Evidence-based clinical practice guideline for the pharmacologic management of acute dental pain in children: A report from the American Dental Association Science and Research Institute, the University of Pittsburgh School of Dental Medicine, and the Center for Integrative Global Oral Health at the University of Pennsylvania
Conclusions and practical implications: Nonopioid medications, specifically nonsteroidal anti-inflammatory drugs like ibuprofen and naproxen alone or in combination with acetaminophen, are recommended for managing acute dental pain after 1 or more tooth extractions (that is, simple and surgical) and the temporary management of toothache in children (conditional recommendation, very low certainty). According to the US Food and Drug Administration, the use of codeine and tramadol in children for managing acute pain is contraindicated.  (Source: Dental Technology Blog)
Source: Dental Technology Blog - September 1, 2023 Category: Dentistry Source Type: news

Strong Opioids Not Necessary After Fracture Surgery Strong Opioids Not Necessary After Fracture Surgery
For patients who have undergone fracture surgery, pain reduction can be achieved as effectively with acetaminophen plus codeine as with opioids, an Australian study shows.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 24, 2021 Category: Consumer Health News Tags: Orthopaedics News Source Type: news

When is Post-Operative Bleeding Most Likely to Occur after a Tonsillectomy?
Discussion Tonsillectomy is one of the most commonly performed surgical procedures in the US with pressure equalizing tubes and circumcisions also being among the top procedures. About 500,000 are performed yearly in the US in children under 15 years. Primary indications are recurrent throat infections (e.g. “< 7 episodes in past year, < 5 episodes in the past 2 years, or < 3 episodes per year in the past 3 years.”) and obstructive sleep apnea. Potential complications include: *Pain – treated with ibuprofen or acetaminophen as the first choice and other medications as needed. Pain control also d...
Source: PediatricEducation.org - July 19, 2021 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

More than half of US opioid prescriptions for dental procedures exceeded 3-day supply recommendations from CDC 2016 guidelines
New largescale study in the American Journal of Preventive Medicine found overprescription of opioids by dentists common, particularly to patients at high risk for substance abuse, and that almost 1/3 of patients received more powerful drugs than neededElsevierIMAGE: In this cross-sectional analysis of 542,958 dental visits by adult patients, between 1 in 4 and 1 in 2 opioid prescriptions exceeded the recommended morphine equivalents and days ' supply for...viewmore Credit: Michelle S. Woods Ann Arbor, February 4, 2020 - Dentists are among top prescribers of opioids in the US, however, whether their opioid presc...
Source: Dental Technology Blog - February 13, 2020 Category: Dentistry Source Type: news

Researchers Link Painkillers After Wisdom Teeth Removal To Opioid Crisis
BOSTON (CBS) – Some good news when it comes to the opioid crisis. The Massachusetts Department of Public Health says opioid-related overdose deaths fell nearly 11-percent in the first six months of this year compared to the first half of last year. One way that people are first introduced to opioids is after dental procedures and researchers in Michigan say thousands of kids a year could become new chronic opioid users after something as simple as having their wisdom teeth removed. Despite the fact that a combination of ibuprofen and Tylenol can effectively treat pain after a tooth extraction, many dentists still off...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - August 21, 2019 Category: Consumer Health News Authors: Health – CBS Boston Tags: Boston News Health Healthwatch Syndicated Local Dr. Mallika Marshall opioid crisis Source Type: news

Tylenol-Codeine (Acetaminophen and Codeine) - updated on RxList
(Source: RxList - New and Updated Drug Monographs)
Source: RxList - New and Updated Drug Monographs - February 26, 2019 Category: Drugs & Pharmacology Source Type: news

Fioricet with Codeine (Butalbital Acetaminophen Caffeine Capsules) - updated on RxList
(Source: RxList - New and Updated Drug Monographs)
Source: RxList - New and Updated Drug Monographs - February 25, 2019 Category: Drugs & Pharmacology Source Type: news

Study: Painkillers Prescribed By Dentist May Be Linked To Later Abuse
BOSTON (CBS) – A new study in JAMA finds that painkillers prescribed to teens and young adults by dentists may be associated with the abuse of these medications later on. Many people ages 16 to 21 have their wisdom teeth removed and sometimes dentists or oral surgeons send patients home with a prescription for opioids, like Vicodin or Tylenol with codeine. It is often the first time a young person has ever been exposed to opioids. Researchers at Stanford looked at tens of thousands of young people who received these painkillers for the first time from their dentists and found that almost 6 percent of them were later ...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - December 5, 2018 Category: Consumer Health News Authors: Health – CBS Boston Tags: Boston News Health Healthwatch Syndicated Local Watch Listen Dentist opioid abuse Painkillers Source Type: news

