic medications are required, your GP may prescribe smaller packs for your use
  • Please please please speak to your GP about any issues you are having – we have lots of options including counselling, physical therapy, diversional therapy, physiotherapy, non-drug therapy, other medications, and referrals to non-GP specialists for complex problems
  • We still care, we still want to help, we want to be safer and better for you
  • If you are on medications for 12 months or more, you will need to have a formal consult with another GP or specialist in addition to your usual GP to keep getting medication on a PBS (subsidised) prescription. 

 

We are here to help you

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PartridgeGP

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If you would like to work with us, call Dr Nick on 8295 3200 or click here

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Risk and COVID19

Did you know that they just released data from 17 million anonymised patients in the UK and analysed risk factors for #covid19 ?

Full Paper here

We are only a phone call (with video if needed!) away if you need more information.

SA has guidelines – the roadmap back!

And in the future

Did you also know that we can Test You for COVID 19 / Coronavirus if

Unexplained fever / chills
Unexplained cough/sore throat/short of breath
High risk settings:

Aged care and other residential care facilities
Healthcare settings
Military – group residential and other closed settings, such as Navy ships or living in accommodation
Boarding schools and other group residential settings
Educational settings where students are present
Childcare centres
Correctional facilities
Detention centres
Workplaces where social distancing can’t be readily practised
Remote industrial sites with accommodation (e.g. mine sites)
Aboriginal and Torres Strait Islander rural and remote communities, in consultation with CDCB
Settings where COVID-19 outbreaks are occurring, in consultation with CDCB

Testing at
Australian Clinical Labs 670 Anzac Highway Glenelg IN YOUR CAR

82952877

You still need a doctor’s referral so
Partridge GP here for phone consults at http://bit.ly/2XmM0n5 or by calling 82953200 or
HIT THE BIG BLUE BUTTON! at http://www.partridgegp.com.au

We’re here to serve you during this difficult time as we always have
To make a phone appointment click here http://bit.ly/2XmM0n5 or call us on 82953200

Coronavirus and PartridgeGP

A new Coronavirus (similar to the common cold) has broken out in Wuhan, China. Many people seem to be worried.

The Symptoms

For now, our advice mirrors State and Federal Health advice:

UPDATED CORONAVIRUS ADVICE

Coronavirus

Call @PartridgeGP for a conversation, not to attend. Patients can also call Health Direct on 1800 022 222


If patients have travelled to China in the past 14 days and have symptoms such as fever, cough, sore throat or breathlessness, avoid contact with other
people, do not go into crowded places, or take public transport.

Patients should not attend general practice. They should be referred over the phone to the hospital emergency department and the ED should be informed to prepare for the patient’s arrival. The only testing should be in a public health setting.

Health Direct has a team of public health doctors for triage and assessment and referral to emergency. Public health will notify emergency departments in advance.

If patients at risk attend PartridgeGP this is what we will do:

https://www.health.nsw.gov.au/Infectious/diseases/pages/coronavirus-clinical-guidance.aspx

If you have cold and flu type symptoms or fever AND have recently travelled overseas to China or been with someone who has…SEE THE ADVICE ABOVE