Category: Federal Forum Posters
Purpose: Topical lidocaine therapy can be an effective treatment option for specific indications including localized postherpetic neuralgia and other types of localized peripheral neuropathy. Lidocaine 5 percent topical patch orders are associated with significant healthcare costs at this facility. Criteria for use regarding appropriate prescribing of topical lidocaine formulations in peripheral neuropathic pain were published in January 2016. The purpose of this medication use evaluation is to determine the appropriateness of lidocaine topical patch prescribing in the outpatient setting and to identify areas for potential cost avoidance.
Methods: A retrospective chart review of patients with outpatient lidocaine 5 percent topical patch orders dispensed over the last 12 months within this Veterans Affairs medical facility will be performed. Depending on the number of patients identified, a randomized sample will be selected. Appropriate use of lidocaine patches will be evaluated based on the available criteria for use, including exclusion criteria, inclusion criteria, dosing recommendations, safety concerns, and monitoring of efficacy and tolerability at specified intervals. Implementation of measures to guide appropriate prescribing will be considered if inappropriate prescribing is discovered.
Results: not applicable
Conclusion: not applicable
Tessa Kelly– PGY1 Pharmacy Resident, VA Hudson Valley Health Care System, Hilton, NY