Are ibuprofen plus acetaminophen as good as opioids in treating acute extremity pain
3.5 out of 5 stars Effect of a Single Dose of Oral Opioid and Nonopioid Analgesics on Acute Extremity Pain in the Emergency Department: A Randomized Clinical Trial. Chang AK et al. JAMA 2017;318:1661-1667. Abstract As Dr. Demetrios Kyriacou points out in a must-read editorial accompanying this paper, a growing body of evidence clearly indicates that even short-term opioid use for painful injuries or procedures carries a significant risk of leading to chronic use and potential abuse. We are now realizing the importance of avoiding even limited use of drugs such as oxycodone and hydrocodone in opioid-naive patients, if at ...
Source: The Poison Review - November 22, 2017 Category: Toxicology Authors: Leon Gussow Tags: Medical acute pain analgesic emergency department opioid Source Type: news

Alternatives to Opioids for Pain Relief
A combination of Tylenol and Advil worked just as well as opioids for relief of pain in the emergency room, a randomized trial has found. (Source: NYT Health)
Source: NYT Health - November 8, 2017 Category: Consumer Health News Authors: NICHOLAS BAKALAR Tags: Pain-Relieving Drugs Tylenol (Drug) Emergency Medical Treatment OxyContin (Drug) Codeine Ibuprofen (Drug) Source Type: news

Over-The-Counter Pain Relievers Worked As Well As Opioids In New Study
CHICAGO (AP) — Emergency rooms are where many patients are first introduced to powerful opioid painkillers, but what if doctors offered over-the-counter pills instead? A new study tested that approach on patients with broken bones and sprains and found pain relievers sold as Tylenol and Motrin worked as well as opioids at reducing severe pain. The results challenge common ER practice for treating short-term, severe pain and could prompt changes that would help prevent new patients from becoming addicted. The study has limitations: It only looked at short-term pain relief in the emergency room and researchers didn’t...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - November 7, 2017 Category: Consumer Health News Authors: Health – CBS Boston Tags: Health Local News Confronting The Crisis opioid crisis Source Type: news

"Tampering to death": a fatal codeine intoxication due to a homemade purification of a medical formulation - Fais P, Pigaiani N, Cecchetto G, Montisci M, Gottardo R, Viel G, Pascali JP, Tagliaro F.
Many homemade tamper processes of medical codeine formulations are available on selected "forums" on the Internet, where recreational codeine users claim to be able to purify codeine by removing additives, such as acetaminophen, to avoid or limit adverse e... (Source: SafetyLit)
Source: SafetyLit - March 17, 2017 Category: Global & Universal Tags: Alcohol and Other Drugs Source Type: news

Acetaminophen and Codeine Phosphate Oral Suspension USP (Capital and Codeine) (New - Discontinuation)
Updated Drug Shortage (Source: FDA Drug Shortages)
Source: FDA Drug Shortages - January 27, 2017 Category: Drugs & Pharmacology Source Type: news

Pediatricians Say Codeine Is Not Safe For Children
Codeine is not safe to give to kids. The American Academy of Pediatrics issued a statement this week urging parents and doctors to stop giving children under the age of 18 both prescription and over-the-counter medications that include codeine, such as cough syrup and pain relievers.  “People have this very false misconception about codeine, thinking that it’s safer than other opioids,” Dr. Joseph Tobias, one of the study’s lead authors, told The Huffington Post. “Our whole push for writing this manuscript was to educate clinicians and push regulatory boards to pull codeine off the m...
Source: Healthy Living - The Huffington Post - September 21, 2016 Category: Consumer Health News Source Type: news

Pediatricians Say Codeine Is Not Safe For Children
Codeine is not safe to give to kids. The American Academy of Pediatrics issued a statement this week urging parents and doctors to stop giving children under the age of 18 both prescription and over-the-counter medications that include codeine, such as cough syrup and pain relievers.  “People have this very false misconception about codeine, thinking that it’s safer than other opioids,” Dr. Joseph Tobias, one of the study’s lead authors, told The Huffington Post. “Our whole push for writing this manuscript was to educate clinicians and push regulatory boards to pull codeine off the m...
Source: Science - The Huffington Post - September 21, 2016 Category: Science Source Type: news