Abuse & Misuse Risk Assessment Tools from FDA – for Opioids, Ketamine, Adderall, Xanax, Ativan, Valium, Any Drugs of Abuse

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Risk Assessment Tools Examples from FDA.gov

page 11  (pdf)

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We must always remember, all of us, families, friends and physicians alike, the possibility of opioid use disorder (OUD) in anyone on chronic opioid therapy (COT) and those who are prescribed any drugs of abuse such as Ketamine, Adderall and benzodiazepines such as Valium, Ativan, Xanax. None of us should be taking medications that interfere with our ability to think and function. None of us should be taking more than we need. Many of us do not realize that less is more.

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Details of many tools for risk assessment are reviewed previously here.

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Keep this in mind:

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• “Assessing risk of abuse and OUD in patients receiving COT is a dynamic, ongoing process.

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•  Diagnosing misuse, abuse and OUD in patients with pain is complex

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• Current screening tools do not diagnose abuse or OUD but only misuse and not intent”

   

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Tools	# of Items	Administered
Patients considered for long-term opioid therapy:
ORT Opioid Risk Tool	5	By patient
SOAPP® Screener & Opioid Assessment for Patients w/ Pain	24, 14, & 5	By patient
DIRE Diagnosis, Intractability, Risk, & Efficacy Score	7	By clinician
Characterize misuse once opioid treatments begins:
PMQ Pain Medication Questionnaire	26	By patient
COMM Current Opioid Misuse Measure	17	By patient
PDUQ Prescription Drug Use Questionnaire	40	By clinician
Not specific to pain populations:
CAGE-AID Cut Down, Annoyed, Guilty, Eye-Opener Tool, Adjusted to Include Drugs	4	By clinician
RAFFT Relax, Alone, Friends, Family, Trouble	5	By patient
DAST Drug Abuse Screening Test	28	By patient
SBIRT Screening, Brief Intervention, & Referral to Treatment	Varies	By clinician