Misconceptions, Mistakes and Malevolence 2.0



Continuing in our series addressing last week’s The New England Journal of Medicine study, we all know the risks of opioids:

  • Diversion;
  • Overdose;
  • Addiction.


The likelihood of these risks are governed by many factors. These factors are well known in the workers’ comp industry and include:

  • Daily dosage greater than 60 morphine milligram equivalents;
  • Used in combination with benzodiazepines;
  • Long-term use greater than 3 months;
  • Depression history;
  • Previous substance abuse or overdose.


But were you aware of these additional risk factors:

  • Age over 65;
  • Renal impairment;
  • Sleep-disordered breathing;
  • Adolescence?


With no single risk, there is no simple change in prescribing behavior to address and remediate the complex opioid-influenced claim.


Next week…Mitigation Strategies.


Call us. We can do better.


William Faris, JD
Chief Executive Officer

Posted in Bill's Favorite Files, OMCA