Articles tagged with Opioids
A statewide effort in Michigan resulted in a 56% reduction in opioid prescriptions after six common operations and a 26% drop in persistent opioid use. The achievement surpassed national trends, driven by voluntary prescribing guidelines and surgical team involvement.
A study found that having opioids at home increases the risk of overdose for those living with them, emphasizing the importance of proper disposal and education. Household prescription opioids are associated with a higher likelihood of overdose for others in the household, even if they don't have their own prescription.
Researchers found that peer support specialists with a shared life experience were most valued for providing emotional and housing/employment support, helping inmates recover from opioid use disorder. Participants appreciated the empathetic and trustworthy relationships established with their peer navigators.
Implementation of post-overdose programs in Massachusetts municipalities associated with a 6% lower annual opioid fatality rate and a 7% lower opioid-related emergency encounter rate compared to non-programmed areas. The study suggests that these programs offer a critical opportunity to address overdose among high-risk individuals.
A large Canadian study finds no association between maternal opioid prescription after delivery and adverse infant outcomes. Infants of opioid-using mothers were slightly more likely to visit an emergency department, but this difference was minor.
A new molecular testing device has been developed to identify individuals with high hypnotizability, who are most likely to benefit from hypnosis interventions for pain treatment. The test detected a subset of highly hypnotizable individuals with high levels of postoperative pain.
A study of 4.3 million patients found shorter primary care visits were associated with a higher likelihood of antibiotic overprescribing and co-prescribing opioids and benzodiazepines. Younger, publicly insured, Hispanic, and non-Hispanic Black patients had shorter visits, highlighting opportunities for operational improvements in visi...
A randomized trial found that CBD oil did not reduce pain scores after surgical treatment and stent placement for patients with urinary stones. The study involved 90 patients who received either CBD oil or a placebo, with no significant difference in pain reduction or opioid use between the two groups.
A new study reveals that military members with mild traumatic brain injury (mTBI) who identify as 'Other' are at a significantly higher risk of suicide and overdose deaths. The study found that the rates of these deaths were highest among members of this group, despite making up only 7.38% of the study sample.
A West Virginia University study found that patients treated for motor vehicle collision injuries during the COVID-19 pandemic used more drugs, including cannabinoids, opioids, and stimulants. The study suggests public health interventions may be needed to curb this behavior in rural areas.
A US FDA mandate to limit acetaminophen dosage in pills combining it with opioids significantly reduced hospitalizations and acute liver failure cases. Researchers found a persistent decline in yearly rates of these cases after the mandate was implemented in 2014.
A new study by Oregon State University researchers found that people recently released from prison in Oregon are at a higher risk of opioid overdose, with a rate of 1,086 per 100,000 person years, exceeding the general public rate by 10 times.
A new study by Weill Cornell Medicine found that the FDA's mandate to limit opioid-acetaminophen combinations resulted in significant reductions in liver injuries. The mandate, implemented in 2014, limited the dosage of acetaminophen in these drugs, leading to a decline in hospitalizations and acute liver failure cases.
A novel community-focused strategy implemented in Pennsylvania counties led to a 30% reduction in opioid overdose death rates. The approach, developed by University of Pittsburgh researchers, prevented 1,818 opioid-related deaths over two years.
A team of scientists has developed a novel, implantable drug delivery system that can be controlled by external light sources and is absorbable by the body. This technology has promising implications for treating various medical conditions, including pain management and cancer treatment.
A novel surgical pain management strategy has been developed to reduce opioid use after total knee arthroplasty. The study found that changing prescriptions for opioids at discharge from automatic to upon request dramatically decreased opioid use, with over half of patients recovering without opioid use.
Researchers at Texas A&M University School of Medicine have identified a specific brain circuit that characterizes how fentanyl affects the brain. Suppressing negative emotional states may increase a person's chance of overcoming opioid use disorder.
A new pain management approach for men undergoing urethroplasty reduces the need for strong opioids while maintaining effective pain control. The study found that patients taking tramadol in combination with liposomal bupivacaine had greater reductions in pain compared to those taking oxycodone.
A Rutgers University analysis of Medicaid records found that the regulation did not reduce progression from short-term to long-term opioid use, but did decrease new prescriptions written for more than five days. This change may have reduced leftover opioids available for misuse, but also forced patients who needed longer treatments to ...
The study calls for easier access to naloxone, including over-the-counter distribution, to address the US opioid epidemic. With millions lacking access, health providers are urged to include naloxone in treatment programs and counsel patients' families on its use.
