Opioids

Virtual Reality for Pain Relief: Understanding the Underlying Mechanisms

Virtual Reality for Pain Relief: Understanding the Underlying Mechanisms

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Virtual reality technology may relieve pain through neurophysiologic changes related to conditioning and exposure, in addition to mechanisms involving distraction.

Corticosteroids Effective in Total Knee or Hip Arthroplasty-Associated Pain

Corticosteroids Effective in Total Knee or Hip Arthroplasty-Associated Pain

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The use of perioperative intravenous corticosteroids provides effective pain relief, has a favorable safety profile, and is associated with a reduction in opioid use in patients undergoing total knee or hip arthroplasty.

FDA's Strategies for Managing Patients Taking CNS Depressants and Opioids

FDA's Strategies for Managing Patients Taking CNS Depressants and Opioids

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The FDA has recently issued a report advising against the use of buprenorphine and methadone medications in patients taking benzodiazepines and/or other central nervous system depressants.

Stigma Among Individuals Seeking Treatment for Opioid Abuse

Stigma Among Individuals Seeking Treatment for Opioid Abuse

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Self-stigma and perceived stigma were shown to be highest among people with opioid use disorders who have previously entered detoxification programs or who have recently injected drugs.

CVS to Limit Opioids Dispensed to Opioid-Naive Patients to a 7-day Supply

CVS to Limit Opioids Dispensed to Opioid-Naive Patients to a 7-day Supply

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At the pharmacy level, a greater emphasis will be placed on counseling to help patients understand the risks associated with opioid use based on the new Centers for Disease Control and Prevention (CDC) guidelines.

Electrotherapy, Acupuncture May Decrease Pain Following Total Knee Arthroplasty

Electrotherapy, Acupuncture May Decrease Pain Following Total Knee Arthroplasty

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Electrotherapy and acupuncture were both found to reduce and delay opioid consumption after total knee arthroplasty.

Naloxone Co-Prescribing to Fight Opioid Overdoses: An AMA Recommendation

Naloxone Co-Prescribing to Fight Opioid Overdoses: An AMA Recommendation

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Co-prescribing naloxone with opioids may reduce opioid overdoses while playing a pivotal role in combating the nation's opioid addiction epidemic.

Abuse-Deterrent Opioids Might Not Be the Answer to the Opioid Crisis

Abuse-Deterrent Opioids Might Not Be the Answer to the Opioid Crisis

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Abuse-deterrent opioid formulations may not be the most effective solution to the opioid crisis, according to an editorial published in the New England Journal of Medicine.

Collaborative Care Superior to Standard Care for Opioid Use Disorder

Collaborative Care Superior to Standard Care for Opioid Use Disorder

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Patients with opioid and/or alcohol use disorders have better treatment access and greater rates of alcohol and drug abstinence at 6 months with collaborative care vs standard addiction care.

Long-Term Opioid Rx Use Skyrocketed Between 1999 and 2014

Long-Term Opioid Rx Use Skyrocketed Between 1999 and 2014

Long-term opioid prescription use increased threefold during a 16-year period between 1999 and 2014.

An Overview of Using Naloxone and Opioids for Pain Management

An Overview of Using Naloxone and Opioids for Pain Management

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The increased use of opioid prescriptions to treat chronic pain has resulted in the rise of opioid use disorder, addiction, and abuse. We offer an overview of how and when to prescribe opioids for the management of chronic pain.

Benzodiazepine and Opioid Prescribing in the Elderly: What Are the Risks?

Benzodiazepine and Opioid Prescribing in the Elderly: What Are the Risks?

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Dr Gould covered the risks of co-prescribing benzodiazepines and opioids, particularly for elderly patients, and proposed therapeutic alternatives at PAINWeek 2017.

Overdose: Mitigating the Legal Risk

Overdose: Mitigating the Legal Risk

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Jennifer Bolen, JD, provides PAINWeek 2017 attendees with information on risk reduction and response to medication overdose events.

Motivational Interviewing for Opioid Tapering

Motivational Interviewing for Opioid Tapering

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Behavioral techniques such as motivational interviewing may facilitate the tapering process.

