Once you have determined that a patient meets the full Indications and Usage for OxyContin, you should also take into consideration the Contraindications, Warnings and Precautions, and other elements of the Full Prescribing Information to determine if your patient is an appropriate candidate for OxyContin.

PRIOR to initiating therapy, perform an individualized risk assessment of each patient
  • The risks of addiction, abuse, misuse, and diversion should be considered when prescribing or dispensing OxyContin
  • OxyContin, like other opioids, can be diverted for non-medical use into illicit channels of distribution
    • Careful record-keeping of prescribing information, including quantity, frequency, and renewal requests, as required by state and federal law, is strongly advised
Initiate the dosing regimen for each patient individually
  • Take into account the patient's severity of pain, patient response, prior analgesic treatment experience, and risk factors for addiction, abuse, and misuse
  • Instruct patients to swallow OxyContin tablets whole, one tablet at a time, with enough water to ensure complete swallowing immediately after placing in the mouth
  • Instruct patients not to pre-soak, lick, or otherwise wet the tablet prior to placing in the mouth. Cutting, breaking, crushing, chewing, or dissolving OxyContin tablets will result in uncontrolled delivery of oxycodone and can lead to overdose or death
  • OxyContin contains oxycodone, a Schedule II controlled substance. OxyContin exposes users to the risks of opioid addiction, abuse, and misuse. Because extended-release products such as OxyContin deliver the opioid over an extended period of time, there is a greater risk for overdose and death due to the larger amount of oxycodone present
  • Although the risk of addiction in any individual is unknown, it can occur in patients appropriately prescribed OxyContin. Addiction can occur at recommended doses and if the drug is misused or abused
  • Assess each patient's risk for opioid addiction, abuse, or misuse prior to prescribing OxyContin, and monitor all patients receiving OxyContin for the development of these behaviors and conditions. Risks are increased in patients with a personal or family history of substance abuse (including drug or alcohol abuse or addiction) or mental illness (e.g., major depression). The potential for these risks should not, however, prevent the proper management of pain in any given patient. Patients at increased risk may be prescribed opioids such as OxyContin, but use in such patients necessitates intensive counseling about the risks and proper use of OxyContin along with intensive monitoring for signs of addiction, abuse, and misuse
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