Research on opioids, addiction, and treatment. Covers traditional care practices, opioid treatment in pregnancy, illicit fentanyl, and treatment disparities.
A new study from the University of Eastern Finland found that strong opioids increase the risk of hip fractures in people with Alzheimer's disease. The risk was highest in the first two months of opioid use, and was significantly higher for moderate to strong opioids.
A Malaysian survey found that misconceptions about opioids affect pain control among cancer patients, with fears of addiction and immune system damage being the most common barriers. The study highlights the need for improved accessibility to pain relief treatments in low- and middle-income countries.
A new study reveals that adults identifying as lesbian, gay, or bisexual are more likely to misuse opioids than heterosexual counterparts. Women who identify as bisexual are particularly at increased risk, with twice the likelihood of misuse compared to other groups.
A study from the University of Eastern Finland found that one in five people with Alzheimer's disease use benzodiazepines and opioids concurrently. Prolonged use was linked to lung diseases, osteoporosis, and fractures.
Researchers at Oak Ridge National Laboratory developed an algorithm that uses supercomputers to analyze genetic data, identifying genes linked to pain and opioid addiction. Meanwhile, a team from Lawrence Berkeley National Laboratory used deep learning methods to improve weather forecasting, leveraging high-performance computing and in...
Two studies found that fewer than 25% of California retail pharmacies dispense naloxone without a physician's prescription, and 69% of Texas chain pharmacies reported having the medication in stock. The studies aimed to assess naloxone accessibility after legislation allowed pharmacists to provide the antidote without a prescription.
Since 2012, prescription opioids dispensed to children and adolescents have decreased, with an average of 4 per 1,000 children receiving an outpatient opioid prescription in 2009-2012. Long-term opioid prescription use has also declined since the start of 2017.
A new computer tool has been developed to identify patients with chronic pulmonary embolism (PE) who can be safely treated at home. The tool uses a sensitive cardiac injury marker, troponin, to measure the severity of PE and predict patient outcomes.
A study of almost 2,400 patients in Michigan who underwent surgery found that more opioids were prescribed than used. Patients used about 27 percent of the opioids prescribed, with larger prescriptions associated with increased use.
A new study found that surgery patients often take less than half of the prescribed opioid pain medications, with prescription size being the most important factor. The study suggests that surgeons can reduce opioid prescriptions and improve patient safety by considering individual factors such as pain scores and operation intensity.
Researchers found that widely used naloxone nasal spray and injection products retain high potency and stability beyond their labeled expiration dates. This study suggests extending shelf-life could aid in increasing medication availability, particularly during the ongoing opioid epidemic.
A new study finds significant variation in opioid prescription rates and child removal rates among states, with some states experiencing a positive association between the two.
Researchers developed a new marker that can accurately detect cardiac injury, reducing the need for costly and invasive stress tests. The test uses high-sensitivity cardiac troponin I (hs-cTnI) assays to measure troponin concentrations lower than conventional assays.
Preliminary research suggests opioid use increases risk of developing atrial fibrillation by 34 percent. Atrial fibrillation is a chaotic quivering of the heart's upper chambers, one of the leading causes of strokes.
A study found racial and ethnic differences in emergency pain relief for children with long bone fractures, with minority children more likely to receive pain medication but less likely to receive opioid analgesia. The American Academy of Pediatrics emphasizes the importance of consistent pain management for all pediatric patients.
The $1.5 million grant will allow Brown, RIDOC and partners to expand MAT treatment for high-risk individuals, addressing gaps in the existing program. Over three years, the team aims to treat over 300 additional Rhode Island residents with opioid use disorders.
UA pharmacologists aim to prevent opioid tolerance by targeting sphingosine-1-phosphate, a lipid that may induce opioid sensitivity. Fingolimod, an existing medication for multiple sclerosis, shows promise as a potential solution.
A study found that maternal opioid use disorder diagnoses are increasing among rural residents, with over half of these cases occurring in rural hospitals. Rural women with opioid use disorder are more likely to give birth in urban teaching hospitals, highlighting the need for resources in both rural and urban settings.
Adults with chronic kidney disease have a higher likelihood of receiving opioid prescriptions and using them, suggesting a link to the national opioid epidemic. Multiple comorbid conditions, including pain-causing and non-pain-related conditions, are associated with increased prescription opioid use in patients with CKD.
A recent study estimates that over 275,000 people in Massachusetts have opioid use disorder, with the prevalence increasing from 2.7% in 2011 to 4.6% in 2015. The study used linked public health data sets to provide a more accurate picture of the impact of opioids in the state.
