Opioid Misuse: America's Not So Silent Killer

As America and the world mourns the death of music icon Prince, there has been speculation that his death was the result an opioid overdose. Yet, the music icon was known for his healthy lifestyle and his rejection of the drug culture that has become a cliché when talking about rock stars. The death of Prince underscores the opioid abuse epidemic in America that is created by the over-prescribing of opioids to treat pain known by names like Percocet, OxyContin, Fentanyl and Vicodin. Last year, American doctors prescribed enough opioids to give every American adult a one-month supply. 30 tablets that could lead to a dependence on a drug that is a stone's throw away from heroin, which is where some who become addicted to prescription opioids end their journey. Since 1999, the number of opioid prescriptions in the United States has quadrupled; in 2014, 18,893 people died from prescription opioid overdoses in the United States, another 10,574 from heroin overdoses, according to the National Institute on Drug Abuse. How do you die from opioids? Generally, the opioid simply stops you from breathing. The drug depresses your central nervous system which controls involuntary actions like your heart beating or simply taking a breath. There are so many Americans on prescription opioids that it has generated a new class of drugs; pills to deal with opioid induced constipation and drugs to bring people back from opioid overdoses. The pharmaceutical gets paid three times; once fo...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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CONCLUSIONS: Gaps in memory and various memory types were common after ICU admission, whose prevalence waned over time. Compared with nightmares and fearful memories, gaps in memories were most strongly associated with poor mental health and quality of life. Identifying patients with gaps in memories might be an objective way of planning interventions to improve their long-term outcomes.
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research
CONCLUSIONS: These recommendations are intended to assist researchers in the design, conduct, selection of endpoints, and reporting of clinical trials involving sedative medications and/or sedation protocols for adult ICU patients who require mechanical ventilation. These recommendations should be viewed as a starting point to improve clinical trials and help reduce methodological heterogeneity in future clinical trials.
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Clinical investigations Source Type: research
If it hurts – take notice, and avoid it. Learn from it. If there are other people around, make sure your behaviour is noticeable so they take care of you and don’t do what you just did. If they look after you, you’ll probably do the same thing again when you hurt, if they don’t you probably won’t. This is one description of pain behaviour and how it works. It’s the only part of our pain experience that we can share directly with one another (actions and words). The “doing” part is also the part that is most affected by pain – even distress is signalled to others &nd...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Uncategorized Chronic pain Clinical reasoning pain management Research Source Type: blogs
Source: Journal of Pain Research - Category: Anesthesiology Tags: Journal of Pain Research Source Type: research
Last week, I became involved in two situations of pain between the eyes that seemed to potentially be presentations of very serious medical conditions. Autumn took a call from her sister late on Friday afternoon. Her sister had been tested for COVID the day before and told Autumn she instantly felt a severe pain betweenRead more …The art and uncertainty of triage originally appeared inKevinMD.com.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Primary Care Source Type: blogs
Hi, I was wondering if anyone knows of any pain management docs in Scranton, PA or surrounding area (private practice or hospital employed). I'm looking to learn more about local market and network. Thank you.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
I've been getting a variety of lectures about various SCS waveforms from my faculty during fellowship, industry events, and society meetings. I think neuromodulation in general (not just SCS) is a fascinating therapy and has a lot of promise. However, I've become a bit disillusioned by the influence of industry in our understanding of these therapies that WE prescribe and implant into our patients. I've heard a lot about the novel mechanisms of action of the various different waveforms... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
By Drs. David Niesel and Norbert Herzog The epidemic of opioid abuse and the resulting increases in overdoses and deaths have been front and center in the news for quite some time. Now a little appreciated effect called hyperalgesia, an increased sensitivity to pain, can make these drugs less effective for chronic pain leading people to take higher and higher doses seeking relief, increasing the chance of addiction. Opioids can actually prolong and amplify pain rather than relieving it. Opioids are pain relieving drugs that include hydrocodone, oxycodone, morphine, codeine and other related drugs including illegal ones s...
Source: Science - The Huffington Post - Category: Science Source Type: news
Welp, we've done it, folks. It's finally come to this. There have been so many deaths from opioid overdose, so many addicts created, so many pills diverted, that the CDC is getting involved. Opioid pain medications, commonly prescribed to treat acute and chronic sources of pain, are a significant cause of morbidity (harm) and mortality (death) in America. In 2014, the CDC reported a total of 47,055 drug overdose deaths in the United States, 61% of which were attributable to opioids. So how exactly did we get here? Like most things in medicine, there is not one simple answer. But it's not that hard to trace things back a f...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
Conclusion Evaluating the potential harms of a commonly used drug—especially a complex substance like marijuana—is a challenging but vital task. Fully informed awareness of both the potential and proven benefits and the potential and proven harms of marijuana are necessary in order to have rational discussions with patients, teens, and decision makers regarding marijuana use. Based on a review of the current literature, we suggest the mnemonic DDUMB (dependence, driving, underachievement, mental illness, and “bad to worse”) as a tool that captures several of the more well-supported, brain-based risk...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Behavioral and Cognitive Neurology Child Adol Mental Disorders Cognition Current Issue Medical Issues Neurologic Systems and Symptoms Psychiatry Psychopharmacology Review Substance Use Disorders Cannabis dependence drug-related har Source Type: research
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