A recent study found that adults with type 1 diabetes are at a high risk of being overweight or obese, but only half receive lifestyle recommendations to manage their weight. The study also highlighted the importance of individualized patient education in improving weight management for these patients.
Research reveals that opioid tapering can lead to more hospitalizations and emergency department visits, while also reducing primary care visit rates. The study's findings suggest potential unintended consequences of opioid tapering for policymakers and clinicians.
A new WVU study found nearly one in eight West Virginia infants had in utero exposure to opioids, stimulants, and/or cannabis between 2020 and 2022. The study showed a 40% increased risk of preterm birth among infants exposed to stimulants alone and a 70% increase with concurrent stimulant and cannabis exposures.
A study found that receiving medical cannabis for thirty days or more can lead to a significant reduction in prescription opioid dosages among patients on long-term opioid therapy. Patients who were on higher baseline dosages of prescription opioids experienced larger reductions in opioid dosages.
A recent study found that telemedicine use did not compromise the quality of opioid use disorder treatment during the COVID-19 pandemic. Clinical outcomes for patients treated by clinicians with high and low telemedicine use were similar, suggesting telemedicine as a comparable alternative to in-person care.
A large study on chronic pancreatitis patients who underwent surgery found that about two-thirds survive for 10 years, but over a quarter struggle with persistent opioid use. Long-term follow-up revealed significant psychosocial issues, including substance abuse, narcotics abuse, and end-stage liver disease.
A new study shows that Medasense's NOL monitoring during major abdominal surgery can significantly reduce the proportion of patients with severe post-operative pain. The study found that intraoperative opioid dosing based on the NOL index reduced PACU pain scores by a median of 1.5 points at 90 minutes post-surgery. This technology use...
Despite relaxed regulations, buprenorphine overdose deaths remained low and often involved multiple substances. The study suggests that expanded access to treatment for opioid use disorder is crucial to reducing overdose rates.
A study by University of Pittsburgh and Cornell University scientists found that states with recreational cannabis laws saw a significant reduction in pharmacy-based codeine distribution. This reduction is promising from a public health perspective, as prescription opioid misuse contributes to thousands of overdose deaths annually.
A study shows that pharmacies can offer a safe starting point for patients with opioid use disorder, leading to higher rates of retention in treatment. The pharmacy-based model increases access to buprenorphine, a lifesaving medication, for diverse patient populations and promotes racial and economic equity.
Researchers found that combination therapy of buprenorphine and naloxone was as safe as buprenorphine alone during pregnancy, with similar outcomes in maternal health and newborn health. Larger studies are needed to confirm these findings.
The university is implementing curricular changes to increase access to early intervention and reduce stigma around substance use disorders. The program will cover 30 hours of instruction and add another tool to the kit of nursing graduates, aiming to provide more treatment options for those struggling with opioid addiction.
Researchers found that letters successfully encouraged clinicians to check patients' prescribing records, leading to increased PMP search rates and persistent effects. The findings suggest a cost-effective evidence-based strategy for promoting safer prescribing practices through simple letter interventions.
A survey study found that 3 in 10 adults with chronic pain in states with medical cannabis laws used cannabis to manage their pain, often substituting it for other pain medications. The study highlights the importance of researching the effectiveness and potential adverse consequences of cannabis for chronic pain management.
A USC study found that notifying clinicians about fatal opioid overdoses through letters from medical examiners reduces opioid prescribing over the next three months. The study shows these notifications have a lasting impact, with a 7% reduction in prescriptions after one year.
A new study found that nearly a third of patients with chronic pain use cannabis to manage their symptoms, leading to decreased use of pain medications. The study suggests that further research is needed to understand the benefits and risks of using cannabis for chronic pain management.
A new study implementing restrictive opioid prescriptions saw no compromise in patient recovery among 4,000 surgical patients. The protocol led to a significant decrease in opioid dispensing and conversion to chronic use.
A study published in Addiction journal found a significant decrease in codeine consumption across Australia after the country's most misused legal opioid was switched to a prescription-only medicine. The switch led to a 37% overall drop in codeine consumption, with smaller decreases observed in regional areas.
The Cleveland Clinic is developing a stem cell treatment for complex regional pain syndrome, a debilitating disease that causes chronic pain, using human mesenchymal stem cells (hMSC). The research has long-term potential for providing patients an alternative to addictive opioid treatments.
