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What are the risks and benefits of low-dose aspirin?

The review found that low-dose aspirin significantly lowers cardiovascular disease risk by 17% and increases the risk of gastrointestinal bleeding and intracranial bleeding. The benefits should be weighted against the risks in formal decision analyses to guide aspirin use.

SourceWiley·JournalBritish Journal of Clinical Pharmacology·DateJun 3, 2020

Two paths better than one for treating patients with heart stents

A recent study by cardiologists at the University of Alberta found that combining a blood-thinning drug rivaroxaban with aspirin daily reduces major adverse events and mortality rates in patients with chronic coronary disease who have had an angioplasty. The treatment was found to be significantly better than aspirin alone in preventin...

Sex bias in pain research

A review paper from McGill University found that pain research remains overwhelmingly biased towards male rodents, leading to ineffective treatments for female chronic pain sufferers. The study suggests that most current analgesics will largely work in men rather than women, highlighting a critical blind spot in pain research.

SourceMcGill University·JournalNature Reviews Neuroscience·DateMay 21, 2020

Prime time for lower extremity artery disease

A recent trial demonstrated that an intensified antithrombotic regimen comprising rivaroxaban and aspirin reduces major adverse limb events by 46% compared to aspirin alone. The review highlights the need for better evidence on antithrombotic treatment in peripheral vascular interventions.

SourceBentham Science Publishers·JournalCurrent Vascular Pharmacology·DateMay 6, 2020

Study reveals pharmacy-level barriers to treatment for opioid use disorder in Appalachian Kentucky

A new study found that pharmacies in Appalachian Kentucky are limiting buprenorphine dispensing due to concerns about DEA caps, distrust of pharmaceutical companies, and stigma against people who use drugs. This limits access to effective treatment for opioid use disorder, which affects fewer than two in ten individuals.

SourceUniversity of Kentucky·JournalInternational Journal of Drug Policy·DateApr 28, 2020

Rating pain: Not just a numbers game

A new study found that almost 4 out of 5 patients with moderate pain intensity considered it tolerable, and 30-40% of those with severe pain also described it as tolerable. This suggests an alternative to traditional 0-10 rating scales could help doctors better understand patient needs.

SourceUniversity of Rochester·JournalJAMA Network Open·DateApr 20, 2020

New molecular probes for opioid receptors

Researchers have developed highly selective ligands to label opioid receptors, shedding light on their behavior in living cells. The study reveals that most opioid receptors exist as individual entities, but a small proportion forms pairs, which may contribute to the receptor's function.

SourceUniversity of Würzburg·JournalAngewandte Chemie·DateMar 25, 2020

A prescription for the pain of rejection: Acetaminophen and forgiveness

Research suggests that taking acetaminophen with a tendency to forgive can reduce social pain by influencing pain signaling in the brain. Forgiveness also lessens feelings of stress and anger following experiences of social exclusion. The combination may provide an antidote to the emotional and physical pains of rejection.

SourceUniversity of California - Los Angeles Health Sciences·JournalAnnals of Behavioral Medicine·DateFeb 14, 2020

Does tramadol increase hip fracture risk?

A UK patient database analysis found tramadol increases hip fracture risk by up to 1.5 new cases per 1000 person-years, compared to other pain medications. The study highlights the need for tramadol's fracture risk to be considered in clinical practice and treatment guidelines.

SourceWiley·JournalJournal of Bone and Mineral Research·DateFeb 5, 2020

Choosing common pain relievers: It's complicated

Researchers reviewed benefits and risks of over-the-counter and prescription pain relievers, including NSAIDs, aspirin, ibuprofen, naproxen, and acetaminophen. The study suggests that healthcare providers and patients should make individual clinical judgements based on the entire risk factor profile to minimize harm.

SourceFlorida Atlantic University·JournalJournal of Cardiovascular Pharmacology and Therapeutics·DateFeb 5, 2020

Natural herb kratom may have therapeutic effects and relatively low potential for abuse or harm, according to a user survey

A survey of over 2,700 kratom users found the substance has a lower rate of harm than prescription opioids for treating pain, anxiety, and depression. While self-reporting surveys are not always reliable, the results suggest kratom may have medical applications to explore as an alternative to opioid use.

SourceJohns Hopkins Medicine·JournalDrug and Alcohol Dependence·DateFeb 3, 2020

Low-dose aspirin may reduce preterm birth risk among first-time mothers

A large clinical trial has found that low-dose aspirin daily from early pregnancy to 36 weeks may lower the risk for preterm birth among first-time mothers by 11%. The study involved over 11,000 women in several low- and middle-income countries and showed a significant reduction in preterm delivery before 37 weeks.

Program reduces narcotic prescriptions after surgery with over-the-counter pain medicine

A Houston Methodist study found that using long-acting local anesthetics and scheduled non-narcotic pain medication reduced opioid prescriptions from 87% to 10% after surgery. The program successfully managed pain after surgery using over-the-counter pain medication, decreasing the chance of patients becoming addicted to narcotics.

SourceHouston Methodist·JournalJournal of Thoracic and Cardiovascular Surgery·DateJan 22, 2020