«Negative emotions» linked to higher rates
of opioid use in sickle cell disease.»
Co-author Dr. Lynn Taylor, an associate professor of medicine at Brown and physician at the Miriam Hospital, said the clear overlap
of opioid use and hepatitis C infection requires a tightly coupled public health effort.
«In the midst
of an opioid epidemic, they're suspending work on a registry that tells you this,» he said.
Heroin is one part
of the opioid epidemic gripping the nation, claiming almost 13,000 lives in 2015, according to the U.S. Department of Health and Human Services.
For example, after taking account of other potentially influential factors, each opioid prescription refill was associated with a 44 % increase in misuse and each additional week
of opioid use was associated with a 20 % increase in opioid misuse among these patients.
«The intent of this study is not to point fingers but rather use the results to motivate physicians, policy makers and researchers to improve how we identify and treat patients at risk
of opioid - related harms before they occur,» said LaRochelle.
«More than half
of all opioid prescriptions go to people with mental illness.»
Fifty - one percent
of all opioid medications distributed in the U.S. each year are prescribed to adults with mood disorders such as depression and anxiety, according to new research from the University of Michigan and the Geisel School of Medicine at Dartmouth.
«Despite representing only 16 percent of the adult population, adults with mental health disorders receive more than half
of all opioid prescriptions distributed each year in the United States,» said Matthew Davis, lead author of the study and assistant professor at the U-M School of Nursing.
Regardless of the advances in understanding CNS dysfunction, JFK today might still be subjected to surgery and / or large doses
of opioid medications, although there is scant evidence that either would work, authors write.
«We are in the midst
of an opioid epidemic,» said lead author Amanda Abraham, an assistant professor of public administration and policy in UGA's School of Public and International Affairs.
Our study found that several things increased an infant's risk, including the duration
of opioid use, the type of prescription opioid, how many cigarettes a woman smoked and if they used a common antidepressant medicine called selective serotonin reuptake inhibitors.»
Overprescribing
of opioid medications for pain has contributed to a record - high number of drug - related deaths in the United States in recent years.
The researchers analyzed data from the 2012 National Survey of Substance Abuse Treatment Services to compare county - level distributions
of opioid use disorder rates with opioid treatment programs that accept Medicaid.
They write, «This Practice Guideline was developed to assist in the evaluation and treatment
of opioid use, and in the hope that, using this tool, more physicians will be able to provide effective treatment.»
To limit the escalation
of the opioid epidemic in this country, it's critical to keep these medications limited to patients whose injuries absolutely require them, and limit exposure to opioids for all other patients.»
Naloxegol is based on the same active molecule as naloxone, a drug developed in the 1960s to counter the effects
of opioid overdose.
While this approach works well in most cases, it is necessary to view regulatory oversight
of opioid medications differently from that of other drugs, because these medications can have a number of consequences not only at the individual level but also at the household and societal levels.
Such education should involve mandating pain - related education for all health professionals who provide care to people with pain, requiring and providing basic training in the treatment
of opioid use disorder for health care providers, and training prescribers and pharmacists to recognize and counsel patients who are at risk for opioid use disorder or overdose.
The report, requested by the U.S. Food and Drug Administration (FDA), says it is possible to stem the still - escalating prevalence
of opioid use disorder and other opioid - related harms without foreclosing access to opioids for patients suffering from pain whose providers have prescribed these drugs responsibly.
The U.S. Department of Health and Human Services (HHS) and state health financing agencies should also remove impediments to full coverage of medications approved by the FDA for treatment
of opioid use disorder.
Three months after the emergency department visit, regardless of study group, opioid use for LBP was uncommon, with fewer than 3 percent of patients reporting use
of an opioid within the previous 72 hours.
«Given the current state
of the opioid overdose epidemic, it is critical that patients seeking help for opioid addiction have access to comprehensive treatment that includes highly effective medications whose effects may be enhanced with the provision of psychosocial interventions,» according to the report by Karen Dugosh, PhD, of Treatment Research Institute, Philadelphia, and colleagues
Efforts to this end should be carried out with particular intensity in communities with a high burden
of opioid use disorder.