A new clinical protocol called STOP Narcotics reduces post-operative opioid prescribing by 50%, while maintaining adequate pain control, and increases medication disposal. The study involved 416 patients undergoing general surgery and found significant reduction in opioid use and diversion.
A new protocol developed by Cleveland Clinic Akron General Hospital reduces opioid use after colorectal surgery, resulting in shorter hospital stays. The Enhanced Recovery After Surgery (ERAS) protocol includes pre-emptive pain management, non-opioid general anesthesia, and postoperative programmed non-narcotic analgesics.
SLU scientist Daniela Salvemini is studying chemotherapy-induced cognitive impairment and opioid addiction to develop new treatments. Her research aims to identify novel therapeutic approaches to mitigate chemo-brain and improve quality of life for cancer patients.
A new study reveals wide variation in benzodiazepine prescribing among primary care doctors, with some counties having three times the level of sedative prescribing as others. High-intensity prescribers tend to be high-intensity users of opioid painkillers and other high-risk medications.
Opioid-induced constipation affects 40-60% of patients taking chronic opioid therapy. A new AGA guideline recommends starting with traditional laxatives as first-line agents, followed by PAMORA drugs if symptoms persist. These treatments aim to improve bowel symptoms without compromising pain relief.
A study of 9,449 university students found that opioid misuse linked to lower GPAs and increased impulsivity. Risk factors identified include living off campus and early age of sexual activity.
A study of 17,608 US adults aged 50+ found that past-year misuse of prescription opioids or benzodiazepines was associated with increased odds of suicidal ideation. Misuse of both medication classes was linked to a significantly higher risk of suicidal thoughts.
A study published in Academic Emergency Medicine suggests that intravenous, low-dose ketamine is as effective as intravenous morphine in controlling acute pain in adults in the emergency department. The findings indicate that ketamine can be considered as an alternative to opioids for ED short-term pain control.
A study found that patients perceive opioids as superior for post-surgical pain relief, despite concerns about addiction and side effects. However, another study showed that opioids are tied to complications after back procedures, including increased pain and poorer quality of life.
Researchers will conduct the first randomized controlled trial of a peer-based recovery intervention for patients at high risk of overdose. The study aims to compare the effectiveness of a single session with a social worker versus a four-year peer-led recovery program.
A CU Denver researcher is conducting clinical research to develop an evidence-based treatment for comorbid pain and opioid addiction. The study aims to reduce substance abuse and pain relapse among patients with chronic pain, using a combination of therapies including cognitive behavioral therapy.
A study by Johns Hopkins Bloomberg School of Public Health found that US public and private health insurance policies are inconsistent in covering non-drug treatments for lower back pain. Most plans lacked clear coverage terms for acupuncture, psychological counseling, and physical therapy, with only a few covering these alternatives.
A recent study found that at-risk teens and young adults are not being tested for hepatitis C, a serious liver infection, despite their risk of contracting it. The study, which analyzed data from over 250,000 youth, suggests that current guidelines underestimate who is at risk for the infection.
Research at Binghamton University found that low self-esteem is associated with high opioid use and serves as a mediator between life stressors and opioid abuse. The study suggests individuals with poor self-esteem may seek opioids to cope with stressors like health, family, or romance problems.
A new study finds that for every 1% increase in depression diagnoses, opioid overdose deaths rise by 25-35%. The researchers emphasize the need for doctors to screen for depression before prescribing opioids and for better access to mental health care.
Researchers at MIT's Picower Institute argue that targeting nociception can lead to improved anesthesia outcomes, including reduced medication use and faster patient recovery. By combining drugs to affect nociception, anesthesiologists can achieve a more desirable anesthetic state with better pain control.
A study published in JAMA Oncology found that patients treated with more-invasive surgical techniques for early-stage lung cancer were more likely to become chronic opioid users. In contrast, those who underwent minimally invasive VATS surgery were less likely to fill opioid prescriptions after surgery and in the long term.
A Mayo Clinic study found that enrollment in an opioid controlled substance agreement significantly reduces primary care visits, hospitalizations, and specialty visits among patients with chronic health conditions. The agreement also leads to increased radiology visits, but not emergency department services.
A new study analyzing nearly 600,000 unintentional drug overdoses reveals a smooth exponential growth curve nationwide. Regional hotspots have been identified, except for select areas in the north central US.
A new study explores why people keep eating despite feeling full, showing that two tiny clusters of cells battle for control and the opioid system gets involved. Researchers found that stimulating POMC neurons decreases appetite, while AgRP neurons drive eating when both are activated.
