Opioids

The role of prescription habits in the opioid epidemic

The role of prescription habits in the opioid epidemic

Current surgical and prescribing practices may have a hand in exacerbating the nation's burgeoning opioid epidemic.

Clinicians may be overprescribing gabapentinoids for pain

Clinicians may be overprescribing gabapentinoids for pain

Gabapentinoids may be overprescribed, in part as a response to the opioid epidemic.

APA identifies reasons for underuse of buprenorphine

APA identifies reasons for underuse of buprenorphine

The number of physicians adopting buprenorphine therapy has not kept pace with the magnitude of the opioid epidemic.

NASEM report outlines strategy to combat opioid epidemic

NASEM report outlines strategy to combat opioid epidemic

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The FDA commissioned the report to provide an update on current evidence on research, care, and education in the pain field, and to identify actionable measures for the FDA to more adequately address the ongoing opioid epidemic.

Opioid use increases risk of cardiac events in older COPD patients

Opioid use increases risk of cardiac events in older COPD patients

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Users of opioid-only agents had significantly increased rates of emergency room visits and hospitalizations for ischemic heart disease and IHD-related mortality.

CDC: Opioid prescription rate remains high, inconsistent in the United States

CDC: Opioid prescription rate remains high, inconsistent in the United States

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However, the number of opioids prescribed decreased between 2010 and 2015.

Majority of opioid prescriptions are written for patients with mental disorders

Majority of opioid prescriptions are written for patients with mental disorders

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Among the nearly 40 million Americans who have a mental health condition, about 19% use prescription opioids.

Opioid use before TKA causes less pain relief

Opioid use before TKA causes less pain relief

Clinicians should consider limiting pre-TKA opioid prescriptions to optimize the benefits of TKA.

HCV transmission knowledge varies among opioid-dependent pregnant patients

HCV transmission knowledge varies among opioid-dependent pregnant patients

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Most opioid-dependent pregnant patients understand that intravenous drug use is a major transmission modality of HCV.

PA programs may need more focus on opioid prescribing practices

PA programs may need more focus on opioid prescribing practices

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Many PA students and practicing PAs did not feel that their PA program adequately trained them to screen for opioid abuse.

Methadone maintenance treatment reduces mortality in opioid-dependent patients

Methadone maintenance treatment reduces mortality in opioid-dependent patients

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In patients receiving methadone maintenance treatment, researchers observed, on average, 25 fewer deaths/1000 person years than in patients who discontinue it.

Surgery patients may have higher risk of opioid addiction

Surgery patients may have higher risk of opioid addiction

Researchers found that some surgery patients may face a higher risk of becoming dependent on opioids.

Magnesium for patients taking opioids for pain

Magnesium for patients taking opioids for pain

Patients who are taking opioids can manage their tolerance by taking magnesium 500mg.

CDC's opioid guideline prompts clinician concerns

CDC's opioid guideline prompts clinician concerns

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The recently released CDC guidelines on opioid prescribing remain a topic of debate.

Perioperative care for acute pain management

Perioperative care for acute pain management

Patients with chronic pain who are hospitalized have a higher risk of morbidity and mortality, longer lengths of stay, and more frequent readmissions than patients without chronic pain.

Opioid and benzodiazepine combination use significantly increases overdose risk

Opioid and benzodiazepine combination use significantly increases overdose risk

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The drug combination significantly contributes to the overall population risk of opioid overdose.

Opioids for chronic pain: a new clinical guideline from the VA and Department of Defense

Opioids for chronic pain: a new clinical guideline from the VA and Department of Defense

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The Veterans Administration and Department of Defense issue a clinical practice guideline regarding opioid therapy for chronic pain in veterans.

Kratom and oxycodone

Kratom and oxycodone

Kratom might be a safer alternative than oxycodone or other narcotics.

Psychiatric, behavioral conditions linked to future long-term opioid use

Psychiatric, behavioral conditions linked to future long-term opioid use

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Patients diagnosed with a prior psychiatric condition have increased odds of long-term opioid receipt than patients without these conditions.

Suboxone and methadone—our readers weigh in on the pros and cons

Suboxone and methadone—our readers weigh in on the pros and cons

Research has shown that use of suboxone and methadone, in conjunction with counseling, can be effective addiction treatment.

Prescribing practices influence opioid dependency

Prescribing practices influence opioid dependency

Patients provided with at least 2 refills were 2.25 times more likely to develop an opioid dependency.

ASCO issues guidelines for chronic pain in patients with a history of adult cancer

ASCO issues guidelines for chronic pain in patients with a history of adult cancer

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Screening for pain at every visit is recommended, and management and treatment options are specified.

Injectable oxymorphone, syringe sharing lead to HIV outbreak

Injectable oxymorphone, syringe sharing lead to HIV outbreak

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The use of injectable, extended-release oxymorphone and syringe sharing was linked to an outbreak of HIV infections in Indiana.

State restrictions not associated with reduced opioid misuse among disabled adults

State restrictions not associated with reduced opioid misuse among disabled adults

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The adoption of various state laws did not affect rates of opioid prescription or strength of dose.

Long-acting opioid therapy linked to increased mortality risk

Long-acting opioid therapy linked to increased mortality risk

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Patients with chronic, noncancer pain who were treated with long-acting opioid therapy had a 1.6 times greater risk of death.

New opioid use common post-hospital discharge among Medicare beneficiaries

New opioid use common post-hospital discharge among Medicare beneficiaries

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After an acute hospitalization, many Medicare beneficiaries submit pharmacy claims for opioid prescriptions.

Naloxone coprescription reduces opioid-related ER visits

Naloxone coprescription reduces opioid-related ER visits

Patients on opioids for chronic pain who were coprescribed naloxone had 47% fewer opioid-related ER visits.

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