| Article
Unfortunately with the current opioid epidemic, practitioners across all subspecialties are looking to find alternatives to treat pain effectively and to not solely rely on opiates especially as a first line treatment. In the emergency department we see a variety of pain, some mild, some severe. For...
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In addition to other shortcomings, current prescribing guidelines are particularly ill-suited to the needs and challenges of patients already on opioid therapy. Drs. Heit and Gourlay discuss the roots of the problem and the role of primary care as talented amateurs in addiction medicine.
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Can opioids be rationally prescribed for chronic pain? Dr. Stacey considers some of the components of getting there, including strengths and limitations in the current CDC guidelines, the practice of tapering; elements of patient assessment, red flags to watch for, and the proper role of opioids in...
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Although recent CDC guidelines have focused on opioids for chronic pain management, little attention has gone to the perioperative setting as a potential contributor to the prescription drug crisis. Dr. Bottros gives his perspective on opioids and other alternatives for postoperative pain.
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The recently released CDC prescribing guidelines and recommendations from the National Pain Strategy refer to pain psychology as on the critical path to the management of pain. Drs. Mackey and Darnall discuss this role and what needs to be done to bring this treatment modality within the reach of...
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Drs. Hah and Prasad review the current evidence on long-term opioid therapy for chronic non-cancer pain, and discuss some approaches to achieving a successful transition to pain management without opioids.
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Opioid induced respiratory depression is associated with over 16,000 deaths in the US each year, and the risks of opioid therapy are not fully understood by many prescribers. Dr. Fudin reviews some of the unanticipated concerns, with a focus on assessing and managing risk for respiratory depression...
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Recent guidelines from the CDC strongly urge a reduction in opioid prescribing in favor of a multidisciplinary approach for the treatment of chronic pain. Dr. Silverman discusses how frontline practitioners can contextualize this information to help patients achieve better functionality and quality...
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The legal landscape for prescribers of controlled medications for pain and addiction is fraught with risk. Attorney Michael Barnes outlines best practices for prescribing clinicians to protect their patients from harm and themselves from criminal and civil liability.
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Recent press coverage highlights the work of congressional representatives and key opinion leaders to impact insurance carrier policy with respect to nonopioid and abuse deterrent opioid treatment alternatives for pain. Senator Joe Manchin (D-W.Va.) recently sent a letter to the CEOs of UnitedHealth...