Opioid Addiction
Striking a Balance Between Opioid Surveillance and Patient Privacy
October 17, 2018Big data has enabled public health authorities to identify doctor-shopping patients and those who needed treatment for opioid abuse. The trade-off, however, could be patient and provider privacy.
Demographic Characteristics of Pregnant Women With Opioid Use Disorder
October 16, 2018A set of demographic, substance use, and treatment characteristics has been found to have a high prevalence in pregnant women with opioid use disorder.
Supervised Injection Sites: Facts, Information, Pros, and Cons
October 15, 2018Proponents of supervised injection sites argue they save lives. Critics say they discourage treatment. Where do you stand?
Medicaid Benefits for Addiction Treatment Expanded After ACA
October 15, 2018The Affordable Care Act may have prompted state Medicaid programs to expand addiction treatment benefits in alternative benefit plans.
Potentially Inappropriate Opioid Prescribing Tied to Overdose
October 12, 2018Potentially inappropriate prescribing of opioids is associated with increased risk of all-cause mortality and fatal and nonfatal overdose.
Timely Receipt of Opioid Addiction Medication May Improve Youth Care Retention
October 12, 2018In youths with opioid use disorder, treatment with buprenorphine, naltrexone, or methadone within 3 months of diagnosis was associated with greater care retention compared with behavioral therapy alone.
Naloxone Rarely Administered by Layperson in Opioid Deaths
October 11, 2018From July 2016 to June 2017, bystanders were documented in 44 percent of opioid overdose deaths, but naloxone was rarely administered by a layperson.
Popular Heroin Inhalation Method Tied to Leukoencephalopathy
October 05, 2018"Chasing the dragon" is an increasingly popular method of heroin inhalation among drug users.
The Opioid System: The Foundation for Social Risk and Reward
October 05, 2018The opioid system is responsible for social pain and reward in the brain; therefore, understanding its underpinnings may help clinicians manage patients with depression and suicidal ideation.
Opioid Therapy for Cancer Pain May Be Associated With High Risk for Aberrant Opioid Use
October 05, 2018Patients taking opioids for cancer-related pain at outpatient supportive pain consultations may be at higher risk for aberrant opioid and drug use behavior.
Effects of Overdose Risk Reduction Initiatives for Patients Receiving Chronic Opioid Therapy
October 04, 2018Reducing opioid dose — but not risk stratification or monitoring initiatives — may be effective in reducing overdose rates in patients on chronic opioid therapy, although this observed reduction was not significant compared with the group receiving a control intervention.
Managing Comorbid Opioid and Alcohol Use Disorder
October 03, 2018When alcohol and opioid addiction occur together, managing them concomitantly becomes challenging. Whereas some patients may not need medication for alcohol addiction, opioid abuse does require pharmacotherapy.
Nondaily Cigarette Use Increasing Among Individuals With Mental Health, Substance Use Disorders
October 03, 2018Future public health interventions developed for cigarette use must accommodate individuals with mental health and substance use disorders.
Patient Education Urged to Prevent Opioid Overdose After Sobriety
October 02, 2018The AMA encourages patient education to raise awareness of the risks associated with opioid use after a prolonged period of sobriety.
Opioid Use and Overdose Risk After Discharge From Surgery in the VA
October 02, 2018Surgical patients at the Veterans Health Administration were found to be 11 times more likely to overdose on opioids in the first 30 days postdischarge than during the remaining days of the year following surgery.
Pain, Depression, and Opioid Misuse May Be Associated With Drug Overdoses
September 27, 2018Pain conditions may largely be underrecognized contributors to the overdose epidemic.
CDC Guideline for Opioid Prescribing May Have Effectively Reduced Opioid Prescribing Practices
September 27, 2018The 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.
FDA: Opioid Analgesic REMS Expanded to Include Immediate-Release Products
September 27, 2018As part of the REMS program, drug companies with approved opioid analgesics must make training available to prescribers and provide unrestricted grants to accredited continuing education providers for the development of education courses.
