Opioids

Opioids Now More Deadly for Americans Than Traffic Accidents

Opioids Now More Deadly for Americans Than Traffic Accidents

Preventable injuries are the third leading cause of death in the United States.

Pain Management Following Reduced Routine Opioid Use After Cesarean Delivery

Pain Management Following Reduced Routine Opioid Use After Cesarean Delivery

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Eliminating routine oral opioid prescription following cesarean delivery may reduce opioid consumption without jeopardizing pain control or patient satisfaction.

Smartphone App Can Detect Early Signs of Opioid Overdose

Smartphone App Can Detect Early Signs of Opioid Overdose

App has high sensitivity, specificity for opioid-induced central apnea, respiratory depression.

When Opioid Prescribing Guidelines Become Rules

When Opioid Prescribing Guidelines Become Rules

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Understanding the current opioid prescribing rules is necessary for clinicians to safely and effectively treat patients with chronic pain conditions.

Nine Cases of Wound Botulism Identified in Injection Drug Users

Nine Cases of Wound Botulism Identified in Injection Drug Users

All patients used injection drugs; 7 reported using black tar heroin and 6 practiced skin popping.

Prescription Opioids Up Pneumonia Risk in Patients With, Without HIV

Prescription Opioids Up Pneumonia Risk in Patients With, Without HIV

Risk greatest with higher-dose opioids and opioids with immunosuppressive properties.

Ultrarestrictive Opioid Prescription Protocol May Be Effective for Postoperative Pain Management

Ultrarestrictive Opioid Prescription Protocol May Be Effective for Postoperative Pain Management

Implementation of an ultrarestrictive protocol for opioid prescriptions was found to be associated with reductions in the amount of opioids prescribed after abdominal and gynecologic surgery.

FDA Advisory Panels: Prescribe Naloxone With Opioid Painkillers

FDA Advisory Panels: Prescribe Naloxone With Opioid Painkillers

Federal government urged to make naloxone more widely available, easier to obtain, and cheaper.

Early PT Linked to Less Opioid Use in Musculoskeletal Pain

Early PT Linked to Less Opioid Use in Musculoskeletal Pain

For opioid-naive patients, early physical therapy tied to less opioid use in shoulder, neck, knee, back pain.

Guidelines Developed for Opioid Use in Vaginal Birth

Guidelines Developed for Opioid Use in Vaginal Birth

Guidelines include use of lowest effective dose, smallest quantity of opioids needed for expected pain.

Manual Therapy vs Opioids for Management of Shoulder, Spine Pain

Manual Therapy vs Opioids for Management of Shoulder, Spine Pain

Choosing — or starting treatment with — manual therapy over opioid medications for the management of spine or shoulder may result in lower associated downstream costs.

CDC Identifies Drugs Frequently Involved in Drug Overdose Deaths

CDC Identifies Drugs Frequently Involved in Drug Overdose Deaths

Oxycodone, heroin, and fentanyl ranked first in 2011, 2012-2015, 2016; cocaine ranked second or third.

Ultrarestrictive Opioid Presciption Protocol Cuts Postoperative Opioid Use

Ultrarestrictive Opioid Presciption Protocol Cuts Postoperative Opioid Use

UROPP reduces opioids prescribed after gynecologic, abdominal surgery without negative effects.

Increase Seen in Amphetamine, Opioid Use in Pregnant Women

Increase Seen in Amphetamine, Opioid Use in Pregnant Women

Increase in amphetamine-, opioid-related deliveries disproportionate between rural vs. urban counties.

Pregnancy-Associated Mortality Involving Opioids Up

Pregnancy-Associated Mortality Involving Opioids Up

Between 2007 and 2016, pregnancy-associated mortality related to opioids more than doubled.

Opioid Misuse Varies With Sexual Orientation

Opioid Misuse Varies With Sexual Orientation

Prescription opioid misuse more likely for female respondents identifying as bisexual.

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

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

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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

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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.

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