A new hotline has shown promising results in preventing overdoses and saving lives by providing virtual supervision for people using substances alone. The National Overdose Response Service received over 2,100 calls from unique callers, with no reported deaths during a pilot period.
A study published in The Journal of Arthroplasty found that prescribing smaller initial opioid prescriptions can reduce the risk of refill in patients after surgery. This approach also creates an opportunity for doctors and patients to discuss the risks of continuing opioids if needed.
A new study found that the incidence rate of endocarditis among patients with cocaine use disorder or opioid use disorder increased significantly between 2011 and 2022. The risk was higher in patients with COVID-19, with a mortality rate of 9% within 180 days of diagnosis.
Patients with cocaine and opioid use disorders are at higher risk of developing endocarditis after COVID-19 infection, according to new research. The study found a significant increase in endocarditis cases among these patients, highlighting the need for increased screenings.
The City of Tempe and Arizona State University have developed a unique partnership to track COVID-19 using wastewater-based epidemiology, providing early warning data for municipalities. The system has been shown to reliably predict SARS-CoV-2 levels in city ZIP codes up to 11 days ahead of clinical testing results.
The number of active buprenorphine prescriptions remained constant during the first year of the COVID-19 pandemic, but new treatment episodes started significantly fewer than expected. This trend occurred despite emergency policies aimed at increasing access to the medication.
A study found that medical marijuana legalization was associated with reduced opioid use and fewer pain-related hospitalizations among adults receiving cancer treatment. The results suggest potential benefits for patient safety and quality of life, but further investigation is needed to understand the nature of these associations.
A study suggests that abruptly stopping prescribed opioids for chronic pain increases the risk of overdose, particularly among individuals without opioid use disorder. However, tapering opioid therapy is associated with a decreased risk of overdose in those with opioid use disorder who have not received opioid agonist therapy.
Researchers link fentanyl to sodium pockets in nerve cell receptors, blocking harmful side effects while reducing pain. The study offers promise for safer painkillers and potential improvements for addressing the nation's crisis of addiction and overdose.
New York State opioid prescriptions declined during the COVID-19 lockdown, with only a small transient increase in early refills. Medications for opioid use disorder (MOUD) prescriptions remained steady, thanks to policies ensuring their availability.
A novel public health intervention, virtual overdose monitoring services offer timely and anonymous access to emergency care and can develop personalized response plans for individuals using substances. High-quality research is needed to better understand the benefits and risks of these services.
A randomized Phase 3 study published in JAMA found that morphine does not improve symptoms of chronic breathlessness in patients with COPD. However, clinical experience suggests that morphine can provide relief in end-of-life situations or crisis scenarios.
A recent study found that benzodiazepine treatment for sleep disorders is associated with an increased risk of drug overdose among young people aged 10-29, particularly those with recent opioid prescriptions. This highlights the importance of considering alternative pharmacologic treatments to minimize safety risks.
A researcher at Ohio University is using a $1.4 million grant from the National Institute on Drug Abuse to develop a training program for healthcare professionals to overcome stigma surrounding Buprenorphine prescriptions. The study aims to increase access to harm reduction services in rural areas.
Researchers found cannabis users had decreased patency and were 1.25 times more likely to require amputation one year after lower extremity bypass surgery. Cannabis use was also associated with a higher risk of opioid use after discharge.
Research found racial and ethnic disparities in buprenorphine treatment duration grew between 2006 and 2020. Longer treatment durations were associated with superior clinical outcomes for patients with opioid use disorders.
The risk of death from infective endocarditis (IE) among young US residents aged 15-44 years has doubled in the last two decades. IE cases among younger patients and those who inject drugs have increased, with mortality rates increasing by 50%.
A study published in the Journal of the American Geriatrics Society found that antiepileptic prescribing to US nursing home residents with Alzheimer's Disease and dementia increased between 2015 and 2019. In contrast, antipsychotic and opioid prescribing rates declined during this period
Researchers analyzed 200 overdose events in Rhode Island city, finding police were last to arrive at scene in most incidents. Arrests were extremely rare, with only 1% of cases involving law enforcement presence due to safety concerns.
Researchers at Rutgers University found that patients who participate in multiple outpatient visits early in treatment are more likely to continue care. Nearly half of these patients remained in treatment for six months or more, compared to just 2.9% of those with less frequent visits.
A recent study found that despite no decrease in opioid prescriptions, the doses prescribed are lower for senior patients after surgery. The study analyzed over 278,000 patients and showed an increase in non-opioid prescriptions, with most patients still receiving opioid prescriptions.