FDA to Reconsider Mandatory Opioid Prescriber Education
FDA says it is reconsidering the need for mandatory opioid prescriber education through the Opioid Analgesic Risk Evaluation and Mitigation Strategy (REMS). A 10/13-10/14 public workshop will be held in collaboration with the Duke-Margolis Center for Health Policy to allow stakeholders to provide input on aspects of the current opioid crisis that could be mitigated in a measurable way by requiring mandatory prescriber education as part of a REMS.
An agency notice says FDA will “explore the value of a single source for education on the appropriate use of opioids, risks of opioid abuse and misuse, and treatment of opioid use disorder to address multiple needs and reduce the burden on prescribers.”
Despite a drop in opioid dispensing, the notice says, opioid overdoses and opioid-involved deaths are higher than ever, with opioids often seen in combination with other substances such as cocaine, methamphetamine, and benzodiazepines.
“The rise has been driven primarily by a surge in overdose deaths initially involving heroin and then illicitly manufactured fentanyl and fentanyl analogs,” the notice says. “Although these overdose deaths largely involve illicit substances, many users of illicit opioids are initially exposed to opioids through nonmedical use of prescription opioids.”