A study found a clear geographical split in opioid prescribing in England, with the North showing higher rates of chronic pain, anxiety, and poor general health. Opioid use was linked to intensity of pain, educational attainment, and general health, highlighting the need for alternative pain management strategies.
A study found that patients with higher continuity with their prescribing physician received fewer risky opioid prescriptions and were less likely to be hospitalized for opioid-related causes. However, long-term opioid use was associated with lower continuity scores than other medications, highlighting the need for improved prescribing...
A national analysis of physician visit records found that nearly 30 percent of outpatient opioid prescriptions lack clear documentation of the reason for use. This raises concerns about inappropriate prescribing and lax documentation practices. The study highlights the need for stricter requirements on documenting the need for opioids.
Researchers found that nearly 9% of people who died by suicide in 18 states between 2003 and 2014 had chronic pain documented in their incident records. Chronic pain was associated with risk factors for suicide, but previous studies primarily examined nonfatal suicidal behaviors.
Researchers from Charité - Universitátsmedizin Berlin have developed a new generation of pain medications that can prevent brain- and gut-related side effects associated with conventional opioids. The drugs are designed to work only at sites affected by injury or inflammation.
A review of 173 rhinoplasty patients found that most received opioid prescriptions, averaging 28 pills per patient, yet experienced less pain than expected. The study's results highlight the need for more research on optimal postoperative pain management from rhinoplasty
A study of 173 patients who underwent rhinoplasty found that only two refilled their opioid prescriptions, suggesting that pain management may not require as many opioids as previously thought. Facial plastic surgeons are now reducing opioid prescriptions by at least 50% to limit the potential for abuse.
A new study found that ketamine's antidepressant effect requires opioid system activation in humans, raising concerns about the risk of dependence. The study used naltrexone, an opioid blocker, to block ketamine's effects and found that it reduced antidepressant symptoms but not dissociative effects.
Researchers have developed a bifunctional compound that both relieves pain and suppresses opioid dependency in primates, providing 100-fold stronger pain relief than morphine. The compound lacks rewarding characteristics and motor impairment, indicating a safer alternative to traditional opioids.
Stanford researchers found that ketamine works as an antidepressant by activating the brain's opioid system. The study overturns previous beliefs about the drug's mechanism and presents new treatment opportunities for depression, pain, and opioid addiction.
A recent survey found that about 4.5% of US adults use e-cigarettes, with higher rates among young adults and those in the LGBTQ community. E-cigarette use also varies by state, with estimates ranging from 3.1% in South Dakota to 7% in Oklahoma.
Deaths from drug overdose and suicide in the US have surpassed those from diabetes, with rates increasing by 80% between 2000 and 2016. Researchers urge national initiatives to tackle common factors behind 'self-injury', citing trauma, adversity, and mental health issues as key drivers.
A 2014 US Drug Enforcement Administration policy change was associated with an increase in filled opioid prescriptions after elective surgery. Most of the increase was attributed to hydrocodone, the most commonly prescribed opioid following surgery.
Viral suppression rates have nearly tripled in the US over the past two decades due to improved treatment regimens. However, disparities persist among younger persons and blacks living with HIV, warranting further research. The study found that these populations were more likely to have detectable viral loads.
A recent study by Yale researchers found that black patients are more likely to be tested for illicit drug use after starting opioids for chronic pain and have their prescriptions discontinued. The study highlights the need for a universal approach to monitoring patients prescribed opioids, particularly in addressing racial disparities.
A study at Toronto General Hospital found that nearly half of patients who did not take opioids before surgery were able to wean off completely. The Transitional Pain Program uses non-opioid medications, psychological techniques, and exercise prescriptions to help patients manage pain. Patients who were on high doses of opioids before ...
After ACA Medicaid expansion, more people filled prescriptions for buprenorphine with naloxone (opioid use disorder treatment) and opioid pain relievers in five states. The study found that this increase could help lessen the opioid crisis by providing medication access for those struggling with addiction.
Researchers at Kaiser Permanente are conducting a three-year study to examine the role of opioid use in suicide risk and develop better tools for clinicians. The study aims to improve powerful prediction models that can identify patients at high risk for suicide.
A UTA professor led a federal advisory group to publish recommendations for preventing acute and chronic pain, highlighting the need for better public education and a precision medicine approach. The report found that psychosocial factors significantly impact pain experience and treatment responses.
Two studies reveal widespread declines in US life expectancy, with younger age groups affected by opioid-related deaths, and midlife mortality increasing across all racial groups. Systemic causes, including social deprivation and austerity policies, are suspected to contribute to these trends.