«Opioids before surgery means higher costs, more problems afterward, study finds: Research suggests that patients and physicians should be aware
of opioid use before elective operations like hysterectomy and bariatric surgery.»
Primary care practitioners (PCPs) are increasingly concerned regarding the misuse
of opioid medications, and many PCPs have little training in the area of pain management.
Practitioners in the experimental group received monthly patient summary reports that consisted of pain, mood, activity levels, healthcare utilization, and results
of an opioid compliance checklist.
Patients were assessed for risk
of opioid abuse and called once a month for six months to monitor their pain level and opioid compliance.
One of the telltale signs
of opioid overdose is frothy fluid around the nose and mouth and fluid in the lungs, called pulmonary edema.
This level of intensive support may be difficult for some outpatient primary care practices, where a majority
of opioid medications are prescribed.
Treating the growing numbers
of opioid addicts will require anti-addiction medications and coordinating treatment for people within criminal justice system, medical experts said.
«More Americans aware of growing problem
of opioid addiction: Awareness up sharply over 2016 numbers.
«Right now there is an epidemic
of opioid related deaths and the FDA has identified prescribers as essential to the reduction
of opioid misuse,» said study author Kavita Babu, MD, associate professor of emergency medicine and director of the medical toxicology fellowship at the University of Massachusetts Medical School.
We do know that people who experience strains, like sex assault, are more likely to use illicit drugs, and we certainly need to be mindful of halting an already nationwide epidemic
of opioid and other drug misuse.»
Surgical patients given large amounts
of the opioid remifentanil have shown signs of hyperalgesia; they have larger areas of soreness around their wounds and seem predisposed to chronic pain following surgery.
U.S. Health & Human Services Secretary Sylvia Burwell last year proposed a response, calling for a program to change doctors» opioid prescribing practices, to expand the use of naloxone, a drug used to reverse the effects
of an opioid overdoses, and increase patient access to medication assisted treatments for opioid use disorders.
However, little is known about long - term patterns
of opioid use after joint - replacement surgery.
As a growing concern, researchers look to new tools to help patients with this side effect
of opioid use and aging.
PILL PURGE New opioid prescribing guidelines tested over a five - month period in Michigan kept thousands
of opioid pills like these from being unnecessarily doled out, researchers say.
Statistics from the Kaiser Family Foundation show a growing epidemic
of opioid abuse in the United States over the last 15 years.
Dr. Goesling and her team analyzed patterns
of opioid use in 574 patients undergoing knee or hip replacement surgery (arthroplasty).
The study, published in the journal Pain, looks at the effect
of the Opioid Safety Initiative rolled out by the Veterans Health Administration in late 2013 to promote safer opioid prescribing.
The authors noted that there was inadequate evidence to assess the risks
of opioid dose reduction.
Randall Bond, an ER doctor and pediatrician at the Cincinnati Children's Hospital who led the study, says the uptick coincides with a dramatic boost in sales
of opioid drugs.
The CDC offers several resources to help physicians in primary care practice navigate pain management and tapering
of opioid therapy.
Fewer veterans received prescriptions for risky dosages
of opioid painkillers after a national initiative took aim at reducing high doses and potentially dangerous drug combinations, a new study finds.
The authors measured the time to opioid cessation for any individual receiving an opioid prescription within 90 days after surgery, with the date of cessation defined by the absence
of any opioid prescription within the preceding 90 days.
The number
of opioid overdose deaths has quadrupled since 1999, and six out of every ten overdose deaths involve an opioid.
Although there are many kinds
of opioid painkillers, the potency of each one can be measured in morphine equivalents or MEQs.
The report — the most - detailed examination of medical marijuana and opioid deaths conducted to date — found that legalizing medical marijuana was associated with lower levels
of opioid deaths only in states that had provisions for dispensaries that made medical marijuana easily available to patients.