Transportation Issues Hinder Opioid Treatment in Rural Areas, Experts Tell House Committee
Covers a recent U.S. House of Representatives hearing held to determine if federal funding is being used effectively to address the opioid crisis and to discuss how states are overcoming lack of transportation as a barrier to treatment services in rural areas. West Virginia was one state to speak on their success, stating that for the first time in ten years, opioid overdose deaths decreased due to increased naloxone distribution, additional training, and the utilization of Quick Response Teams. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - January 30, 2020 Category: Rural Health Source Type: news

U.S. life expectancy up for first time in four years, rises to 78.7 years
Analysis of 2018 data by the CDC reveals that deaths from cancer, heart disease and other leading causes have either declined or remained unchanged -- including the first decrease for overdose deaths in 28 years. (Source: Health News - UPI.com)
Source: Health News - UPI.com - January 30, 2020 Category: Consumer Health News Source Type: news

Naloxone Prescribing Increasing but Still Very Low
TUESDAY, Jan. 28, 2020 -- Naloxone prescribing has increased but is still very low among patients at risk for opioid overdose, according to a study recently published in the Journal of General Internal Medicine. Lewei (Allison) Lin, M.D., from the... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - January 28, 2020 Category: Pharmaceuticals Source Type: news

Psychiatry and the opioid overdose crisis - Madras BK, Connery H.
For the third year in a row, the Centers for Disease Control and Prevention reported an unprecedented decline in life expectancy for the United States, a decline attributable mainly to drug overdose deaths and suicides. Drug overdoses have continued to ris... (Source: SafetyLit)
Source: SafetyLit - January 27, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Could You Save a Life From Opioid Overdose?
MONDAY, Jan. 27, 2020 -- As the United States grapples with an opioid abuse crisis, Americans are being urged to learn how to recognize and respond to overdoses from these and other drugs. A populace better prepared to spot and respond to opioid... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - January 27, 2020 Category: General Medicine Source Type: news

Pharmaceutical execs "got away with murder," says mom of overdose victim
Insys Therapeutics founder John Kapoor was sentenced to five and a half years for his role in bribing doctors to prescribe Subsys. (Source: Health News: CBSNews.com)
Source: Health News: CBSNews.com - January 24, 2020 Category: Consumer Health News Source Type: news

Naloxone dosing in the era of ultra-potent opioid overdoses: a systematic review - Moe J, Godwin J, Purssell R, O'Sullivan F, Hau JP, Purssell E, Curran J, Doyle-Waters MM, Brasher PMA, Buxton JA, Hohl CM.
OBJECTIVEsEvaluate the relationship between naloxone dose (initial and cumulative) and opioid toxicity reversal and adverse events in undifferentiated and presumed fentanyl/ultra-potent opioid overdoses.METHODSWe searched Embase, MEDLINE, Cochrane ... (Source: SafetyLit)
Source: SafetyLit - January 21, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Benzos might be a 'hidden element' of the US' overdose epidemic
Doctors have been increasingly prescibing benzodiazepines, also known as "benzos," a new study finds. (Source: CNN.com - Health)
Source: CNN.com - Health - January 21, 2020 Category: Consumer Health News Source Type: news

Choosing Freedom, After Decades of Switching Addictions
This article includes references to self-injury, intravenous drug use and disordered eating.* One in five US high school students have reported being bullied. Approximately 160,000 teenagers have skipped school as a preventative measure. I encountered bullies for the first time in second grade, in the midst of such an innocent time of my youth. I dreaded entering my elementary school classroom, as I was well aware of what my presence would entail. I endured both verbal and physical harassment from my fellow peers for nearly a decade. I was passive, inevitably leading to the acceptance of my “fate,” in addition ...
Source: Psych Central - January 20, 2020 Category: Psychiatry Authors: Megan Lane Tags: Addictions Anorexia Bullying Depression Eating Disorders Personal Stories Substance Abuse Addiction Recovery Anorexia Nervosa Drug Use heroin Self Harm Self Injury Source Type: news

Bismuth intoxication resulting in acute kidney injury in a pregnant adolescent girl - Çelebi-Tayfur A, Yaradılmış RM, Ulus F, Çaltık-Yılmaz A, Özayar E, Koşar B, Büyükkaragöz B, Horasanli E.
We present here a case of an adolescent pregnant girl who developed AKI due to an overdose of colloidal bismuth subcitrate (CBS... (Source: SafetyLit)
Source: SafetyLit - January 20, 2020 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

