Risks of opioid abuse among uninsured primary care patients utilizing a free clinic - Kamimura A, Panahi S, Rathi N, Weaver S, Pye M, Sin K, Ashby J.

The annual number of opioid prescriptions for pain relief has been increasing in the United States. This increase has raised concerns about prescription opioid abuse and overdose. The purpose of this study was to examine opioid risks (risk factors that inc...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Related Links:

​The atomizer is a handy tool to instill life-saving medication into the nose, and you should consider stocking them if you don't already. An atomizer can be used to administer naloxone and countless other drugs as well as for moderate sedation and pain control. Pediatric and adult patients alike can benefit from intranasal fentanyl or Versed. Studies on intranasal epinephrine for anaphylaxis also look promising, but it does require a higher dose—5 mg instead of 0.3 mg. (Asian Pac J Allergy Immunol 2016;34[1]:38; http://bit.ly/2Prpjhb.)The atomizer is easy to use and can be attached to any syringe. Each spray creat...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
The American Medical Association (AMA) has pushed back against the movement to arbitrarily restrict opioids for pain management. The AMA's House of Delegates last week approved a resolution that praised the federal Centers for Disease Control and Prevention (CDC) for “its efforts to prevent incidence of new cases of opioid misuse, addiction, and overdose deaths,” but also urged the AMA to argue against putting blanket limits on the amount and dosage of opioids that physicians can prescribe. “This is a recognition that there are many patients we deal with d aily who are outside the norms proffered by the C...
Source: Alcoholism and Drug Abuse Weekly - Category: Addiction Tags: Briefly Noted Source Type: research
Fentanyl-related overdoses are an urgent public health concern in many communities in the U.S. (Ciccarone, 2017; Frank and Pollack, 2017). Fentanyl, a synthetic opioid 50-100 times more potent than morphine, is clinically used in anesthesia and for chronic pain management (Higashikawa and Suzuki, 2008; Volpe et al., 2011). In many cases, people who use drugs (PWUD) are unknowingly ingesting fentanyl. In a study among people who use drugs across British Columbia, Canada, 29% of respondents tested positive for fentanyl, 73% of whom reported not knowingly using fentanyl (Amlani et al., 2015).
Source: Drug and Alcohol Dependence - Category: Addiction Authors: Tags: Full length article Source Type: research
Overdose is a continuing public health crisis. According to the Centers for Disease Control and Prevention, nearly 64,000 Americans died from drug overdose in 2016 – nearly 175 every day. (Hedegaard et al., 2017) Drug overdose deaths – the majority of which are caused by opioids, either alone or in combination with other substances – now kill more Americans than did HIV/AIDS at the peak of that epidemic. (Dowell et al., 2017)
Source: Drug and Alcohol Dependence - Category: Addiction Authors: Source Type: research
“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
Considerable debate surrounds the prescribing of opioid analgesics internationally for non-cancer chronic pain (H äuser et al., 2017; Katz, 2016; Novak et al., 2016; Okie, 2010). There is limited evidence supporting the efficacy of prescription opioids in managing chronic pain (Chou et al., 2015a). Concerns have also emerged about the safety of long-term opioid therapy (i.e., greater than 90 days) because it m ay increase the risk of overdose death (Dunn et al., 2010), all-cause mortality (Ray et al., 2016), and nonmedical use of prescription opioids (NMUPO)(Becker et al., 2008).
Source: Drug and Alcohol Dependence - Category: Addiction Authors: Tags: Full length article Source Type: research
Drug abuse and obesity are two significant public health threats that affect millions of Americans. Results from the 2014 National Survey on Drug Use and Health suggest that among people aged 12 or older in 2014, 4.3 million were current, non-medical users of opioid pain medication, 0.4 million were current heroin users, 1.5 million were current cocaine users, and 1.6 million were non-medical users of stimulants (Center for Behavioral Health Statistics and Quality, 2015). More Americans aged 25 –64 now die from drug overdose than from motor vehicle accidents (National Center for Injury Prevention and Control, 2014).
Source: Drug and Alcohol Dependence - Category: Addiction Authors: Source Type: research
“A crisis is a terrible thing to waste,” is a phrase coined by Stanford economist Paul Romer. Politicians are always in search of new crises to address—new fires to put out—with rapid and decisive action. In their passion to appear heroic to their constituents they often act in haste, not ta king the time to develop a deep and nuanced understanding of the issue at hand, insensitive to the notion that their actions might actually exacerbate the crisis.An example of that lack of understanding was made apparent in a  press release by the office of House Majority Whip Steve Scalise (R-LA) on J...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
​​BY STUART ETENGOFF, DO, &ABDULLAH ​BOKHARI​, AB, DOA 20-year-old Caucasian man presented via EMS with a chief complaint of withdrawal from ketamine and secondary complaints of abdominal pain, blood in his urine, and painful urination with urgency for two days.He said he had been using ketamine intravenously daily for the past five days, up to 35 grams over the past week. His last use was 24 hours prior to presentation to the ED. He stated that he had been using ketamine regularly for four years and that he has used it intravenously, orally, and intranasally.He reported a history of ADHD and a family hist...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
More News: Alcoholism | Overdose | Pain | Primary Care | Study | Substance Abuse | Uninsured | USA Health