I applaud the efforts to help, even in a small way, to attempt to control the epidemic of opiod abuse.

I agree with all of the propsed regulations, except for the reqirement for our patients to return in 7 and 14 days for the first refills, especially for tramadol.  Most of us know our patients well, and prescribe tramadol for specific reasons.  (For instance:  Older arthritic dogs with elevated liver enzymes.)

Having to return in 7 & 14 days is an unnecessary burden on most pet owners.  In addition to the inconvenience, many see it as a financial burden as well.

My proposal would be that we should be able to prescribe a 14 day supply at first, require one recheck at 14 days, and then be able to refill monthly, with required rechecks every 6 months.

Stphanie A. Chmiel  DVM