An assessment of the limits of detection, sensitivity and specificity of three devices for public health-based drug checking of fentanyl in street-acquired samples - Green TC, Park JN, Gilbert M, McKenzie M, Struth E, Lucas R, Clarke W, Sherman SG.
This study examined the validity in identifying the presence of fentanyl of three portable devices that cou... (Source: SafetyLit)
Source: SafetyLit - January 20, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Assessing the impact of drug courts on provider-directed marketing efforts by manufactures of medications for the treatment of opioid use disorder - Andraka-Christou B, Nguyen T, Bradford DW, Simon K.
BACKGROUND: Opioid use disorder (OUD) has become an increasingly consequential public health concern, especially in the United States where 47,600 opioid overdose deaths occurred in 2017 (Scholl, Seth, Kariisa, Wilson,& Baldwin, 2019). Medications for OUD... (Source: SafetyLit)
Source: SafetyLit - January 20, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Impact of a multidisciplinary educational training program (OverdosED) on knowledge and perceptions of depressant substance use on a college campus - Musco S, Hargett B, Shollenberger T, Kicklighter J, Carilli C.
Objective: Pilot study to assess the efficacy of a multidisciplinary educational training program (OverdosED) designed to increase college students' knowledge of and confidence in their ability to appropriately recognize and respond to suspected ove... (Source: SafetyLit)
Source: SafetyLit - January 18, 2020 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Impact of opioid dose escalation on the development of substance use disorders, accidents, self-inflicted injuries, opioid overdoses and alcohol and non-opioid drug-related overdoses: a retrospective cohort study - Hayes CJ, Krebs EE, Hudson T, Brown J, Li C, Martin BC.
AIM: To understand the potential harmful effects of dose escalation among patients with chronic, non-cancer pain (CNCP) on chronic opioid therapy. DESIGN: Retrospective cohort study. SETTING: United States Veterans Healthcare Administration. PARTIC... (Source: SafetyLit)
Source: SafetyLit - January 18, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Just 2% of Patients Who Need It Get Anti-Opioid Drug Naloxone
FRIDAY, Jan. 17, 2020 -- Naloxone can prevent opioid overdose deaths, but only a tiny percentage of Americans at risk are prescribed the lifesaving drug. That's the key finding from an analysis of nationwide data on adults with private health... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - January 17, 2020 Category: General Medicine Source Type: news

Just 2 & #37; of Patients Who Need It Get Anti-Opioid Drug Naloxone
FRIDAY, Jan. 17, 2020 -- Naloxone can prevent opioid overdose deaths, but only a tiny percentage of Americans at risk are prescribed the lifesaving drug. That's the key finding from an analysis of nationwide data on adults with private health... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - January 17, 2020 Category: General Medicine Source Type: news

Vancouver's drug-dispensing machine: Why it exists and how it works
Health advocates say a safe supply of opioids is critical to help stop people from overdosing on tainted street drugs. Now, a pilot project in Vancouver's Downtown Eastside provides some high-risk users with access to an automated machine that dispenses opioids prescribed by a doctor. (Source: CBC | Health)
Source: CBC | Health - January 17, 2020 Category: Consumer Health News Tags: News/Canada/British Columbia Source Type: news

2% of Young Patients See Timely Access to Care After Opioid Overdose
Provides an overview of a study that found only two percent of young people who have survived an opioid overdose had access to treatment that could have prevented another overdose from happening. Describes how behavioral health services, addiction treatment, and medically assisted treatment can help young people overcome addiction. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - January 17, 2020 Category: Rural Health Source Type: news

The rapidly changing US illicit drug market and the potential for an improved early warning system: evidence from Ohio drug crime labs - Rosenblum D, Unick J, Ciccarone D.
BACKGROUND: The US has seen a rapid increase in synthetic opioid-related overdose deaths. We investigate Ohio, a state with one of the highest overdose death rates in 2017 and substantial numbers of deaths related to fentanyl, carfentanil, and other fentan... (Source: SafetyLit)
Source: SafetyLit - January 16, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

