Breaking News
March 19, 2018 - ‘Tummy Tuck’ Relieved Postpartum Back Pain/Incontinence
March 19, 2018 - New biomarkers for neuroblastoma, a type of cancer in children
March 19, 2018 - Hookah Smoking Carries a Poisoning Risk
March 19, 2018 - Do Mood and Anxiety Affect MS Disability?
March 19, 2018 - Mean depth of ultrasonographic penetration greater in autism
March 19, 2018 - Platypus milk may help combat antibiotic resistance
March 19, 2018 - U.S. IDE study of THERMOCOOL SMARTTOUCH SF Catheter completes patient enrollment
March 18, 2018 - E-cigarette use exposes adolescents to potentially cancer-causing chemicals
March 18, 2018 - GOP Senator: Solve Opioid Crisis Through Community, Not Policy
March 18, 2018 - Why is ADHD more common in boys than girls?
March 18, 2018 - Measles alert after two passengers with the disease fly into US
March 18, 2018 - FDA looks to remove nicotine from cigarettes
March 18, 2018 - FDA moves to cut nicotine in cigarettes, helping smokers kick habit
March 18, 2018 - Athenex Announces Phase II Clinical Study Results for KX2-391 Ointment for the Treatment of Actinic Keratosis
March 18, 2018 - Surgery Tied to Better Outcomes in Kids with T2D
March 18, 2018 - Scientists use nanotechnology to detect molecular biomarker for osteoarthritis
March 18, 2018 - Research establishes use of chimeric cells as potential therapy for Duchenne muscular dystrophy
March 18, 2018 - Researcher working to develop improved endoscopic probe for colonoscopies
March 18, 2018 - Researchers develop way to sequence entire fetal genome by modifying prenatal testing method
March 18, 2018 - FDA Approves PDUFA Fee Waiver for Gimoti New Drug Application
March 18, 2018 - P2Y12 Tx Subsidy Yields Positive Response from Docs, Patients
March 18, 2018 - Are Proteins in Formula Linked to Type 1 Diabetes?
March 18, 2018 - Exercise does not seem to increase bone marrow edema in healthy people
March 18, 2018 - Researchers delineate architecture of nuclear pore complex in yeast cells
March 18, 2018 - ‘It’s Just Ghetto-izing People’: What We Heard This Week
March 18, 2018 - Alzheimer’s disease: Neuronal loss very limited
March 18, 2018 - Study reveals impact of intense, changing work schedules experienced by medical interns
March 18, 2018 - Jobs That Keep the Mind Sharp … Even Into Retirement
March 18, 2018 - Facial Scarring Improved with Botulinum Toxin
March 18, 2018 - Data detectives shift suspicions in Alzheimer’s to inside villain
March 18, 2018 - Shorter Preventive TB Tx Effective for HIV+ Patients
March 18, 2018 - New technique for identifying alcoholism puts treatment options at patients’ and providers’ fingertips
March 18, 2018 - Researchers uncover four microRNAs as potential biomarkers for atrial fibrillation
March 18, 2018 - IRX Therapeutics Announces Initiation of Phase 2 Clinical Trial of IRX-2 in Squamous Cervical or Vulvar Intraepithelial Neoplasia 3
March 18, 2018 - OncoBreak: Learning from Silence; ‘Rigged’ Drug System; NCCN Guidelines Questioned
March 18, 2018 - The coffee cannabis connection
March 18, 2018 - Novel centrifugal-flow pump for heart failure patients provides improved long-term outcomes
March 18, 2018 - U.S. FDA Accepts New Drug Application for Prucalopride (SHP555) for Chronic Idiopathic Constipation
March 18, 2018 - Cath Lab Recap: iFR vs FFR $$; Ridaforolimus-Eluting Stent
March 18, 2018 - Tree care workers need better training to handle dangers on the job, study finds
March 18, 2018 - Dementia patients do not undergo diagnostic evaluation at onset of disease, study finds
March 18, 2018 - Transplanting enhanced interneurons restores brain rhythms in mouse model of Alzheimer’s
March 18, 2018 - Gene Therapy Flops for Critical Limb Ischemia
March 17, 2018 - Study spotlights risks in anesthesiologist handoffs
March 17, 2018 - Verb fluency test may be useful tool for differential diagnosis of cognitive failure
March 17, 2018 - Health Tip: Suggestions to Improve Your Cholesterol
March 17, 2018 - Fructans Suspect in Non-Celiac Gluten Sensitivity
March 17, 2018 - Aspirin therapy appears safe before thyroid surgery
March 17, 2018 - Minimally invasive surgical device may one day provide lasting heart repair
March 17, 2018 - UIH and RaySearch enter into new partnership
March 17, 2018 - Is BMI Too Inexact? | Medpage Today
March 17, 2018 - Sleep apnea study finds male-female differences in cerebral cortex thickness, symptoms
March 17, 2018 - Leicester research could help identify people with asthma of different severities
March 17, 2018 - Biosense Webster enrolls and treats first AF patient in clinical study of new RF balloon catheter
March 17, 2018 - Participants in rogue herpes vaccine research take legal action
March 17, 2018 - Imara Doses First Patient in Phase 2a Clinical Trial of IMR-687 for Sickle Cell Disease
March 17, 2018 - AAP: Prevent Medication Errors by Improving Processes
March 17, 2018 - Severe sleep apnea during REM sleep tied to acute CV events
March 17, 2018 - Alzheimer’s disease also affects small blood vessels
March 17, 2018 - Jazz Pharmaceuticals Announces FDA Acceptance of NDA for Solriamfetol (JZP-110) for Excessive Sleepiness Associated with Narcolepsy or Obstructive Sleep Apnea
March 17, 2018 - Switching Biologics in Psoriasis Care
March 17, 2018 - Polygenic risk score may identify alzheimer’s risk in younger populations
March 17, 2018 - Genetic heart mutations account for fewer sudden and unexplained infant deaths
March 17, 2018 - Clinical trial to test efficacy of stem cell transplants in stopping ALS muscle deterioration
March 17, 2018 - Researchers team up to improve life for children with microcephaly
March 17, 2018 - Health guide for young women regarding labiaplasty
March 17, 2018 - Inhaled Nitrite Flops as HFpEF Therapy
March 17, 2018 - California mental health tax providing services to needy in L.A. County, study finds
March 17, 2018 - Cancer survivors become fatigued more quickly than their peers, study finds
March 17, 2018 - Study finds common presence of nightmares among U.S. military personnel
March 17, 2018 - Yellow fever outbreak in Brazil necessitates vaccination for travelers
March 17, 2018 - Health Tip: Waist Size May Help Predict Heart Attack
March 17, 2018 - Low-Dose Combo Pill Successfully Takes Down High BP
March 17, 2018 - Most children with sickle cell anemia not receiving key medication to stay healthy
March 17, 2018 - YCC launches new Yale Center for Immuno-Oncology
March 17, 2018 - My Job Isn’t to Move Patients Quickly
March 17, 2018 - Achoo! Cold, Flu, or Something Else?
March 17, 2018 - For girls who mature early, psychological problems last into adulthood
March 17, 2018 - Researchers find new method to restore movement sensation in patients with prosthetic arms
March 17, 2018 - Older patients with colorectal cancer at increased risk of cardiovascular morbidity
Publish-Op Opioids: How A lot Is Sufficient?

