States' New Opioid Limits Being Met With Some Resistance

This piece comes to us courtesy of Stateline. Stateline is a nonpartisan, nonprofit news service of the Pew Charitable Trusts that provides daily reporting and analysis on trends in state policy. For governors and lawmakers in nearly every state, the soaring overdose death toll from prescription painkillers, heroin and fentanyl has become an urgent priority. Lawmakers in dozens of states took decisive action this year to stanch the flow of prescription pain drugs and help those addicted to them. Roughly 2.5 millionAmericans are addicted to opioids, and more than 28,000 people died of overdosesof painkillers or heroin in 2014, the highest toll ever. To keep even more people from becoming addicted to medicines such as Percocet, OxyContin and Vicodin, lawmakers in five states set limits on the number of pills a physician can prescribe to a patient for the first time. Twenty-nine states beefed up monitoring of filled prescriptions to prevent addicts from “doctor shopping” for more pills. Sixteen states expanded the use of naloxone, an overdose antidote drug few lawmakers had heard of just a year ago. And at least nine states adopted requirements that Medicaid and other insurers pay for all medically recommended addiction services, just as they would for other diseases, according to the National Conference of State Legislatures (NCSL). Among lawmakers, governors and the medical community, there is broad support for measures aimed at rescuing people from fatal overdoses...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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CONCLUSIONS: Sharp opioid dose restriction in outpatient treatment increases heroin and fentanyl use, explaining why recent years' decrease in United States opioid prescriptions has not reduced national mortality rates. Although Harm Reduction is the safest, most effective single approach, combining three interventions while improving pain and addiction prescribing practices is optimal. SCIENTIFIC SIGNIFICANCE: Scientific research needs to inform choice of opioid overuse interventions. (Am J Addict 2018;XX:1-3). PMID: 30311993 [PubMed - as supplied by publisher]
Source: American Journal on Addictions - Category: Addiction Authors: Tags: Am J Addict Source Type: research
See something of interest? Please share our postings with colleagues in your institutions! Spotlight The MAReport: the Summer/Fall 2018 issue of the MAReport newsletter is now available! This quarter, Executive Director Kate Flewelling wrote about how the National Library of Medicine and National Network of Libraries of Medicine are responding to the opioid crisis, including details on a new class that will be offered for the first time on November 28. National Network of Libraries of Medicine News Funding Applications Due: NNLM MAR has funding available for two grants of $19,000. Libraries, community-based organizations, ...
Source: NN/LM Middle Atlantic Region Blog - Category: Databases & Libraries Authors: Tags: Weekly Postings Source Type: news
ConclusionsOur current opioid prescription practice for postoperative pain management may exceed what patients need.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
By SEAN KELLY, MD   As doctors, we all took an oath when we graduated from medical school to “do no harm” to patients. It is, therefore, our duty to speak up and take action when there is an opportunity to prevent harm and improve patient care, safety and well-being. On average, the opioid crisis is killing more Americans on a monthly basis than traumatic injuries. It is time for the medical community to raise its voice even more loudly in support of proven technology that helps curb this crisis. This month, California Governor Jerry Brown became the latest state lawmaker to embrace electronic prescribi...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Pharmaceuticals Physicians EPCS Opioid crisis Opioids Source Type: blogs
Barriers to access to medication-assisted treatment (MAT) threaten addiction recovery and complicate the safety of clinicians’ jobs, thereby hindering the national response to the opioid epidemic. MAT is a treatment approach that combines medications with counseling and behavioral therapies to treat substance use disorders. Medications used in MAT are FDA-approved and clinically-driven; however, several MAT access issues create obstacles to achieving its full success in mitigating the opioid epidemic. Insurance access and coverage, geography/location, treatment cost, and drug policy emerge as the most formidable pai...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction Policy and Advocacy Psychology Psychotherapy Recovery Research Substance Abuse Treatment medication-assisted treatment opioid addiction opioid crisis Prescription Drug Addiction Source Type: blogs
“Drugs are a waste of time. They destroy your memory and your self-respect and everything that goes along with your self-esteem.” – Kurt Cobain I grew up in a close-knit, fairly religious family where children were seen and not heard, where mealtime meant everyone sat down together and exchanged pleasantries while enjoying the prepared-at-home repasts, complete with dessert. There was no distraction, either from television or radio, and the telephone ringing was a rare occurrence, quickly dispatched once the caller learned we were eating. In fact, nothing was so urgent back then. It was, indeed, a peacefu...
Source: Psych Central - Category: Psychiatry Authors: Tags: Addictions Substance Abuse Alcoholism Drug Abuse Opioid Addiction Source Type: news
As we follow the national opioid epidemic, with its greater than five deaths per hour from opioid overdoses, the focus is shifting to methods for limiting an individual’s exposure to these drugs. For most of us, our first contact with these highly addictive medications is after surgery. Studies now reveal that 60 percent of pills prescribed for pain after surgery go unused. These opioids often make their way to other family members, are kept for continued use by the surgical patient to maintain a feeling of euphoria, or even find their way out into the community. Limiting the number of pills and refills prescribed is...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions Surgery Source Type: blogs
From 1999 to 2015, almost 200,000 Americans died of drug overdoses involving prescription opioids19,24 contributing to an unprecedented drop in life expectancy among working age Americans.3 Increased opioid prescribing for chronic pain contributed to a national epidemic of prescription drug overdose and addiction.16
Source: The Journal of Pain - Category: Materials Science Authors: Source Type: research
(Penn State) About one in five college students reported in a survey that they knew someone who was addicted to pain medications, and nearly a third said they knew somebody who overdosed on painkillers or heroin, according to a team of undergraduate Penn State Lehigh Valley researchers.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
The Times of Northwest Indiana Paramedics in the Indianapolis suburb of Fishers are now providing nitrous oxide instead of fentanyl to patients in pain, the first department in the state to make the switch. Read more at The Times of Northwest Indiana   Switch Designed to Combat Epidemic of AddictionThe move is expected to reduce the amount of fentanyl administered to injured patients by about two-thirds, reducing the risk of addiction and eliminating harmful side effects, said Fishers Fire Capt. The nitrous oxide, commonly known as "laughing gas," will only be used in certain instances, such as for broke...
Source: JEMS: Journal of Emergency Medical Services News - Category: Emergency Medicine Tags: Patient Care News Source Type: news
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