Abstract

Abstract: Pharmacists, through their immediate involvement in the delivery of drug therapy and clinical advice to patients suffering chronic pain, have a special role in the detection or prevention of drug dependence. A concurrent obligation to uphold precise and clearly defined legal requirements, in the control of therapeutic substances designated as narcotic or psychotropic drugs, often places the pharmacist in an ambivalent position. The Pharmacy Department of the Royal Adelaide Hospital in responding to these challenges has implemented a number of programmes in the areas of education and surveillance. These programmes are briefly outlined together with a discussion of possible improvements in patient management, staff motivation and interaction with regulatory authorities.

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