Linking Emergency Services to Chronic Disease Management for Addiction
No abstract available (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Letter to the Editor Source Type: research
False-positive Fentanyl Urine Detection after Initiation of Labetalol Treatment for Hypertension in Pregnancy: A Case Report
We present 3 pregnant or postpregnant persons with SUDs who experienced presumptive positive urine immunoassays for fentanyl while prescribed LH for perinatal HD.
Discussion
Labetalol hydrochloride treatment for HD in pregnancy can result in presumptive positive urine immunoassays for fentanyl. Unrecognized or misinterpreted, this phenomenon can lead to significant consequences for pregnant and postpartum persons with co-occurring substance use and hypertensive disorders. Clinicians caring for pregnant persons with SUDs must be aware of this phenomenon and its sequelae when ordering and interpreting urine immunoassa...
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Case Reports Source Type: research
Microdose Induction of Buprenorphine in a Patient Using Tianeptine
We report a case of a middle-aged male with a 3-year history of tianeptine use who presented to an outpatient clinic looking for addiction treatment options after failed attempts at tapering his daily dosage of approximately 10 grams per day. The patient underwent a microdose induction of sublingual buprenorphine over a 7-day period (0.25–12 mg) while continuing tianeptine use, and self-monitored for withdrawal symptoms daily using the Clinical Opiate Withdrawal Scale. The patient was seen over the course of treatment by a board-certified toxicologist and addiction specialist on day 2, 5, 6, and 14 to ensure patient safe...
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Case Reports Source Type: research
Triple Threat: Response to the Crises of COVID-19, Homelessness, and Opioid Use Disorder With a Novel Approach to Buprenorphine Delivery: A Case Series
Conclusions
Our findings suggest that this system of onsite medical care with pharmacist delivery is possible and has the potential to allow for greater outreach and increased ease of obtaining medications for patients. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Case Reports Source Type: research
Feasibility of Emergency Department–based Fentanyl Test Strip Distribution
Conclusions
This report demonstrates the feasibility and acceptability of ED fentanyl test strip distribution among patients with opioid-related ED visits. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Brief Reports Source Type: research
Changes in Alcohol Consumption by Beverage Type Attributable to the COVID-19 Pandemic for 10 States, March 2020 to November 2020: An Ecological Simulation-based Analysis
Conclusions
During the COVID-19 pandemic, spirits consumption increased relative to wine and beer. Increased consumption of higher potency alcohol beverages could lead to higher alcohol-related healthcare and societal burden. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Brief Reports Source Type: research
Escalation of Opioid Withdrawal Frequency and Subsequent AMA Rates in Hospitalized Patients From 2017 to 2020
Objective
To measure trends for the emergence of opioid withdrawal (OW) and leaving against medical advice (AMA) among hospitalized patients.
Method
Retrospective time-series of hospitalized patients with OW, defined by a Clinical Opioid Withdrawal score>8, using electronic health record data at a tertiary health system and of patients with a discharge status of AMA from January 1, 2017 to December 31, 2020.
Results
The average number of monthly hospitalizations with OW showed a year-to-year increment of 15% in 2018, 21% in 2019, and 34% from 2019 to 2020, whereas the total monthly hospitalizations remain...
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Brief Reports Source Type: research
Discordance Between Self-reported and Biologically Tested Exposure to Fentanyl Among People at Risk of Opioid Overdose
This study aims to measure the degree of concordance between self-reported and biologically tested exposure to fentanyl. We conducted a cross-sectional analysis using survey and urinalysis data collected between 2019 and 2020 from Anne Arundel County, Maryland. Among urinalysis participants (n =113), 30% reported daily fentanyl use, and among this group, only 54% had a fentanyl-positive result. Cohen Kappa between self-reported and biologically detected fentanyl use was 0.26, indicating minimal agreement between the 2 markers. Limitations to interpreting self-reported and urinalysis data are discussed in this report. (Sour...
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Brief Reports Source Type: research
Three-year Retention Rates With Office-based Treatment of Buprenorphine for Opioid Use Disorder in a Private Family Medicine Practice
Conclusions
Office-based opioid treatment with buprenorphine in a family medicine practice setting resulted in high retention rates, emphasizing the importance of continuity of care and integration of primary care within the OUD treatment model. Further research is needed on barriers to implementation of OBOT among family medicine providers. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Original Research Source Type: research
Effects of Early Life Trauma on Risks for Adult Opioid Use Disorder Are Mediated by Stress and Occur Independent of Depression and Anxiety
Conclusions
These data support existing evidence that greater ELT may influence adult OUD severity and identify perceived stress as a potential mechanistic contributor to this association. Results are preliminary in nature but support continued research into mechanisms underlying the association between ELT and OUD, particularly conformational changes in the stress system resultant from ELT, and interventions to mitigate the impact of ELT on OUD development and/or develop trauma-informed OUD treatment approaches. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Original Research Source Type: research
Perspectives of Patients Receiving Telemedicine Services for Opioid Use Disorder Treatment: A Qualitative Analysis of User Experiences
Conclusions
Patients engaged in one fully virtual tele-OUD service described unique advantages of tele-OUD. More research is needed to determine the appropriateness of tele-OUD for people in various stages of recovery, and data on long-term treatment outcomes are needed to inform decisions regarding the regulation and reimbursement of fully virtual and hybrid care models for OUD. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Original Research Source Type: research
Circumstances Around Cigarette Use after Enforced Abstinence From Smoking in an American Prison
Conclusions
High rates of return to smoking occurred rapidly when around other smokers, using other substances, and in a positive mood. Interventions that focus specifically on these factors and can be immediately accessed upon release are required to help sustain people's desired abstinence. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Original Research Source Type: research
Buprenorphine-naloxone Versus Buprenorphine for Treatment of Opioid Use Disorder in Pregnancy
Conclusions
Compared with BUP, the use of BUP-NX in pregnancy is not associated with a higher risk of return to opioid use or a higher need for pharmacological treatment for NOWS. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Original Research Source Type: research
COVID-19 Vaccination Status and Concerns Among People Who Use Drugs in Oregon
Conclusions
As addiction medicine and public health staff continue to respond to the evolving impacts of COVID-19, vaccination planning should be tailored to the unique needs of PWUD to increase COVID-19 vaccine acceptance in this high-risk population. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Original Research Source Type: research
An Exploration of Young Adults With Opioid Use Disorder and How Their Perceptions of Family Members’ Beliefs Affects Medication Treatment
Conclusions
In this qualitative exploration of young adults with OUD, we found that young adults felt that their families held important beliefs about the kind of treatment family members found most appropriate, and these perceived family beliefs impacted their treatment choices. Future research to improve engagement and retention of youth adults with OUD could target the beliefs of family members. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2022 Category: Addiction Tags: Original Research Source Type: research