U.S., Arizona life expectancy falls, driven by deaths of younger people
WASHINGTON – After decades of steady increases, life expectancy in the U.S. ticked down slightly in the most recent years data was collected, a drop attributed to a rise in “cause-specific” deaths like suicides and drug overdoses among those aged 25 to 64. The same was true in Arizona where, even though life expectancy was still higher than the national average, it was dropping at a similar rate. The report in the Journal of the American Medical Association said that after rising to 79.1… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - January 16, 2020 Category: Pharmaceuticals Source Type: news

U.S., Arizona life expectancy falls, driven by deaths of younger people
WASHINGTON – After decades of steady increases, life expectancy in the U.S. ticked down slightly in the most recent years data was collected, a drop attributed to a rise in “cause-specific” deaths like suicides and drug overdoses among those aged 25 to 64. The same was true in Arizona where, even though life expectancy was still higher than the national average, it was dropping at a similar rate. The report in the Journal of the American Medical Association said that after rising to 79.1… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - January 16, 2020 Category: Biotechnology Source Type: news

US drug epidemic may have killed TWICE as many official count
Death certificates used in federal counts of drug deaths don't capture those who die due to drug use, but didn't overdose, creating an undercount, according to U Penn and Georgetown researchers. (Source: the Mail online | Health)
Source: the Mail online | Health - January 16, 2020 Category: Consumer Health News Source Type: news

Severe intoxication caused by sodium-glucose cotransporter 2 inhibitor overdose: a case report - Nakamura M, Nakade J, Toyama T, Okajima M, Taniguchi T.
BACKGROUND: Sodium-glucose cotransporter 2 (SGLT2) inhibitors inhibit SGLT2, which is expressed in the proximal renal tubule, and thus reduce blood glucose levels by enabling the urinary excretion of excess glucose. SGLT2 inhibitors have been reported to s... (Source: SafetyLit)
Source: SafetyLit - January 14, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Coroner raps trust for not realising woman was in ‘imminent danger’
A coroner has criticised an ambulance trust after it took nearly four hours to reach a woman who had taken an overdose. (Source: HSJ)
Source: HSJ - January 13, 2020 Category: UK Health Source Type: news

'There's nothing for him,' says mom of son with brain injury from fentanyl overdoses
Some health experts in Calgary say the opioid crisis has spawned a new cohort of patients who are falling through the cracks. One woman shares her struggle to help her brain-injured, drug-addicted son. (Source: CBC | Health)
Source: CBC | Health - January 13, 2020 Category: Consumer Health News Tags: News/Canada/Calgary Source Type: news

Polysubstance use in rural West Virginia: associations between latent classes of drug use, overdose, and take-home naloxone - Schneider KE, O'Rourke A, White RH, Park JN, Musci RJ, Kilkenny ME, Sherman SG, Allen ST.
BACKGROUND: Rural communities in the United States have been disproportionately affected by the opioid crisis. Little research has explored the relationship between polysubstance use and overdose experiences among people who inject drugs (PWID) in rural co... (Source: SafetyLit)
Source: SafetyLit - January 13, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Predictors of ICU admission and long-term outcomes in overdose presentations to Emergency Department - Savage M, Kung R, Green C, Thia B, Perera D, Tiruvoipati R.
OBJECTIVE: To describe the characteristics of patients presenting to an Emergency Department (ED) following overdoses; to identify risk factors for intensive care unit (ICU) admission among these patients; and to identify the rate of mortality and repeat o... (Source: SafetyLit)
Source: SafetyLit - January 13, 2020 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

U.S. Drinking Deaths Double in 2 Decades With Faster Rate for Women: Study
Deaths from boozing and bingeing more than doubled in the past two decades, as alcohol consumption per person rose 8%, with sharp increases in the rate for women and the middle-aged. Men were three-quarters of the total but fatalities for women rose at a faster rate: 85% versus 39% for males, according to 1999-2017 research by the National Institute on Alcohol Abuse and Alcoholism. Total U.S. alcohol deaths reached 72,558 in 2017 — up from 35,914 in 1999 — with almost a third tied to liver disease, according to the study. Over 18 years, the total was almost 1 million. “The report is a wakeup call to the ...
Source: TIME: Health - January 11, 2020 Category: Consumer Health News Authors: Steve Geimann / Bloomberg Tags: Uncategorized onetime public health Source Type: news

