La. Admin. Code tit. 46 § XLV-6917
Board- the Louisiana State Board of Medical Examiners.
Chronic Pain- pain which persists beyond the usual course of a disease, beyond the expected time for healing from bodily trauma, or pain associated with a long term-incurable or intractable medical illness or disease.
Controlled Substance- any substance defined, enumerated or included in federal or state statute or regulations 21 C.F.R. §1308 . 11-15 or R.S. 40:964, or any substance which may hereafter be designated as a controlled substance by amendment or supplementation of such regulations and statute.
Diversion- the conveyance of a controlled substance to a person other than the person to whom the drug was prescribed or dispensed by a physician.
Intractable Pain- a chronic pain state in which the cause of the pain cannot be eliminated or successfully treated without the use of controlled substance therapy and, which in the generally accepted course of medical practice, no cure of the cause of pain is possible or no cure has been achieved after reasonable efforts have been attempted and documented in the patient's medical record.
Noncancer-Related Pain- that pain which is not directly related to symptomatic cancer.
Physical Dependence- the physiological state of neuroadaptation to controlled substance which is characterized by the emergence of a withdrawal syndrome if the controlled substance use is stopped or decreased abruptly, or if an antagonist is administered. Withdrawal may be relieved by readministration of the controlled substance.
Physician- physicians and surgeons licensed by the Board.
Protracted Basis- utilization of any controlled substance for the treatment of noncancer-related chronic or intractable pain for a period in excess of 12 weeks during any 12-month period.
Substance Abuse (may also be referred to by the term Addiction)-a compulsive disorder in which an individual becomes preoccupied with obtaining and using a substance, despite adverse social, psychological, and/or physical consequences, the continued use of which results in a decreased quality of life. The development of controlled substance tolerance or physical dependence does not equate with substance abuse or addiction.
Tolerance- refers to the physiologic state resulting from regular use of a drug in which an increased dosage is needed to produce the same effect or a reduced effect is observed with a constant dose. Controlled substance tolerance refers to the need to increase the dose of the drug to achieve the same level of analgesia. Controlled substance tolerance may or may not be evident during controlled substance treatment.
La. Admin. Code tit. 46, § XLV-6917