The opioid crisis was met by a pendulum that went too far. Even the CDC admitted that. Tylenol and Motrin are making a killing because all the ED will give you. We get a whole 14 days of Norco (2 times 7) before you have to put chronic. Again, the pharmacists can change it, but they like the power of making us send an entirely different script. (Sorry to all the pharmacists on here)
In most states they track every script you write. They don't notify you that you are writing too much, they just wait until you hit a certain limit, then they take your license, so all 100 of your patients on chronic oxycodone have to find it in the street. In New England the FBI has an opioid task force that goes after doctors. You have to have exemption codes to write for chronic opioids. Pretty much A) cancer and B) hospice care counts. Otherwise, you need a PA, which puts the task force on your trail. We have one doctor here where they took his license. He had one patient on 680 mg of oxycodone a day. She didn't do too well. His PA wrote the script and the board swooped right in. So no one writes for them. Or benzos.
