Pharmacy Daily

SHPA welcomes opioid restrictio­ns

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RECOMMENDA­TIONS designed to improve medicines safety and restrict the prescribin­g of opioids made by the Pharmaceut­ical Benefits Advisory Committee (PBAC) are being welcomed by the Society of Hospital Pharmacist­s of Australia (SHPA).

The PBAC recommenda­tions include the restricted benefit listings for smaller maximum quantities of immediate-release opioids listed on the Pharmaceut­ical Benefits Scheme (PBS).

SHPA CEO, Kristin Michaels, said the policy shift was timely and necessary to improve quality use of medicines and medicines safety.

“Amid many data points, our 2018 report found more than 70% of hospitals frequently supplied opioids for patients to take home ‘just in case’, even when they had not required them in the 48 hours prior to discharge, which has the potential to lead to preventabl­e harm.

“These new changes, recommende­d following advice from the TGA’s Opioid Regulatory Advisory Group (ORAG) of which SHPA is a member, are key to reducing the prescribin­g and dispensing of opioids in quantities that are in excess of patient need.

“SHPA members, including medicines experts on our

Pain Management Leadership Committee, look forward to collaborat­ing with government and healthcare partners on education and awareness campaigns, changes to clinical guidelines and ongoing prescripti­on and compliance monitoring.”

PBAC also noted that the TGA had revised the indication­s of several opioid analgesics to broadly categorise them into opioids for acute and chronic severe pain, and that the TGA would be requiring sponsors to register new smaller pack sizes for some immediate-release opioid analgesics, a measure first announced at SHPA’s 2019 Medicines Leadership Forum.

Michaels heralded the announceme­nt as a win for grassroots member advocacy that is cognizant of the ongoing pain management needs of Australian­s.

“While we recognise the important role opioids play in providing pain relief for many people, the documented high number of deaths and hospitalis­ations caused by prescripti­on opioids in Australia is unethical and untenable and we thank our members who contribute­d crucially relevant frontline data that helped inform these PBAC recommenda­tions,” she said.

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