pain policy

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Taking advantage of a $500 million congressional addition to its base appropriation for FY2018, the National Institutes of Health (NIH) has announced a new research initiative that it describes as “…a bold new trans-NIH initiative called Helping to End Addiction Long-term (HEAL). The HEAL initiative...

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The Committee on Rheumatologic Care of the American College of Rheumatology has released a position statement calling for “robust pharmacovigilance” to ensure the safety of medications used to treat rheumatologic conditions. Pharmacovigilance is defined by the Committee as “…the science of detection...

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The Center for Health Incentives and Behavioral Economics (CHIBE) at the Perelman School of Medicine, University of Pennsylvania is currently working on a variety of fronts to address the issue of opioid overdose risk. CHIBE seeks to combine psychology and economics with clinical expertise to...

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In an article published online last week in JAMA Oncology, writers from the University of Pennsylvania School of Nursing and the Perelman School of Medicine warn that clinical guidelines developed in the face of the opioid abuse and misuse crisis are likely confounding efforts to treat chronic...

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On January 1, 2018, the Strengthen Opioid Misuse Prevention (STOP) Act became law in North Carolina. The law limits initial opioid prescriptions for acute pain treatment to a 5-day supply, with a 7-day limit for treatment of postoperative pain. With respect to opioid therapy for chronic pain,...

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Last week, the National Institutes of Health announced a major new research commitment devoted to advancing the national response to the crisis of opioid abuse and addiction. The HEAL (Helping to End Addiction Long-term) Initiative will be a multiagency initiative to advance scientific research on a...

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Last week, US Surgeon General Jerome Adams, MD, MPH, issued an advisory advocating for greater distribution and availability of naloxone as an element of the national response to opioid use disorder. The Surgeon General recommends that individuals at risk for opioid overdose, as well as their family...

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In 2017, the state of Kentucky became the first to classify gabapentin as a Schedule 5 substance, following the finding that the drug was involved in up to 33% of overdose fatalities during the prior year. This means that prescriptions for gabapentin will be reported to the state’s PDMP going...

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Although one of the goals of clinical guideline development is to aid the provider with information to help make important treatment decisions, what’s not completely divulged is that clinical treatment guidelines can’t make a good treatment decision per se for an individual patient. Guidelines that...

| Podcast

Although opioids remain an important tool in aiding the management of pain in the United States, the balance between the potential benefits and harms must be considered. Some specific harms are manifested in the abuse of opioids for nonmedical purposes. The primary access to prescribable opioids for...

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