Opioid Tapering: Importance of Following Professional Guidelines

Opioid Tapering: Importance of Following Professional Guidelines

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At PAINWeek, Dr Hah focused on the risks of long-term opioid use for chronic noncancer pain and reviewed guidelines regarding the tapering of these medications.

Gabapentinoids: Are They Overprescribed?

Gabapentinoids: Are They Overprescribed?

Clinicians may be overprescribing gabapentinoids, in part as a response to the opioid epidemic, and prescribing them for almost any type of pain.

Methylnaltrexone Effective for Opioid-Induced Constipation Relief

Methylnaltrexone Effective for Opioid-Induced Constipation Relief

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A daily subcutaneous injection of methylnaltrexone provides effective relief from opioid-induced constipation in patients with chronic non-cancer pain.

Neonatal Withdrawal Risk Higher With Opioids Plus Psychotropic Drugs

Neonatal Withdrawal Risk Higher With Opioids Plus Psychotropic Drugs

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The infants of women taking opioids concomitantly with psychotropic medications were found to have a substantially heightened risk of neonatal drug withdrawal.

End-of-Life Care Improved with Appropriate Hospice, Opioid Use

End-of-Life Care Improved with Appropriate Hospice, Opioid Use

Insurance claims and clinical information were linked to examine indicators of high-quality end-of-life care.

Strategies to Curb the Opioid Epidemic: A National Academies Report

Strategies to Curb the Opioid Epidemic: A National Academies Report

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Highlights from the National Academies of Sciences, Engineering, and Medicine report titled "Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use."

Buprenorphine Injections Effective on Opioid-Associated Euphoria and Withdrawal

Buprenorphine Injections Effective on Opioid-Associated Euphoria and Withdrawal

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Once-weekly subcutaneous buprenorphine injections block the euphoric effects of opioids and suppress opioid withdrawal in patients with opioid use disorder.

Opioid Prescription Patterns in Patients With Back Pain and Depression

Opioid Prescription Patterns in Patients With Back Pain and Depression

Patients with low back pain who are depressed are more likely to be prescribed opioids, and to be prescribed higher doses.

New Treatment for Opioid-Induced Constipation

New Treatment for Opioid-Induced Constipation

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Naldemedine, a recently approved agent for opioid-induced constipation, showed good safety and significantly higher responder rates than placebo in a couple of 12-week, international, randomized trials.

Opioid Use Before TKA Associated With Worse Pain After Surgery

Opioid Use Before TKA Associated With Worse Pain After Surgery

Patients taking opioids before total knee arthroplasty may have greater pain after the procedure.

Magnesium for Patients on Opioids for Pain

Magnesium for Patients on Opioids for Pain

Opioid tolerance may be curbed by taking magnesium.

Strategies to Prevent the Transition From Postoperative Acute Pain to Chronic Pain

Strategies to Prevent the Transition From Postoperative Acute Pain to Chronic Pain

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A number of shortcomings are associated with systematic reviews and meta-analyses of postoperative care.

Is Opioid-Induced Hyperalgesia Lessened by Switching to Buprenorphine?

Is Opioid-Induced Hyperalgesia Lessened by Switching to Buprenorphine?

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Changes in several measures of pain in patients suspected of opioid-induced hyperalgesia were observed after transitioning from opioids to buprenorphine.

Teens Exposed to Prescription Opioids at Risk for Serious Outcomes

Teens Exposed to Prescription Opioids at Risk for Serious Outcomes

Teenagers with prescription opioid exposures are more likely to have health care facility admission and serious medical outcomes than younger children.

CDC Guideline on Prescribing Opioids: Some Major Concerns

CDC Guideline on Prescribing Opioids: Some Major Concerns

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Dr Fudin discusses concerns he has regarding the CDC guideline for prescribing opioids for chronic pain.

Psychosocial Factors Predict Analgesic Response to Morphine

Psychosocial Factors Predict Analgesic Response to Morphine

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Psychosocial variables such as depression and anxiety predict the response to morphine analgesia in patients with low back pain.

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