Publish-Op Opioids: How A lot Is Sufficient?

image_pdfDownload PDFimage_print

HealthDay news image

WEDNESDAY, Sept. 27, 2017 (HealthDay Information) — Amid efforts to stem the U.S. opioid disaster, a brand new find out about suggests how lengthy sufferers must take prescription opioid painkillers after surgical treatment.

After common surgical treatment, the best length is 4 to 9 days, stated researchers from Brigham and Girls’s Sanatorium in Boston.

For ladies’s well being procedures, 4 to 13 days is acceptable, whilst six to 15 days of narcotic painkillers is affordable for musculoskeletal surgical treatment, in keeping with the find out about.

“An opioid prescription after surgical treatment must stability good enough ache remedy with minimizing the length of remedy and doable for medicine headaches, together with problems with dependence,” wrote Dr. Louis Nguyen and co-workers.

Overuse of opioid painkillers — akin to OxyContin (oxycodone) and Vicodin (hydrocodone) — has contributed to the opioid abuse epidemic and the skyrocketing charge of overdose deaths in the US.

4 occasions as many opioid prescriptions have been issued in the US in 2012 as in 1999, the researchers famous.

Clinical mavens recognize the quandary.

“Everyone knows that surgical treatment will also be painful, and probably the most easiest painkillers that we’ve got are opioid ache medicines,” stated Dr. Yili Huang. He’s director of the Ache Control Heart at Northwell Well being’s Phelps Sanatorium, in Sleepy Hole, N.Y.

“Sadly, overprescription of those medicines has contributed to the present ‘opioid disaster’ related to a surge in overdose deaths in the US,” Huang added. “Hundreds of thousands of American citizens have develop into chronically depending on those ache medicines that may reason a variety of hostile results,” he stated.

“In reaction, many governmental efforts have restricted the preliminary prescription of opioid ache medicines to fewer than seven days,” Huang famous. “However is that sufficient?”

An dependancy skilled welcomed the instructed tips.

“Regardless of ongoing coverage efforts and public consciousness campaigns, overprescribing of opioid medicines stays a nagging symptom of a lot deeper systemic problems,” stated Dr. Harshal Kirane, director of dependancy services and products at Staten Island College Sanatorium, in New York Town.

“Maximum U.S. physicians lack any formal scientific training in ache control or dependancy care,” Kirane defined. “As such, tips for opioid control are crucial in shaping physicians’ practices and, up to now, maximum tips center of attention on limiting get right of entry to with out attention of scientific context.”

The brand new document “places forth a framework for optimizing opioid control following not unusual surgical procedures. That is a very powerful step ahead in creating a much-needed evidence-base for long run tips,” Kirane stated. “Significantly, their findings counsel various kinds of surgeries get pleasure from distinct periods of opioid control.”

Within the new find out about, researchers analyzed U.S. Division of Protection information from greater than 215,000 sufferers who had not unusual operations, together with gallbladder removing, hysterectomy and again surgical treatment.

Week-long prescriptions don’t seem to be sufficient after some procedures, the researchers reported Sept. 27 within the magazine JAMA Surgical operation.

Seven-day limits on preliminary opioid painkiller prescriptions “are most likely good enough in lots of settings, and certainly additionally enough for plenty of not unusual common surgical treatment and gynecologic procedures,” the find out about authors wrote.

On the other hand, “within the postoperative environment, specifically after many orthopedic and neurosurgical procedures, a seven-day restrict is also inappropriately restrictive,” Nguyen and co-workers stated in a magazine information free up.

SOURCES: Yili Huang, D.O., director, Ache Control Heart, Northwell Well being’s Phelps Sanatorium, Sleepy Hole, N.Y; Harshal Kirane, M.D., director, dependancy services and products, Staten Island College Sanatorium, New York Town; JAMA Surgical operation, information free up, Sept. 27, 2017

Information tales are written and supplied through HealthDay and don’t replicate federal coverage, the perspectives of MedlinePlus, the Nationwide Library of Medication, the Nationwide Institutes of Well being, or the U.S. Division of Well being and Human Products and services.

Tagged with:

About author

Related Articles