When an Iowa Family Doctor Takes On the Opioid Epidemic

Few primary care doctors are willing to do what Nicole Gastala has: endure the challenges of prescribing buprenorphine, a medication for opioid addiction.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Buprenorphine (Drug) Opioids and Opiates Addiction (Psychology) Pain-Relieving Drugs Heroin Doctors Iowa Dr. Nicole Gastala suboxone Source Type: news

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AbstractPurpose of ReviewThe purpose of this review is to examine the impact of the opioid epidemic in adolescents and young adults and recent findings regarding the treatment of opioid use disorder (OUD) in pediatric medical settings.Recent FindingsExisting guidelines for the treatment of chronic pain in adults are not intended to be applied to adolescents, who arguably may need different interventions that balance the need to mitigate the long-term impact of chronic pain with the need to limit opioid misuse. Screening, brief intervention, and referral to treatment is an important upstream strategy to prevent opioid misus...
Source: Current Addiction Reports - Category: Addiction Source Type: research
In the Scheetz household, back-to-school anxiety reached new heights this fall. Jami Scheetz’s 15-year-old son Devon, who has severe asthma, kicked a brutal vaping habit over the summer, with help from a nicotine patch. But as soon as school started and he was once again around kids vaping, his habit returned. On Sept. 12, Devon vaped at school and immediately began sweating and vomiting. Though Scheetz, who lives in Sellersville, Pa., says her son is now fine, she can’t shake thoughts of kids who have been hospitalized or died after using e-cigarettes. “Vaping scares me more [than smoking], because they ...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized vaping Source Type: news
Publication date: Available online 12 September 2019Source: EXPLOREAuthor(s): Arya. Nielsen, L.Susan. WielandAbstractCochrane is an international non-profit organization established in 1993 to produce and disseminate high quality and unbiased systematic reviews of evidence on health care interventions. At the forefront of systematic review methodology, Cochrane is generally accepted to be among the most carefully prepared and rigorous sources of systematic review evidence. There are numerous Cochrane reviews on nonpharmacologic interventions for pain and multiple Cochrane reviews evaluating acupuncture therapy in pain cond...
Source: EXPLORE: The Journal of Science and Healing - Category: Complementary Medicine Source Type: research
While Suboxone can be a helpful tool for many, it is important to also understand its addictive nature. Because it is an opioid, wondering if you can form an addiction to Suboxone can be answered simply: Yes. Although the rates of addiction are much smaller than those of other opioids, it is still important to take their addictive properties seriously and get help if you start to notice the signs and symptoms of addiction to Suboxone. What is Suboxone? According to their own website, Suboxone is a prescription medicine that contains the active ingredients buprenorphine and naloxone. It is used to treat adults who are depe...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction to Pharmaceuticals Substance Abuse addiction treatment addictionologist detox drug detox medical detox medicated-assisted detox prescription drug detox prescription medication suboxone Source Type: blogs
Jeffrey A. SingerAfter addressing the “meth epidemic” with the Combat Methamphetamine Epidemic Act of 2005 (don’t look now, but meth-related deaths are at historic highs, eclipsing those solely from prescription opioids), and after addressing the opioid epidemic by depriving patients of pain medication while  driving nonmedical users to more dangerous drugs, it appears politicians, assisted by an eager press, are setting their sights on fixing the newest “epidemic:” the “growing epidemic of e-cigarette use in our children.”Secretary of Health and Human Serv...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
The opioid epidemic in the US today is well-documented in the academic literature and lay press. In response, national and local efforts have increased awareness of the opioid epidemic, which may have decreased opioid exposure, especially among adolescents and young adults. Despite these efforts, some data suggest dentists are prescribing more opioids over time1. Oral and maxillofacial surgeons have been specifically identified as responsible for prescribing a large proportion of opioids to an at-risk population of adolescents and young adults following third molar (M3) operations, leading to inflammatory headlines such as...
Source: Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Authors: Source Type: research
Schedule II opioids have long been a common analgesic option for postoperative pain following third molar extractions. Despite their efficacy in treating moderate-to-severe pain, opioids have a high potential for addiction and abuse. Dental surgeries are a prominent source of unused opioids.1 In light of the current opioid epidemic, it is imperative that providers reduce excess opioid prescriptions, especially in adolescent patients. Use of non-opioids and weaker opioid agonists rather than the traditional schedule II opioids could reduce the risk of addiction and secondary exposure.
Source: Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Authors: Source Type: research
Abstract The current opioid crisis has raised awareness of the risks of misuse, addiction, and overdose with opioid prescribing for pain management in the perioperative and nonoperative care of surgical patients. Despite these risks, it is essential for surgical providers to provide safe and adequate functional pain control to enhance recovery. The purpose of this review is to outline the relevance of the US opioid crisis to surgical prescribing, describe strategies for opioid reduction using a stepwise therapy approach, and provide recommendations for improving the safety of opioid prescribing. Additional recomme...
Source: The Medical Clinics of North America - Category: General Medicine Authors: Tags: Surg Clin North Am Source Type: research
Abstract The opioid epidemic continues to be a serious public health concern. Many have pointed to prescription drug misuse as a nidus for patients to become addicted to opioids and as such, urologists and other surgical subspecialists must critically define optimal pain management for the various procedures performed within their respective disciplines. Controlling pain following penile prosthesis implantation remains a unique challenge for urologists, given the increased pain patients commonly experience in the postoperative setting. Although most of the existing urological literature focuses on interventions pe...
Source: Asian Journal of Andrology - Category: Urology & Nephrology Authors: Tags: Asian J Androl Source Type: research
Opioid abuse has become a critical threat to individuals and communities in the U.S. Unfortunately, physicians and other health care providers may unintentionally be contributing to the epidemic, as prescription opioid use often precedes opioid misuse, abuse, and addiction. Adequate pain management, however, remains an integral component of patient-centered care, particularly for surgical procedures. The purpose of this study is to characterize opioid prescription patterns among Mohs surgeons, to analyze how these practices may vary based on procedural volume, and to compare these practices to those of nonsurgical dermatol...
Source: Journal of the American Academy of Dermatology - Category: Dermatology Source Type: research
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