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American Society of Clinical Oncology (ASCO) principles for opioid access for cancer patients[1,2]

American Society of Clinical Oncology (ASCO) principles for opioid access for cancer patients[1,2]
Patients with cancer are a special population that should be largely exempt from restrictive regulations intended to restrict access or limit doses.
Providers should have a choice of sources and materials for education in opioid prescribing.
Patients with cancer and survivors of cancer should not be subject to arbitrary prescription limits that artificially limit access to medically necessary treatment.
Patient education on the correct medical use of opioids is best provided by a health care professional with the addition of supplementary materials, as appropriate.
Individual state prescription-drug monitoring programs should be accessible through a single portal or interoperable in a way that is seamless to the user.
ASCO supports efforts to develop abuse-deterrent formulations as one approach to mitigating abuse but notes that most prescription drug abuse and overdose occur via the oral route.
Individuals with an opioid-related disorder should have rapid access to appropriate assessment, diagnosis, and treatment, regardless of the patient’s payer or geographic setting.
Patients should have increased access to naloxone, a lifesaving medication, in cases of opioid overdose by patients, caregivers, and first responders.
To decrease the availability of unused or unwanted opioid drugs, authorized prescription "Take Back" collection sites should be readily available to patients.
References:
  1. American Society of Clinical Oncology. ASCO Policy Statement on Opioid Therapy: Protecting Access to Treatment for Cancer-Related Pain. Available at: https://www.asco.org/sites/new-www.asco.org/files/content-files/advocacy-and-policy/documents/2016-ASCO-Policy-Statement-Opioid-Therapy.pdf (accessed on November 5, 2020).
  2. American Society of Clinical Oncology. ASCO Policy Brief on Opioid Therapy and Access to Treatment. Available at: https://www.asco.org/sites/new-www.asco.org/files/content-files/advocacy-and-policy/documents/2016-Opioid-policy-brief.pdf (accessed on November 5, 2020).
From: Page R, Blanchard E. Opioids and cancer pain: Patients' needs and access challenges. J Oncol Pract 2019; 15:229. Reprinted with permission. Copyright © 2019 American Society of Clinical Oncology. All rights reserved.
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