Physician identification of opioid diversion: A difficult diagnosis

Gary M. Reisfield, MD; Paul A. Sloan, MD

doi:10.5055/jom.2012.0090

Authors

Gary M. Reisfield, MD
Paul A. Sloan, MD

DOI:

https://doi.org/10.5055/jom.2012.0090

Abstract

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Author Biographies

Gary M. Reisfield, MD

Assistant Professor and Director, Pain Management Services, Division of Addiction Medicine, Department of Psychiatry, University of Florida College of Medicine, Gainesville, Florida.

Paul A. Sloan, MD

Professor and Vice Chair for Research, Program Director, Pain Fellowship, Department of Anesthesiology, University of Kentucky College of Medicine, Lexington, Kentucky.

References

Sloan PA: Oxymorphone in the management of pain. Ther Clin Risk Manage. 2008; 4: 1-11.

U.S. Prescription drug sales grow slowly; hydrocodone most prescribed. IMS Health. 2009. Available at www.seekingalpha.com/article/128003-u-s-prescription-drug-sales-grow-slowlyhydrocodone-most-prescribed. Accessed January 3, 2012.

Substance Abuse and Mental Health Services Administration: Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD, 2009.

Laws of Florida. Chapter 2011-141. Committee Substitute for House Bill No. 7095. Available at http://laws.flrules.org/2011/141. Accessed January 10, 2012.

Volkow ND, McLellan TA: Curtailing diversion and abuse of opioid analgesics without jeopardizing pain treatment. JAMA. 2011; 305(13): 1346-1347.

Christo PJ, Manchikanti L, Ruan X, Bottros M, Hansen H, Solanki DR, et al. Urine drug testing in chronic pain. Pain Physician. 2011; 14(2): 123-143.

Von Seggern RL, Fitzgerald CP, Adelman LC, et al.: Laboratory monitoring of OxyContin (oxycodone): clinical pitfalls. Headache. 2004; 44(1): 44-47.

Reisfield GM, Goldberger BA, Bertholf RL: “False-positive” and “false-negative” test results in clinical urine drug testing. Bioanalysis. 2009; 1(5): 937-952.

Reisfield GM, Webb FJ, Bertholf RL, et al.: Family physicians’ proficiency in urine drug test interpretation. J Opioid Manag. 2007; 3(6): 333-337.

Reisfield GM, Bertholf R, Barkin RL, et al.: Urine drug test interpretation: what do physicians know? J Opioid Manag. 2007; 3(2): 80-86.