Prescription stimulants are classified as Schedule II controlled substances by the Drug Enforcement Administration (DEA), and have a high potential for abuse, which may lead to severe psychological or physical dependence.1 Adlon Therapeutics endorses the following policies that can help to reduce addiction, misuse, abuse, and diversion related to prescription CNS stimulants. Additional considerations for the use of prescription CNS stimulants can be found here.
Adlon supports policies that ensure every patient who is prescribed a prescription stimulant is aware of and receives that drug’s Food and Drug Administration (FDA)-approved Medication Guide.2 Medication Guides contain important safety information for patients and caregivers. Medication Guides for prescription CNS stimulants contain important information about possible side effects, including serious side effects, and risks associated with taking prescription stimulants, including abuse and dependence, heart-related problems, and mental (psychiatric) problems.3 Medication Guides also tell how to take the medicines, how to store them, and how to safely dispose of them when they are no longer needed.
Adlon supports programs to educate patients and their families on the proper handling, storage and disposal of medications, and the risks of accidental exposure, or diversion, including sharing of medicines. Information about removal and disposal options is available from the FDA here. Prescribers, dispensing pharmacies, health plans, and federal healthcare programs should include messages about safe handling, storage, and appropriate disposal whenever they interact with patients who are receiving medications by prescription.
Adlon encourages the use of electronic prescribing because it can improve patient safety by reducing medication errors caused by illegible prescriptions or oral miscommunication.4 It can also improve public health and safety by reducing abuse and diversion.5
Adlon encourages prescribers and pharmacists to check their state’s PDMP to identify individuals at risk for misuse and patients who are obtaining stimulants or other controlled substances from multiple providers or pharmacies.
1U.S. Drug Enforcement Administration. Drug Scheduling. Accessed Apr 22, 2019. Retrieved from https://www.dea.gov/drug-scheduling.
2U.S. Food and Drug Administration. Consumer Updates: Medication Guides for Certain Prescription Products. Accessed Apr 22, 2019. Retrieved from https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm107825.htm.
3Medline Plus. Methylphenidate. Accessed Apr 24, 2019. Retrieved from https://medlineplus.gov/druginfo/meds/a682188.html.
4Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: Improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspect Health Inf Manag. 2014 Spring; 11(Spring): 1g. Accessed Apr 24, 2019. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3995494/pdf/phim0011-0001g.pdf.
5 Economic Impact Analysis of the Interim Final Electronic Prescription Rule. Drug Enforcement Administration U.S. Department of Justice March 2010. Accessed May 3, 2019. Retrieved from https://www.deadiversion.usdoj.gov/ecomm/e_rx/eia_dea_218.pdf.