In addition to their analgesic effects, opioid binding to opioid receptors leads to the release of histamine from mast cells, including those implicated in asthma and allergic rhinitis.
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.
Preexisting psychiatric and behavioral conditions and psychoactive medication use are associated with subsequent claims of prescription opioids.
Narcotic Overdose and Withdrawal I. What every physician needs to know. Narcotics, also referred to as opioids, encompass a class of drugs commonly abused in the United States. Opioids are also frequently encountered in the hospitalized patient, being only second to alcohol in drug related admissions. Opioid dependence and abuse is often a chronic, relapsing…
In addition to maintenance treatment, mutual-help groups can be helpful for individuals with prescription opioid dependence.
Keeping opioid prescribing to 200 mg/d morphine equivalent or less may provide a measure of safety.
AAPM 2016 Annual Meeting
Evidence shows that the rise of opioids, especially when used without any other pain treatments, does not correspond to better pain management or patient satisfaction.
Overall, of 333 adult patients, 15.9% of patients reported opioid misuse, 17.1% were positive for PTSD, and 52.6% were positive for depression.
While claims about the benefits of Vivitrol were clearly presented in the ad, serious risks, such as vulnerability to opioid overdose, were not communicated.
Preoperative opioid use was reported in approximately 60% of patients undergoing total knee or hip replacement.