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A new retrospective study conducted by researchers from University of Iowa Hospitals and Clinics, Iowa City reports that preoperative use of opioids is a significant predictor of continued postoperative opioid use in patients who undergo lumbar spinal fusion surgery. Study author Andrew Pugely, MD...
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I think the pendulum has swung too far in the other direction. In the early 2000s, there was this increase in opioid prescribing and use that has led us to the predicament we’re in now with the opioid abuse and misuse epidemic, as they’re calling it. And now no one wants to prescribe them. For our...
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A research team from New York University reports the discovery of new crystal form of aspirin, termed aspirin IV, that is predicted to dissolve more readily than today’s aspirin tablets, known as form I. If the type IV compound can be stabilized and made viable, it could provide significant...
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Overdose--a small word that packs a major punch, and a big reason for many recent legal regulatory changes in controlled substance prescribing and pain management. Too many physicians and allied healthcare practitioners are caught unawares by the legal issues surrounding overdose events, fatal and...
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NSAID use around the time of conception can significantly increase the risk of miscarriage during the first 8 weeks of pregnancy, according to conclusions from a new study conducted by researchers from Kaiser Permanente Northern California in Oakland. The work supports existing evidence that NSAIDs...
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Chronic pain patients tend to be a little older and that in and of itself leads to a decrease in quality of sleep. Loss of quality sleep makes the pain seem a little worse and more difficult to deal with. So how can we treat both pain and sleep issues to break that cycle? And to make matters even...
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Approximately 1 billion people in the world are affected with migraine and the thought is that about 40% of them that are candidates for some type of preventative therapy. A sizable proportion of that 40% doesn’t actually receive the kind of preventative therapy that they need, and so that equates...
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The terms prescribing guidelines and prescribing rules are often used interchangeably although they really have separate meanings. Guidelines, by their nature, are voluntary recommendations. Whereas prescribing rules are mandatory. It’s important for prescribers to be aware of what exactly the rules...
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Practitioners need to understand that there are steps that they should be taking to minimize the potential of a bad legal outcome in the event of an investigation involving an overdose.
The liability for an overdose event tracks back to the practitioner’s adherence to licensing board requirements...
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