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The Opioid Epidemic: ParuchMD

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5 papers 0 to 25 followers Chronic opioid use has been disastrous in most cases except cancer pain and in treating heroin addiction. This collection focuses on the pitfalls of chronic opioid use.
By John Paruch Combined training in Internal Medicine-Psychiatry with holistic, evidence-based, preventive approach to implementation and promotion of wellness.
Marc A Schuckit
This article provides an overview of the current treatment of opioid-related conditions, including treatments provided by general practitioners and by specialists in substance-use disorders. The recent dramatic increase in misuse of prescription analgesics, the easy accessibility of opioids such as..
July 28, 2016: New England Journal of Medicine
Stephen W Patrick, Carrie E Fry, Timothy F Jones, Melinda B Buntin
Over the past two decades the number of opioid pain relievers sold in the United States rose dramatically. This rise in sales was accompanied by an increase in opioid-related overdose deaths. In response, forty-nine states (all but Missouri) created prescription drug monitoring programs to detect high-risk prescribing and patient behaviors. Our objectives were to determine whether the implementation or particular characteristics of the programs were effective in reducing opioid-related overdose deaths. In adjusted analyses we found that a state's implementation of a program was associated with an average reduction of 1...
July 1, 2016: Health Affairs
Alec L Meleger, Cameron Kiely Froude, Joseph Walker
OBJECTIVE: To assess eating behavior and nutrient intake in a group of patients who were diagnosed with chronic pain and received long-term opioid analgesic therapy. DESIGN: A descriptive, exploratory study with a convenience sample. SETTING: An outpatient pain rehabilitation center. PARTICIPANTS: Patients diagnosed with chronic pain who received long-term opioid analgesic therapy (N = 50). MAIN OUTCOME MEASUREMENTS: Body mass index, the Food Frequency Questionnaire developed by the Nutrition Assessment Shared Resource of Fred Hutchinson Cancer Research Center, and the Eating Behavior Inventory...
January 2014: PM & R: the Journal of Injury, Function, and Rehabilitation
Thomas R Frieden, Debra Houry
Deaths from prescription-opioid overdose have increased dramatically in the United States, quadrupling in the past 15 years. Efforts to improve pain management resulted in quadrupled rates of opioid prescribing, which propelled a tightly correlated epidemic of addiction, overdose, and death from..
April 21, 2016: New England Journal of Medicine
Chantal Berna, Ronald J Kulich, James P Rathmell
Increasing concern about the risks and limited evidence supporting the therapeutic benefit of long-term opioid therapy for chronic noncancer pain are leading prescribers to consider discontinuing the use of opioids. In addition to overt addiction or diversion, the presence of adverse effects, diminishing analgesia, reduced function and quality of life, or the absence of progress toward functional goals can justify an attempt at weaning patients from long-term opioid therapy. However, discontinuing opioid therapy is often hindered by patients' psychiatric comorbidities and poor coping skills, as well as the lack of formal guidelines for the prescribers...
June 2015: Mayo Clinic Proceedings
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