Adequate doses of medication in appropriate strength and frequency to control acute pain. Fixed dosage schedules rather that PRN will enhance compliance and minimize the risk of addiction. Progressive use of less potent medication, tapering of doses and diminishing frequency of dosing should be used to wean the patient off of narcotics. B. Sedatives and Anciolytic Medication 1. The use of sedatives and anxiolytic medications for six weeks or less can be effective.
Benzodiazepines are preferred.
Use beyond several weeks should trigger exploration of depression and consultation with a mental health professional. Use of anxiety should not be continued beyond three months. Tapering is usually required. The Controlled Substance Act of 1970 regulates the manufacturing and dispensing of drugs that have abuse potential. Drugs under jurisdiction of the Controlled substance Act are divided into five schedules based on their potential for abuse and physical and psychological dependence.