From an article about a new report on medications for opiate treatment: The report also examined studies that evaluated buprenorphine, methadone, injectable naltrexone, and oral naltrexone and concluded a benefit in patient outcomes as well as costs. "I can say with no hint of opinion here, it's simple fact, they are all effective," McLellan said. … Continue reading no hint of opinion here
Tag: Opioid
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Another study finds no benefit from cognitive behavioral therapy and contingency management with opiate replacement treatment. [CORRECTED: See below] Background and aims The Controlled Substances Act requires physicians in the United States to provide or refer to behavioral treatment when treating opioid-dependent individuals with buprenorphine; however no research has examined the combination of buprenorphine with … Continue reading Not available?
Prescription drug overdose statistics visually
Popular Science has a chart with US overdose deaths by drug: ...the rate of reported overdoses the U.S. more than doubled between 1999 and 2010. About half of those additional deaths are in the pharmaceuticals category, which the CDC has written about before. Nearly three-quarters of the pharmaceuticals deaths are opioid analgesics—prescription painkillers like OxyContin and … Continue reading Prescription drug overdose statistics visually
Dead addicts don’t recover, but…
This has gotten a lot of press. There's naloxone distribution doubt this will reduce overdose deaths. However, some pretty important questions remain: What happens after the overdose? What services/interventions might have prevented the overdose in the first place? The article references placing defibrillators in public places. What happens after someone is saved by one of those defibrillators? … Continue reading Dead addicts don’t recover, but…
Balancing pain management and public health
I blogged before about the availability of opiates for pain management and the need to try to limit their diversion. While others have complained about draconian limitations on the prescribing of opiates and being too afraid to treat pain, I pointed out the explosion in opiate prescriptions and overdoses. It's a complex problem that demands a solution that balances the … Continue reading Balancing pain management and public health
2012′s most popular posts #3 – Hazelden to start opioid maintenance
This has gotten a lot of attention [emphasis mine]: ...for the first time, Hazelden will begin providing medication-assisted treatment for people hooked on heroin or opioid painkillers, starting at its Center City, Minnesota facility and expanding across its treatment network in five states in 2013. This so-called maintenance therapy differs from simply detoxifying addicts until … Continue reading 2012′s most popular posts #3 – Hazelden to start opioid maintenance
Lines are being drawn
A major treatment provider, Caron, weighs in on Hazelden's adoption of buprenorphine maintenance treatment: We use buprenorphine (Suboxone) to assist with the detoxification process from opioids and the length of time can vary depending on the patient’s progress and additional medical issues, such as chronic pain. However, unlike Hazelden’s goal as stated in … Continue reading Lines are being drawn
NA gives its members opioids?
Marc Lewis discusses an important role of endogenous opioids. Some very prominent emotion scientists have theorized that opioids (made inside our brains) are at the root of human attachment. Mother’s milk is rich with opioid molecules. In other words, nature found a surefire way to soothe the baby with its mother’s milk, using the same … Continue reading NA gives its members opioids?
Hazelden to start opioid maintenance
This has gotten a lot of attention [emphasis mine]: ...for the first time, Hazelden will begin providing medication-assisted treatment for people hooked on heroin or opioid painkillers, starting at its Center City, Minnesota facility and expanding across its treatment network in five states in 2013. This so-called maintenance therapy differs from simply detoxifying addicts until … Continue reading Hazelden to start opioid maintenance
Road traffic crashes and prescribed methadone and buprenorphine
Last year, a study questioned whether buprenorphine patients should be allowed to drive because 60% tested positive for other drugs. Now, another study reaches similar findings: Background Opioids have been shown to impair psychomotor and cognitive functioning in healthy volunteers with no history of opioid abuse. Few or no significant effects have been found in opioid-dependant … Continue reading Road traffic crashes and prescribed methadone and buprenorphine
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