Breaking News
October 21, 2018 - Antibiotics for appendicitis? Surgery often not needed
October 21, 2018 - AHA and AMA recognize more than 800 medical practices, health systems for blood pressure control
October 21, 2018 - Scientists obtain clearest ever image of Ebola virus protein
October 21, 2018 - Study reveals connection between two proteins known to be hyperactive in cancer
October 21, 2018 - Gabapentin Beats Pregabalin for Chronic Sciatica
October 21, 2018 - Cosmetic surgeons offering incomplete information for breast augmentation customers
October 21, 2018 - Chronic sleep disruption in early adult life accelerates AD-related tau pathology
October 21, 2018 - Take 10 for Mindfulness – Drugs.com MedNews
October 21, 2018 - Length of breathing disruption in OSA may be better predictor of mortality risk
October 21, 2018 - ApoE4 gene linked with chronic inflammation increases risk for Alzheimer’s disease
October 21, 2018 - Mother-daughter conflict associated with suicide risk in abused adolescent girls
October 21, 2018 - Scientists molding bacteria into unnatural shapes
October 21, 2018 - Discharged mental health patients ‘at greater risk of dying’
October 21, 2018 - As billions in tax dollars flow to private Medicaid plans, Who’s minding the store?
October 21, 2018 - Deaths related to air pollution in the U.S. decreased by 47% between 1990 and 2010
October 21, 2018 - Study shows correlation between spatial memory and the sense of smell
October 21, 2018 - Increased cardiorespiratory fitness associated with reduced long-term mortality
October 21, 2018 - IU researchers receive $1.55 million from NIH to improve chronic-disease management
October 21, 2018 - Income and wealth affect the mental health of Australians, study shows
October 21, 2018 - Patients with hypertension and psoriasis more often require cardiovascular interventions
October 20, 2018 - Leading hip-hop videos depict use of tobacco and marijuana products, study finds
October 20, 2018 - Dose Range of IV Ketamine for Adjunct Tx of Depression Tested
October 20, 2018 - Infants can distinguish between leaders and bullies, study finds
October 20, 2018 - Mad Cow disease found on Aberdeenshire farm
October 20, 2018 - Study identifies factors associated with prescription opioid misuse among students
October 20, 2018 - Scientists uncover key regulator of mTORC1 in cancer growth
October 20, 2018 - Pounds Regained After Weight-Loss Op Can Tell Your Doc a Lot
October 20, 2018 - Sending parents letters to fight childhood obesity doesn’t work
October 20, 2018 - Supervised aerobic exercise can support major depression treatment
October 20, 2018 - Mindfulness-based program effective for reducing stress in infertile women
October 20, 2018 - Molecule capable of halting and reverting neurodegeneration caused by Parkinson’s disease identified
October 20, 2018 - Midazolam-mediated alterations of PER2 expression may have functional consequences during myocardial ischemia
October 20, 2018 - Sweat bees are ideal for studying the genes underlying social behavior
October 20, 2018 - Weight loss success associated with brain areas involved in self-control
October 20, 2018 - KHN’s ‘What the Health?’ Republicans’ preexisting political problem
October 20, 2018 - Research provides a more complete picture of suffering caused by terrorist attacks
October 20, 2018 - Eradicating Helicobacter pylori infections may be a key treatment for Parkinson’s disease
October 20, 2018 - Breast Cancer as a Dynamic Disease
October 20, 2018 - University of Pittsburgh wins NSF grant for big data research to prevent complications from anesthesia
October 20, 2018 - Skin-to-skin contact may promote attachment between parents and preterm infants
October 20, 2018 - Recommendations Developed to Verify NGT Placement in Children
October 20, 2018 - Weight loss can be boosted fivefold thanks to novel mental imagery technique
October 20, 2018 - Children with autism are more likely to be overweight, obese
October 20, 2018 - Nurses making conscientious objections to ethically-relevant policies lack support
October 20, 2018 - Prion strain diversity may be greater than previously thought
October 20, 2018 - Antidepressant treatment may lead to improvements in sleep quality of patients with depression
October 20, 2018 - Study reports increased risk of death in children with inflammatory bowel disease
October 20, 2018 - Number of Autism Genes Now Tops 100
October 20, 2018 - Total diet replacement programmes are effective for treating obesity
October 20, 2018 - CLARIOstar used for fluorescence measurements on CSIRO’s purpose-built research vessel
October 20, 2018 - People with more copies of AMY1 gene digest starchy carbohydrates faster
October 20, 2018 - Case Comprehensive Cancer Center wins NIH grant to study health disparities
October 20, 2018 - Newly discovered compound shows potential for treating Parkinson’s disease
October 20, 2018 - High rate of non-adherence to hormonal therapy found among premenopausal early breast cancer patients
October 20, 2018 - Immunotherapy medicine found to be effective in treating uveitis
October 20, 2018 - The Pistoia Alliance Calls for Greater Collaboration to Realise Benefits of Innovation and Announces Winners of the 2018 President’s Startup Challenge
October 20, 2018 - Female internists consistently earn less than men
October 20, 2018 - Stanford team looks at dangers of teens’ vaping habits
October 20, 2018 - New approach to understanding cancers will accelerate development of better treatments
October 20, 2018 - LJI and UC San Diego awarded $ 4.5 million as part of NCI’s Cancer Moonshot initiative
October 20, 2018 - School-based HPV vaccination did not increase risky sexual behaviors among adolescent girls
October 20, 2018 - Eye discovery to pave way for more successful corneal transplants
October 20, 2018 - New analysis examines the importance of location in the opioid crisis
October 20, 2018 - Green filters increase reading speed for children with dyslexia
October 19, 2018 - Bariatric Sx Cuts Macrovascular Complications in Obesity, T2DM
October 19, 2018 - Better assessments for early age-related macular degeneration
October 19, 2018 - Visible and valued: Stanford Medicine’s first-ever LGBTQ+ Forum | News Center
October 19, 2018 - Understanding of metal-free enzymes used by bacteria could lead to new effective antibiotics
October 19, 2018 - Beckman Coulter Life Sciences announces new research-focused website
October 19, 2018 - Study finds link between refined soluble fibers, gut microbiota and liver cancer
October 19, 2018 - Social media reduces risk of depression among seniors with pain
October 19, 2018 - Newly developed synthetic DNA molecule may one day be used as ‘vaccine’ for prostate cancer
October 19, 2018 - Preoperative weight loss may not provide health benefits after surgery
October 19, 2018 - U.S. Birth Rates Continue to Drop as Age of New Moms Rises
October 19, 2018 - New technology can keep an eye on babies’ movements in the womb
October 19, 2018 - Juul e-cigarettes pose addiction risk for young users | News Center
October 19, 2018 - Gene sequencing reveals crucial molecular aspects of Trypanosoma brucei
October 19, 2018 - New DNA vaccine strategy protects mice against lethal challenge by multiple H3N2 viruses
October 19, 2018 - Study shows close link between cytokine interleukin-1ß and obesity-promoted colon cancer
October 19, 2018 - Muscle mass plays a critical role in health, shows research
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