Emergency department opioid prescriptions decreased after legislation in New Jersey

In 2017, the US Department of Health and Human Services declared the opioid crisis a public health emergency [1]. Opioid overdose deaths have quadrupled in certain states over the past twenty years, and deaths are expected to rise by 147% from 2015 to 2025 [1]. On March 26, 2019, Purdue Pharma LP paid Oklahoma $270 million in a settlement for a claim of aggressive marketing oxycodone, and this lawsuit is probably the first of more than 1600 [2]. In response to the opioid epidemic, the Executive Office of the United States in March 19, 2018 proposed to cut nationwide opioid prescriptions by one-third within three years [3].
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research

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Conclusions: Prescription of opioids after low acuity urology procedures is significantly associated with increased opioid use at 1 yr after surgery; efforts should be made to reduce postoperative opioids, especially for urologic procedures that do not typically require opioids.Patient summary: Filling an opioid prescription after minor urologic surgeries is associated with an increased risk of persistent long-term use of opioid medications and a higher risk of serious long-term complications such as hospital visits for an opioid overdose.’
Source: European Urology - Category: Urology & Nephrology Source Type: research
CONCLUSIONS: This research identifies a cost-effective, replicable, and expandable ML-based methodology to estimate the true rates of suicide which may be partially masked during the opioid epidemic. PMID: 31536175 [PubMed - as supplied by publisher]
Source: Suicide and Life-Threatening Behavior - Category: Psychiatry & Psychology Authors: Tags: Suicide Life Threat Behav Source Type: research
WEDNESDAY, Sept. 18, 2019 -- Addiction and overdose deaths aren't the only consequence of America's opioid epidemic. Cases of a potentially deadly heart infection have risen alarmingly, too, a new study finds. This bacterial infection, called...
Source: Drugs.com - Daily MedNews - Category: General Medicine Source Type: news
Source: Centers for Disease Control and Prevention, Center for Preparedness and Response (CDC CPR). Published: 9/17/2019. This webinar for clinicians discusses Health and Human Services (HHS) and Centers for Disease Control and Prevention (CDC) recommendations for the prescribing or dispensing of naloxone to patients at risk for opioid overdose. Speakers detail the state of the opioid overdose epidemic, role of naloxone, guidance and recommendations for naloxone co-prescribing and prescribing, and findings from the August 2019 CDC Vitals Signs on Pharmacy-Based Naloxone Dispensing. (Video or Multimedia)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - Category: International Medicine & Public Health Source Type: news
Purdue Pharma, a pharmaceutical company facing an onslaught of litigation for allegedly contributing to the opioid crisis, filed for bankruptcy on Sunday as part of a tentative, yet controversial settlement with state and local governments. Purdue is being sued in various courts over using allegedly deceptive marketing practices to promote its prescription painkiller OxyContin. One major federal case before an Ohio judge involves at least 1,600 consolidated lawsuits from across the country, including regions hard-hit by the crisis, like Portsmouth, Ohio, and Huntington, W.Va. On Monday, the judge overseeing that case remov...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized onetime opioid crisis Source Type: news
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
BACKGROUND: The opioid epidemic in the United States is a national public health crisis. In recent years, marijuana legalization has been increasingly adopted by state governments as a policy intervention to control the opioid epidemic under the premise th...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
Authors: Brunette MF, Oslin DW, Dixon LB, Adler DA, Berlant J, Erlich M, First MB, Goldman B, Levine B, Siris S, Winston H Abstract The number of people with opioid use disorder and the number of overdose deaths in the United States have increased dramatically over the past 20 years. U.S. Congress passed the SUPPORT for Patients and Communities Act, which was signed into law in 2018, authorizing almost $8 billion to address the crisis. As experts in the treatment of central nervous systems disorders, psychiatrists can play a leading role in expanding treatment for people with opioid use disorder and in advocating f...
Source: Psychiatric Services - Category: Psychiatry Tags: Psychiatr Serv Source Type: research
Opioid analgesic misuse and abuse has given rise to an epidemic that has added to an increase in opioid-related overdoses and deaths. Adults with persistent noncancer pain (PNCP) are primarily treated with opioid analgesics. Many remain on these medications long term. Most of these patients are unaware of other effective measures for managing PNCP, such as nonpharmacologic modalities (NPMs). This lack of familiarity with NPMs presents a key contributor to the problem of NPM underuse among adult PNCP patients.
Source: Pain Management Nursing - Category: Nursing Authors: Tags: Review Article Source Type: research
Nature, Published online: 09 September 2019; doi:10.1038/d41586-019-02671-9Unless attention turns to what leads to addiction and overdose, treatment will always be out of date, says Judith Feinberg.
Source: Nature AOP - Category: Research Authors: Source Type: research
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