Sentences with phrase «opioid therapy»

So, if you are undergoing surgery, talk to your doctor about whether she thinks you will really need opioid therapy, and if so, for how long.

Approximately 10 million U.S. adults are prescribed long - term opioid therapy for chronic pain.

Dose reduction may improve pain, function, and quality of life for patients prescribed long - term opioid therapy for chronic pain.

The CDC offers several resources to help physicians in primary care practice navigate pain management and tapering of opioid therapy.

Merlin noted that this finding contradicts many of today's clinical practices, which often see providers reducing or stopping opioid therapy as a first step in response to governmental policies and licensure concerns.

None of this means, however, that we should accept further marginalization of pain and opioid therapy patients.

Expert guidelines recommend reducing or discontinuing long - term opioid therapy when risks outweigh the benefits, but evidence on the effects of dose reduction on patient outcomes had not been systematically reviewed.

Last year, the CDC recommended that patients be tested when they begin opioid therapy and that long - term users be checked annually, though it left further testing decisions to the discretion of the health practitioner.

The above considerations seem to support the view that, as patients, perhaps each of us has an obligation not to request or demand opioid therapy, and to resist if offered.

Clinicians have a responsibility to carefully manage opioid therapy and not abandon patients in chronic pain.

Researchers at the Veterans Health Administration conducted a systematic review of 67 published studies to determine the effectiveness of strategies to reduce or discontinue long - term opioid therapy prescribed for chronic pain and the effect of dose reduction or discontinuation on important patient outcomes.

In addition, the CDC recommends that clinicians prescribe the lowest effective dosage, carefully reassessing benefits and risks when considering increasing dosage and evaluate the benefits and harms of continued opioid therapy with patients every three months or more frequently for high - risk combinations or dosages.

Clinicians are also advised to help patients understand that successful opioid therapy includes not only reduced pain, but also improved function.

Pain accompanies nearly every disease state and prolonged opioid therapies can lead to substance abuse and addiction.

Menses had often ceased soon after beginning sustained - action opioid therapy.

«Due to increasing concerns about the risks of long - term opioid therapy for chronic pain and limited evidence as to their benefit, the Centers for Disease Control and Prevention released its Guideline for Prescribing Opioids for Chronic Pain in 2016,» said Merlin, who completed this research while at the University of Alabama at Birmingham.

We have thus demonstrated that MSC - TP promises to be a potentially safe and effective way to prevent and reverse two of the major problems of opioid therapy.

Patients receiving long - term opioid therapy for chronic pain sometimes demonstrate challenging and concerning behaviors, such as using more opioid medication than prescribed or concomitant alcohol or drug use.

But they could also be risky: Pain patients and opioid therapies are already deeply stigmatized.

The medical community is getting better at understanding what kinds of surgical interventions are likely to require little or no opioid therapy.

As a result, she said, the program saw a 33 % reduction in patients receiving opioid medications, a 39 % reduction in veterans on long - term opioid therapy and a 50 % increase in the number of those on long - term therapy undergoing urine drug screening to monitor their intake from fiscal 2012 through fiscal 2016.

Editorialists from the Centers for Disease Control and Prevention (CDC) caution that decisions to discontinue or reduce long - term opioid therapy should be made together with the patient.

The researchers will ask each participant to log into a private Facebook group, where they can share posts, comments, pictures, and private messages among themselves, as well as with the eight peer role models who are also on long - term opioid therapy.

For the 12 - week, $ 170,000 pilot project, which is funded by the National Institutes of Health (NIH) and will begin later this month, Young's team plans to recruit about 60 patients from the Ronald Reagan UCLA Medical Center who are experiencing chronic pain, are on long - term opioid therapy, and have reported other behaviors — such as drug or alcohol abuse — that put them at high risk of addiction.

There is mounting evidence that risks for opioid overdoses among patients on chronic opioid therapy (COT) increase with high doses.

«Safe, long - term opioid therapy is possible.»

If there was too much risk (misuse such as diversion) despite benefit, I would discontinue his opioid therapy as was done in this case,» added Alford.

«These guidelines provide recommendations for monitoring patients with chronic pain on long - term opioid therapy, such as frequent visits and urine drug screening, but provide little guidance on how to actually address concerning behaviors.»

Watkins» work with glia, for example, has indicated that long - term opioid therapy may have an effect similar to that of chronic inflammation, causing glial cells to release an excess of cytokines that actually reduce the drug's effectiveness in blocking pain.

I hope that it'll get people to really question what the benefit of long - term opioid therapy might be.»

As Professor Grace says: «I hope that it'll get people to really question what the benefit of long - term opioid therapy might be.»

«This project was selected for PCORI funding for its potential to fill an important gap in our understanding of long - term opioid therapy and to give people living with chronic pain useful information to help them weigh the effectiveness and safety of their care options,» said PCORI executive director Joe Selby, MD, MPH.

There is a shortage of high - quality evidence demonstrating the safety and effectiveness of long - term opioid therapy for the management of chronic pain, and to date, no large - scale studies have assessed strategies for managing and reducing chronic opioid use in real - world clinical settings.

But we have accumulated clinical experience that suggests the following: There is a sub-population of patients with chronic pain, who can be given access to long - term opioid therapy, and they will experience sustained and meaningful control of pain in the absence of intolerable side effects and without the development of tolerance or the need for dose escalation.

A: The chronic use of opioid therapy to treat noncancer pain syndromes, such as headache and low - back pain, and arthritis, continues to be controversial.

«He was on long - term opioid therapy for some back pain, and his family was a little bit concerned he was abusing his medications,» Hall said.

Guideline for Opioid Therapy and Chronic Noncancer Pain CMAJ.

2017 (May 8); 189 (18): E659 — E666 A new Canadian guideline published today (May 8, 2017) in the Canadian Medical Association Journal (CMAJ) strongly recommends doctors to consider non-pharmacologic therapy, including chiropractic, in preference to opioid therapy for chronic non-cancer pain.

Clinicians should review PDMP data when starting opioid therapy for chronic pain and periodically during opioid therapy for chronic pain, ranging from every prescription to every 3 months.

OPIOID THERAPY.

The goal of this activity is to educate pharmacists and pharmacy technicians about identifying the risks and benefits of opioid therapy and improving its long - term safety.