Search results for "Opioids"
Intervention for opioids appeared to reduce use, with no impact on pain
A trial in the U.K. randomly assigned patients with chronic noncancer pain to receive a group-based educational intervention or usual care and measured effects on opioid use and perceived pain at 12 months.
https://immattersacp.org/weekly/archives/2023/05/30/2.htm
30 May 2023
Overdose risk may be highest in week after hospital discharge for patients on long-term opioids
During the first seven days after hospital discharge, patients prescribed long-term opioid therapy overdosed on opioids at a rate six times higher than in other time periods, a retrospective study in one health system found.
https://immattersacp.org/weekly/archives/2023/01/31/4.htm
31 Jan 2023
CDC updates guideline on prescribing opioids for pain management
The guideline covers recommendations for primary care and other clinicians managing pain in outpatient settings and after patients are discharged from hospitals, EDs, or other facilities.
https://immattersacp.org/weekly/archives/2022/11/08/1.htm
8 Nov 2022
Efforts to stop coprescribing of opioids, benzodiazepines helped, but problem ongoing
Two recent studies examined national trends in opioid and benzodiazepine prescribing, one finding that prescribing of these drugs together and separately dropped nationally, while another showing that opioid prescribing for patients with alcohol use disorder (AUD) decreased in New York.
https://immattersacp.org/weekly/archives/2022/06/07/4.htm
7 Jun 2022
Younger age, other factors associated with new OUD diagnosis after hospitalization
A retrospective cohort study looked at opioid-naive patients who received at least one prescription for an opioid during a surgical or nonsurgical inpatient hospitalization between 2014 and 2017.
https://immattersacp.org/weekly/archives/2022/05/24/4.htm
24 May 2022
Injection drug use rare among patients taking opioids for noncancer pain, study finds
Potential for injection drug use should not be used as a reason to support involuntary tapering or discontinuation of long-term prescription opioid treatment for noncancer pain, the authors noted.
https://immattersacp.org/weekly/archives/2021/11/23/5.htm
23 Nov 2021
Few internal medicine residency programs provide clinical opioid-related training
A 2019 survey of members of the Association of Program Directors in Internal Medicine found that while 82% of programs required some training in safe opioid prescribing and opioid use disorder treatment, few programs required clinical experiences.
https://immattersacp.org/weekly/archives/2021/11/09/5.htm
9 Nov 2021
Register now for ACP's one-day course on pain management in an environment of opioid de-escalation
The virtual course on Tuesday, Oct. 5, will provide education for internists on the latest strategies and best practices in pain management.
https://immattersacp.org/weekly/archives/2021/09/21/5.htm
21 Sep 2021
Limits on opioid prescribing didn't change overdoses, but did reduce adverse effects
A study of primary care patients analyzed the effects of a Vermont policy that limited the dose and duration of opioid prescriptions based on pain severity and required prescription drug monitoring program checks.
https://immattersacp.org/weekly/archives/2021/05/11/2.htm
11 May 2021
Naloxone coprescribing appears uncommon in patients taking long-term opioids
A retrospective cross-sectional study of U.S. retail pharmacy claims found that 2.3% of long-term opioid therapy episodes included naloxone coprescribing, despite recommendations supporting this practice.
https://immattersacp.org/weekly/archives/2021/02/23/5.htm
23 Feb 2021
‘Gold standard’ underused for substance misuse
While effective medications to treat opioid addiction are available in primary care, few physicians prescribe buprenorphine or naltrexone, and few would obtain the Drug Enforcement Administration (DEA) waiver to prescribe buprenorphine.
https://immattersacp.org/archives/2020/11/gold-standard-underused-for-substance-misuse.htm
1 Nov 2020
One-third of primary care physicians do not support medications for opioid use disorder
Fewer than a quarter of surveyed primary care physicians expressed interest in treating patients with opioid use disorder, and only 11.8% were interested in obtaining a waiver to prescribe buprenorphine.
https://immattersacp.org/weekly/archives/2020/04/21/2.htm
21 Apr 2020
Overdose deaths from synthetic opioids increase while overall opioid deaths decline
From 2017 to 2018, overdose deaths related to prescription opioids and heroin decreased by 14% and 4%, respectively, and overdose deaths involving synthetic opioids increased by 10%.
https://immattersacp.org/weekly/archives/2020/03/31/4.htm
31 Mar 2020
Stopping opioid treatment linked to increased risk of death from overdose or suicide in veterans
The risk of death from overdose or suicide increased immediately after starting or stopping opioids and continued to rise the longer patients were treated with opioids.
https://immattersacp.org/weekly/archives/2020/03/17/2.htm
17 Mar 2020
Naloxone is underprescribed to high-risk patients, CDC says
Naloxone prescriptions more than doubled between 2017 and 2018 but still only one in 69 patients receiving high-dose opioids gets a naloxone prescription.
https://immattersacp.org/weekly/archives/2019/08/13/2.htm
13 Aug 2019
Access to buprenorphine assessed by ‘secret shopper’ study
More than third of simulated patients who portrayed themselves as heroin users seeking treatment were unable to get an appointment with a buprenorphine prescriber, and access was even lower among those reporting Medicaid coverage.
https://immattersacp.org/weekly/archives/2019/06/04/1.htm
4 Jun 2019
ACP joins NAM Action Collaborative in national fight against opioid epidemic
As a member of the collaborative, which includes more than 100 organizations, ACP has committed to sharing information and best practices, coordinating opioid-related efforts, and advancing new initiatives with other members.
https://immattersacp.org/weekly/archives/2019/05/07/5.htm
7 May 2019
ACP member feedback requested on short surveys on pain and substance use disorders
Information gathered will be used to better understand how to reduce and remove barriers to optimal pain care and treatment for substance use disorders.
https://immattersacp.org/weekly/archives/2019/04/30/2.htm
30 Apr 2019
Lack of coordination between health care systems associated with fatal opioid overdoses
Veterans who received opioid prescriptions from both inside and outside the Veterans Affairs health system had two to three times the risk for fatal overdose versus those who received prescriptions from only one source.
https://immattersacp.org/weekly/archives/2019/03/12/1.htm
12 Mar 2019
ACP supports new CDC guidance for prescribing naloxone with opioids
Naloxone can reverse the effects of an opioid overdose if it is quickly administered.
https://immattersacp.org/weekly/archives/2019/01/15/5.htm
15 Jan 2019