Few Poor U.S. Teens Get Opioid Addiction Treatment Few Poor U.S. Teens Get Opioid Addiction Treatment
Less than one third of teens and young adults who overdose on opioids receive addiction treatment afterward, and the few who do get help receive counseling instead of medication to combat substance misuse, a U.S. study suggests.Reuters Health Information (Source: Medscape Allergy Headlines)
Source: Medscape Allergy Headlines - January 10, 2020 Category: Allergy & Immunology Tags: Psychiatry News Source Type: news

Total Opioid Overdose Deaths Down With Medicaid Expansion
FRIDAY, Jan. 10, 2020 -- Medicaid expansion is associated with a reduction in total opioid overdose deaths and with increases in methadone-related mortality, according to a study published online Jan. 10 in JAMA Network Open. Nicole Kravitz-Wirtz,... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - January 10, 2020 Category: Pharmaceuticals Source Type: news

Medicaid expansion may have saved thousands from drug overdose deaths
Increased availability of addiction treatment for the poor linked to fewer heroin and fentanyl opioid deaths (Source: Washington Post: To Your Health)
Source: Washington Post: To Your Health - January 10, 2020 Category: Consumer Health News Authors: Lenny Bernstein Source Type: news

Obamacare May Have Prevented Many Opioid-Related Deaths
FRIDAY, Jan. 10, 2020 -- The Medicaid expansion brought in by Obamacare may have prevented thousands of deaths from opioid overdoses, a new study suggests. Researchers found that in U.S. states that expanded their Medicaid programs under the... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - January 10, 2020 Category: General Medicine Source Type: news

'Like A Flu Shot' For Addiction Crisis - Training High School Students as Recovery Coaches
The opioid epidemic has hit rural West Virginia hard, one school created the "life and recovery coach academy" to educate students on administering opioid overdose reversal medications and on how to help those struggling with substance use disorders. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - January 10, 2020 Category: Rural Health Source Type: news

Research shows nasal spray antidote is easiest to give for opioid overdose
(Binghamton University) Of three possible ways for people to deliver the life-saving antidote naloxone to a person experiencing an opioid overdose, the use of a nasal spray was the quickest and easiest according to research conducted by William Eggleston, clinical assistant professor at Binghamton University, State University of New York, and colleagues at SUNY Upstate Medical University. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - January 10, 2020 Category: International Medicine & Public Health Source Type: news

Medicaid expansion associated with fewer opioid overdose deaths across the US
(NYU Langone Health / NYU School of Medicine) The expansion of Medicaid coverage for low-income adults permitted by the Affordable Care Act (ACA) was associated with a 6% reduction in total opioid overdose deaths nationally, according to new research from NYU Grossman School of Medicine and University of California, Davis. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - January 10, 2020 Category: International Medicine & Public Health Source Type: news

Alcohol - Fueled Deaths Doubled in U.S. Over Past 20 Years
Nearly half of alcohol - related deaths resulted from liver disease or overdoses (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - January 10, 2020 Category: Psychiatry Tags: Family Medicine, Gastroenterology, Internal Medicine, Emergency Medicine, Psychiatry, Journal, Source Type: news

After opioid overdose, poor teens rarely get addiction treatment
(Reuters Health) - Less than one third of teens and young adults who overdose on opioids receive addiction treatment afterward, and the few who do get help receive counseling instead of medication to combat substance misuse, a U.S. study suggests. (Source: Reuters: Health)
Source: Reuters: Health - January 9, 2020 Category: Consumer Health News Tags: healthNews Source Type: news

Overdose rates higher & opioid addiction care scarcer, in Medicaid work requirement states
(Michigan Medicine - University of Michigan) Low-income people with addiction, especially those with addiction to opioids, may find it hard to access the kind of care they need to recover no matter where they live, a new study suggests. But treatment for opioid problems is especially scarce in states that may drop people from Medicaid health insurance rolls -- unless they can show that they're working, in school, have a disability or are medically frail or receiving substance use disorder treatment. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 9, 2020 Category: International Medicine & Public Health Source Type: news

Study examines opioid involvement in US drug overdoses
(Wiley) A recent analysis published in Addiction reveals how fatal overdoses involving stimulants (cocaine and other psychostimulants, primarily methamphetamine) have been increasing over the past few years. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 8, 2020 Category: International Medicine & Public Health Source Type: news

