There are a host of new, ever changing, and conflicting guidelines from a multitude of regulators and academic societies. This evolving and uncertain landscape is making the life of a practicing pain physician in the midst of today’s nationwide opiate epidemic…painful. Here are 10 Tips to help you avoid Medical Board discipline when prescribing opiates: 1. Don't Prescribe Opiates Unless . . . The patient has exhausted all reasonable alternatives. There is medical indication o Recently documented objective evidence of/consistent with Patient's Pain Complaints You have conducted a comprehensive history, initial exam, imaging, UDT's, CURES, ORT's, have a signed Pain Contract, and have provided Informed Consent. 2. Treat the 2014 MBC Guidelines as Dictating the Standard of Care (i.e., rules you must follow) - Deviations from these Guidelines must be justified and documented. Click here to read the remaining tips.