Risk Factors for Recurrent Suicide Attempts in Substance Use Disorder Outpatients
September 27, 2018Researchers sought to identify risk factors for recurrent suicide attempts, controlling for gender and addictive substance exposure.
US Senate Passes Opioids Bill
September 27, 2018The Senate on Monday passed on a 99-1 vote legislation aimed at curbing the nation's ongoing opioid addiction crisis.
Does Robust Documentation Decrease Opioid Prescribing Rates?
September 26, 2018Accurate, transparent documentation is key in ensuring safe and appropriate opioid prescribing.
ED Plays Critical Role in Caring for Patients With Opioid Use Disorder
September 26, 2018Emergency department providers need evidence-based strategies to identify and manage patients with opioid use disorder.
With New Persistent Opioid Use, Most Early Scripts From Surgeons
September 25, 2018Among surgical patients who develop new persistent opioid use, surgeons provide the majority of opioid prescriptions in the first few months after surgery, but by nine to 12 months post-surgery, most prescriptions are from primary care providers.
Perioperative Pain Management in Patients With Opioid Use Disorder
September 24, 2018The perioperative management of pain in patients with opioid use disorders presents multiple challenges to clinicians. A recent review offered clinical guidance for various subgroups of these individuals.
Doctors Often Not Discussing Risk Factors With Patients
September 24, 2018Patients report that doctors are routinely not discussing known risk factors for common causes of death.
Rates of Concurrent Opioid, Sedative-Hypnotic Prescription Fills in Veterans
September 20, 2018A high percentage of post-9/11 veterans receiving Veterans Health Administration care were found to take concurrent prescription opioids and sedative hypnotics.
Oxycontin's Maker Now Selling Drug to Curb Opioid Addiction
September 20, 2018Purdue Pharma, the maker of Oxycontin who some have blamed for the epidemic of opioid painkiller addictions, has patented a medicine aimed at curbing those disorders.
Opioid Maker to Pay for Overdose Antidote Development
September 20, 2018A $3.4 million grant to help a non-profit company develop a less expensive opioid overdose antidote was announced by Purdue Pharma, which makes the opioid painkiller OxyContin.
Opioid Use Stable in Past Decade Among Commercially Insured, Medicare Beneficiaries
September 18, 2018Despite increased attention to opioid abuse in the past few years, opioid use and average daily dose in individuals who are commercially insured and those receiving Medicare have remained relatively unchanged.
FDA Outlines Plan for New Analgesic Guidance to Combat Opioid Crisis
September 18, 2018The new plan will break out the current guidance into 4 separate guidances.
Clinical Pain Advisor Articles
- Reviewing the Efficacy of Invasive Procedures for Chronic Back, Knee Pain
- Association Between Headache Attributed to Temporomandibular Disorders and Comorbid Bodily Pain
- Involvement and Diagnosis of Myofascial Trigger Points in Migraine, Tension-Type Headache
- Chronic Pain May Be a Contributing Factor to Suicide
- Mobile Health-Supported Trials to Assess Chronic Musculoskeletal Pain Treatments
- Perioperative Pain Management in Patients With Opioid Use Disorder
- Antidepressant Effects of Ketamine Appear to Require Opioid System Activation
- Reviewing the Efficacy of Intrathecal Morphine, Ziconotide for Cancer- and Noncancer Chronic Pain
- Seven-Item Pain Intensity Measure Reliable in Individuals With Dementia
- Reviewing the Efficacy of Invasive Procedures for Chronic Back, Knee Pain
- Are Physician-Patient Relationships Ethical? Ethicists Say No, But Some Docs Disagree
- Strategies and Considerations for Improving Global Healthcare
- Cannabinoid-Associated Analgesia May Be Mediated Through Modulation of Affective Processes
- Striking a Balance Between Opioid Surveillance and Patient Privacy
- Payer Policies May Discourage Non-Pharmacologic Treatments for Low Back Pain