This drug could save their lives, but less than 2% of them get it
(Michigan Medicine - University of Michigan) Only a tiny minority of people at risk for an opioid overdose actually are prescribed a drug that could save their lives, a new study suggests. And the odds of having a dose of the rescue drug were very low among some of the most at-risk groups, including those who had already survived a previous opioid overdose. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 8, 2020 Category: International Medicine & Public Health Source Type: news

A Fine Balance: Report Aims to Curb Opioid Epidemic, Manage Pain A Fine Balance: Report Aims to Curb Opioid Epidemic, Manage Pain
A new consensus report from the National Academies of Sciences, Engineering, and Medicine aims to address the US epidemic of opioid misuse and overdose while ensuring effective pain management.Medscape Medical News (Source: Medscape Neurology and Neurosurgery Headlines)
Source: Medscape Neurology and Neurosurgery Headlines - January 7, 2020 Category: Neurology Tags: Neurology & Neurosurgery News Source Type: news

CDC Data May Be Underreporting Scope of Overdose Deaths
TUESDAY, Jan. 7, 2020 -- Data from the U.S. Centers for Disease Control and Prevention may be underreporting overdose deaths caused by opioids and other drugs, according to a report published online Jan. 7 in Drug and Alcohol Dependence. Troy C.... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - January 7, 2020 Category: Pharmaceuticals Source Type: news

Few Youths Receive Addiction Treatment After Opioid Overdose
Only 1.9 percent of Medicaid - enrolled youth received pharmacotherapy after nonfatal opioid overdose (Source: The Doctors Lounge - Psychiatry)
Source: The Doctors Lounge - Psychiatry - January 7, 2020 Category: Psychiatry Tags: Family Medicine, Nursing, Pediatrics, Pharmacy, Psychiatry, Emergency Medicine, Journal, Source Type: news

Few Teens Who Survive Opioid OD Get Recommended Care
TUESDAY, Jan. 7, 2020 -- Even after surviving an opioid overdose, few U.S. teenagers receive the recommended treatment for their addiction, a new study shows. Researchers found that of nearly 3,800 teenagers and young adults who'd suffered an... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - January 7, 2020 Category: General Medicine Source Type: news

Few Youths Receive Addiction Treatment After Opioid Overdose
TUESDAY, Jan. 7, 2020 -- Less than one-third of youths surviving an opioid overdose receive timely addiction treatment, according to a study published online Jan. 6 in JAMA Pediatrics. Rachel H. Alinsky, M.D., from the Johns Hopkins School of... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - January 7, 2020 Category: Pharmaceuticals Source Type: news

'You don't expect to bury your child': The parents left behind in Thunder Bay's opioid crisis
Three Thunder Bay, Ont., parents who lost a child to an opioid overdose tell The Current what they want the authorities to do about the city's crisis. (Source: CBC | Health)
Source: CBC | Health - January 7, 2020 Category: Consumer Health News Tags: Radio/The Current Source Type: news

One in three opioid overdose deaths goes uncounted by federal officials in the US, study suggests
A new study from the University of South Florida suggests that there 501,329 deaths from opioids and 146,110 deaths from heroin from 2013 to 2017, 33% more than originally reported. (Source: the Mail online | Health)
Source: the Mail online | Health - January 7, 2020 Category: Consumer Health News Source Type: news

Federal data undercounts fatal overdose deaths caused by specific drugs
(University of South Florida (USF Innovation)) The number of drug overdose deaths is severely undercounted by the federal government. Over a 10-year period, one-in-three overdose deaths caused by opioids were not reported by the CDC. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 7, 2020 Category: International Medicine & Public Health Source Type: news

Few doctors can legally prescribe opioid-addiction drug
(Reuters Health) - Fewer than one in 10 primary care providers in the U.S. can prescribe the opioid-addiction medication buprenorphine, and access is even more scarce in rural counties hardest hit by overdoses, a new study suggests. (Source: Reuters: Health)
Source: Reuters: Health - January 6, 2020 Category: Consumer Health News Tags: healthNews Source Type: news

Few Doctors Can Legally Prescribe Opioid-Addiction Drug
Presents an overview of a study that suggests fewer than 1 in 10 U.S. primary care providers can prescribe buprenorphine to treat opioid addiction. Findings show counties with the highest opioid overdoses saw a climb in physicians able to prescribe the medication, but rural communities did not see as much of an increase as urban communities. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - January 6, 2020 Category: Rural Health Source Type: news