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NC MA Pharmacy Request for Prior to Approval Short-acting Opioid Analgesic Recipient InformationDMA3572 (V01)1. Recipient Last Name: 2. First Name: 3. Recipient ID # 4. Recipient Date of Birth: 5.
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How to fill out short-acting opioid analgesics

01
Start by reading the medication guide or patient information leaflet provided by your pharmacist.
02
Take the medication exactly as prescribed by your healthcare provider. This may involve taking it with or without food, with a full glass of water, or at certain times of the day.
03
If you are using a liquid form of the medication, use a medication-measuring device to ensure you are taking the correct dose.
04
Do not crush, chew, or break any extended-release forms of short-acting opioid analgesics. Swallow them whole.
05
If you miss a dose, take it as soon as you remember. However, if it is close to your next scheduled dose, skip the missed dose and continue with your regular dosing schedule.
06
Do not suddenly stop taking short-acting opioid analgesics without consulting your healthcare provider. Withdrawal symptoms may occur if the medication is stopped abruptly.
07
Store the medication at room temperature, away from moisture and heat. Keep it out of the reach of children and dispose of any unused medication properly.

Who needs short-acting opioid analgesics?

01
Short-acting opioid analgesics are typically prescribed to patients who are experiencing moderate to severe pain that is expected to last for a short period of time.
02
Examples of conditions or situations where short-acting opioid analgesics may be necessary include post-surgical pain, trauma-related pain, cancer pain, and severe acute pain due to injuries or medical procedures.
03
These medications are generally used when non-opioid pain medications have not provided adequate relief or are contraindicated.
04
It is important to note that the use of short-acting opioid analgesics should be carefully assessed and monitored by healthcare professionals to minimize the risk of misuse, addiction, and other potential side effects.
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Short-acting opioid analgesics are medications used for the management of acute pain that work quickly but have a shorter duration of action.
Healthcare providers or facilities prescribing or dispensing short-acting opioid analgesics are required to file information.
Short-acting opioid analgesics can be filled out by providing details on the quantity, patient information, prescriber details, and purpose of use.
The purpose of short-acting opioid analgesics is to provide effective pain relief for short-term acute pain conditions.
Information such as the drug name, strength, dose, quantity, patient name, prescriber details, and pharmacy information must be reported.
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