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"For clinicians treating the 50 million U.S. chronic-pain sufferers, helping patients find safe, effective relief is the ultimate priority – and ensuring that medications are taken appropriately is a critical part of that mission," said , affecting 50 million Americans.(2)  Treatment with prescription narcotics (i.e., opioids) is an effective and critical treatment for a significant subset of this population that has more severe pain that cannot be controlled with other medications and treatments.  However, opioid abuse is a rapidly growing national problem, with substance abuse treatment admissions for opioid abuse among the 18-24 year-old population increasing more than 700% between 1998 and 2008.(3)  

To reduce the potential for misuse, abuse and diversion, clinical guidelines created by the American Pain Society and American Academy of Pain Medicine support routine monitoring, including urine drug testing, of chronic opioid patients to help confirm medication adherence.   However, a recent study reported that just 8% of patients on long-term opioid treatment receive pain medication monitoring through urine drug testing in primary care practices.(4)

Rx Guardian CD consists of a new reference database of more than 1,000 pain patients who have been rigorously assessed and found to adhere to their prescription regimens. Doctors can compare their patients' urine drug test results to those of the adherent pain patients in the reference database, helping to identify patients who are likely taking their medication correctly.

"More than ever, prescribers face the challenge of providing optimal patient care while preventing prescription drug abuse," said , spokesperson for CLAAD, the Center for Legal Access and Abuse Deterrence.  "Routine monitoring using advanced drug testing technologies can help prescribers improve patient care, identify individuals who need addiction treatment, and deter and detect individuals who intend to divert or abuse medications.

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