Opioids

Stepped-Care Model Beneficial in Pain Management Practices in Primary Care

Stepped-Care Model Beneficial in Pain Management Practices in Primary Care

By

A stepped-care model of pain management implemented in primary care was successful in increasing the proportion of veteran patients reporting moderate to severe pain, as well as decreasing the use of opioids for pain management.

Naloxone Products Stay Effective Long After Expiration Date

Naloxone Products Stay Effective Long After Expiration Date

Narcan, Evzio chemically stable for at least 10 to 12 months after listed expiration dates.

US Opioid Overdose Deaths Reach Record Number

US Opioid Overdose Deaths Reach Record Number

Heroin, fentanyl, and other opioids continue to be the highest drug threat in the nation.

Opioid Use Often Persists in Workers' Compensation Claimants

Opioid Use Often Persists in Workers' Compensation Claimants

Many patients in a workers' compensation cohort have persistent opioid use.

Little Evidence of Gabapentin Efficacy for Off-Label Uses

Little Evidence of Gabapentin Efficacy for Off-Label Uses

By

Clinicians who prescribe gabapentin for off-label uses should assess available evidence for a given indication.

Clinician Characteristics Associated With Outpatient Postoperative Opioid Prescribing

Clinician Characteristics Associated With Outpatient Postoperative Opioid Prescribing

Advanced practice providers were found to prescribe more opioids and in larger quantities compared with other physicians.

Open Surgery for Early Lung Cancer Tied to Long-Term Opioid Use

Open Surgery for Early Lung Cancer Tied to Long-Term Opioid Use

Surgical invasiveness might play a role in the odds of becoming a long-term opioid user after early-stage lung cancer surgery.

AGA: New Opioid-Induced Constipation Management Guidelines Available

AGA: New Opioid-Induced Constipation Management Guidelines Available

The recommendations have been published in the AGA's official journal, Gastroenterology.

ASA: Review Links Opioids With Complications Post-Spine Surgery

ASA: Review Links Opioids With Complications Post-Spine Surgery

Higher postoperative pain score, worse quality of life for post-op pain management with opioids.

Congress Passes Bill to Fight Opioid Crisis

Congress Passes Bill to Fight Opioid Crisis

Comprehensive bipartisan package earmarks billions of dollars to fight opioid abuse in the United States.

CDC Guideline for Opioid Prescribing May Have Effectively Reduced Opioid Prescribing Practices

CDC Guideline for Opioid Prescribing May Have Effectively Reduced Opioid Prescribing Practices

The Centers for Disease Control and Prevention's "Guideline for Prescribing Opioids for Chronic Pain" may have contributed to a further reduction in several opioid prescribing practices.

US Senate Passes Opioids Bill

US Senate Passes Opioids Bill

Comprehensive bipartisan package earmarks billions of dollars to fight opioid abuse in the United States.

Benefits of NSAIDs as Part of Multimodal Analgesia Regimen in Children

Benefits of NSAIDs as Part of Multimodal Analgesia Regimen in Children

Perioperative and emergency department use of non-steroidal anti-inflammatory drugs as part of a multimodal analgesia regimen may improve pain control in pediatric populations and avoid opioid-related adverse events.

PT Better After Hip Surgery Than Opioids in Younger Adults

PT Better After Hip Surgery Than Opioids in Younger Adults

Benefits include lower hip-related downstream costs and lower opioid use after arthroscopic surgery.

Prescription Drug Monitoring Program May Not Cut Opioid Use

Prescription Drug Monitoring Program May Not Cut Opioid Use

No significant reduction in percentage of patients prescribed opioids after general surgery.

Hydrocodone Schedule Change Affected Post-Op Opioid Rx

Hydrocodone Schedule Change Affected Post-Op Opioid Rx

Increase in mean OMEs filled in initial opioid rx after hydrocodone's change from schedule III to II.

Opioid-Related Emergency Department Visits, Hospitalization Rates Decrease From 2009 to 2015

Opioid-Related Emergency Department Visits, Hospitalization Rates Decrease From 2009 to 2015

By

The number of patients prescribed opioids and visiting an emergency department or requiring hospitalization decreased from 2009 to 2015.

Patient Education Urged to Prevent Opioid OD After Sobriety

Patient Education Urged to Prevent Opioid OD After Sobriety

Airlines also encouraged to include naloxone in emergency medical kits.

Odds of Death Up With Exposure to Pregabalin, Opioids

Odds of Death Up With Exposure to Pregabalin, Opioids

Dose-response association with highest odds of opioid-related death with high-dose pregabalin.

Cancer Patients Treated With Step III Opioids Often Have Sleep Disturbances

Cancer Patients Treated With Step III Opioids Often Have Sleep Disturbances

The majority of patients with cancer who are being treated with World Health Organization Step III opioids were found to experience poor sleep quality, often due to pain.

Opioid Dependence More Common Before Spine Surgery

Opioid Dependence More Common Before Spine Surgery

Findings based on large study of patients having surgery for degenerative spondylolisthesis.

Integration of Opioid, Infectious Disease Treatment Needed

Integration of Opioid, Infectious Disease Treatment Needed

Expert panel recommends 5 action steps for treating opioid abuse and its intersecting epidemics.

CDC: EMS Administration of Naloxone Up From 2012 to 2016

CDC: EMS Administration of Naloxone Up From 2012 to 2016

Monitoring non-fatal overdose events from EMS data may aid in developing emergency response.

Outpatient Opioid Prescriptions for Children Often Filled

Outpatient Opioid Prescriptions for Children Often Filled

Cumulative incidence of opioid-related adverse events was 38.3 per 100,000 prescriptions.

Wide Variations in Opioid Prescribing Practices for Surgical Procedures

Wide Variations in Opioid Prescribing Practices for Surgical Procedures

By

Variation exists in opioid prescribing practices among clinicians in single-hospital systems, which prompts concern about the potential for opioid overprescribing.

Preoperative Opioids Used by Nearly One-Quarter of Surgical Patients

Preoperative Opioids Used by Nearly One-Quarter of Surgical Patients

Odds of pre-op opioid use up with age 31 to 40 years, tobacco use, illicit drug use, depression.

Emergency Physicians Offer Recommendations for Identifying and Managing Opioid Use Disorder

Emergency Physicians Offer Recommendations for Identifying and Managing Opioid Use Disorder

American emergency medicine physicians have been taking measures to address the ongoing opioid crisis, which affects emergency departments throughout the country.

Any Opioid Use Tied to Involvement in Criminal Justice System

Any Opioid Use Tied to Involvement in Criminal Justice System

History of involvement with criminal justice system increased with intensity of drug use.

Pain Societies Issue Guidelines on Use of Ketamine for the Management of Acute Pain

Pain Societies Issue Guidelines on Use of Ketamine for the Management of Acute Pain

Consensus guidelines regarding the use of ketamine for the management of acute pain have been approved.

US Surgeon General Urges More Americans to Carry Naloxone

US Surgeon General Urges More Americans to Carry Naloxone

Surgeon General Jerome M. Adams, M.D., M.P.H., has urged more Americans to carry naloxone, an FDA-approved medication that can be delivered via nasal mist or injection and can temporarily suspend the effects of opioid overdose.

Sign Up for Free e-newsletters