Multiple prescribers
This alert is generated if the patient has been prescribed monitored drugs by four or more prescribers at four or more medical practices in the last 90 days.
Multiple pharmacists
This alert is generated if the patient has been dispensed monitored drugs by four or more pharmacies in the last 90 days.
Opioid dose threshold
Opioid drugs monitored in SafeScript are assigned an MED (morphine-equivalent dose) value. There are two variants of this alert:
-
High risk: The patient has been dispensed opioid drugs that, once combined with the opioid drug you are proposing to prescribe or dispense, will cause their calculated average daily MED to exceed the high-risk threshold of 100mg.
-
Medium risk: The patient has been dispensed opioid drugs that, once combined with the opioid drug you are proposing to prescribe or dispense, will cause their calculated average daily MED to be between 50mg and 100mg.
Records within the last 30 days indicate that [patient name] may be receiving opioids exceeding 50mg MED daily. There is a substantial risk of harm, including opioid toxicity and overdose. Counsel the patient on the risks of high dose opioids and to look for the signs of opioid toxicity.
The calculation is based on the patient's prescriptions for monitored drugs within the last 90 days.
High-risk drug combinations
This alert is generated when the patient is prescribed certain combinations of drugs within the last 90 days. The current combinations that will generate this alert are:
-
Methadone + benzodiazepines
-
Methadone + long-acting opioids
-
Fentanyl + benzodiazepines
-
Fentanyl + long-acting opiods
About alerts
