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Clinical Drug Monitoring & Medication Adherence
Brought to you by Quest Diagnostics and Practical Pain Management


Why Every Physician Needs to Integrate Clinical Drug Monitoring into their Practice with Jeff Gudin, MD. Watch video
How to Set the Stage for a Clinical Drug Monitoring Program with Your Patient with Jeff Gudin, MD. Watch video
How to Share Clinical Drug Monitoring Results with Your Patient with Jeff Gudin, MD. Watch video

Developed with Jeff Gudin, MD,* this guide addresses the US Centers for Disease Control and Prevention (CDC) recommendations for clinical drug monitoring of patients who are prescribed an opioid, including why, who, and how to test. Plus, simulated video dialogues provide a look at how clinicians can introduce the concept of drug monitoring to their patients and communicate results with their patients.

  • Why to Monitor Drug Use – the CDC guideline for prescribing opioids includes recommendations for clinical drug testing and monitoring of patients. Watch the video.
  • Who to Monitor – what the guideline calls for and how to identify opioid risk factors.
    How and What to Monitor – a look at presumptive and definitive drug monitoring, what tests to order, and how to interpret results.
  • Real-World Testing Scenarios – 3 cases highlight common but complicated scenarios that may arise in drug monitoring as part of primary care, pain specialty care, or behavioral/addiction medicine. Test cases examine benzodiazepines, gabapentinoids, opioids, tetrahydrocannabinol (THC), and more. Plus: drug monitoring as part of medication-assisted treatment (MAT).
  • NEW: Medication Adherence and Behavioral Health – A look at why, and how, every frontline practitioner needs to monitor mental health when assessing or treating pain. Including: a guide to safely initiating and monitoring antipsychotics and antidepressants (sample patient scenarios), and strategies for improving treatment adherence in those with chronic pain and behavioral or psychiatric disorders, including a close look at pregnant patients.
  • Clinician-Patient Dialogues – simulated conversations based on clinical experience show how to introduce the concept of drug monitoring to a patient and how to communicate results (watch the videos).
    Patient FAQs and Additional Resources– downloadable and printable for your practice.

Next Up: Why to Monitor Drug Use

About Dr. Gudin
Dr. Gudin is board-certified in pain medicine, anesthesiology, addiction medicine, and hospice/palliative care. An active speaker and advisor, Dr. Gudin’s clinical and research focus includes post-operative pain management, opioid abuse and potential solutions, and increasing clinicians’ awareness of pain assessment and risk management. Dr. Gudin received his medical degree from Albany Medical College. He completed a residency in anesthesiology at Yale University School of Medicine and a post-doctoral fellowship at the Yale Center for Pain Management. He is currently an attending physician of anesthesiology at Englewood Hospital and Medical Center in New Jersey, a consultant to Quest Diagnostics and analgesic pharmaceutical companies, and Co-Editor-at-Large of Practical Pain Management.

About Quest Diagnostics and Clinical Drug Monitoring
Quest Diagnostics is a trusted laboratory committed to providing responsible, cost-conscious clinical drug monitoring services. For more than 50 years, we have been a leader in diagnostics testing and offer a comprehensive test menu to help identify use or non-use of prescription, illicit, and designer drugs.

We make it easy to work with us and offer seamless connectivity with more than 650 EHRs, dedicated Rx Tox consultative support to help with interpreting results, easy-to-read laboratory reports, an online portal for easy test ordering and tracking, ordering supplies, scheduling specimen pick-up, and more.

About Practical Pain Management (PPM)
PPM was founded in 2000 to provide in-depth clinical information on a variety of pain conditions and treatment approaches. Written and reviewed by pain experts and leaders in the field, our content helps readers navigate the evolving landscape in pain management, from the latest research in assessment and diagnoses to novel approaches in care to bring about the best, long-term outcomes for individual patients. Owned by Remedy Health Media, PPM has a journal circulation of more than 41,000 and more than 500,000 unique web visitors per month.

Last updated on: September 30, 2021
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