Policies on Controlled Medications

What is a controlled (scheduled) drug?

A controlled (scheduled) drug is one whose use and distribution is tightly controlled because of its abuse potential or risk. Controlled drugs are rated in the order of their abuse risk and placed in Schedules by the Federal Drug Enforcement Administration (DEA). Some examples of drugs in these Schedules are as follows (FULL LIST HERE):

• Schedule II — drugs with a high abuse risk. These drugs can cause severe psychological or physical dependence. Some examples are morphine, oxycodone (Percodan®) and methylphenidate (Ritalin®).

• Schedule III, IV, or V — drugs with an abuse risk less than Schedule II. Some examples are acetaminophen with codeine (Tylenol® No.3), paregoric, hydrocodone with acetaminophen (Vicodin®), diazepam (Valium®), alprazolam (Xanax®), and propoxyphene (Darvon®).

Do you prescribe controlled medications?

Yes, we do, but only in certain circumstances and only under strict supervision.

Do you have an opioid pain medicine agreement that patients must sign?

Yes. Patients taking long-term pain medications are required to sign this agreement, which is strictly enforced. A copy of the agreement is HERE.

How often do patients on long-term pain meds need to be seen in the clinic?

Initially, once a month. Once three consecutive monthly appointments have been kept, we may agree to meet once every three months.