Prescription opioid abuse, chronic pain, and primary care: A Co-Occurring Disorders Clinic in the chronic disease model

2012 ◽  
Vol 43 (4) ◽  
pp. 446-450 ◽  
Author(s):  
Patricia A. Pade ◽  
Karen E. Cardon ◽  
Richard M. Hoffman ◽  
Cynthia M.A. Geppert
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Chronic Disease ◽  
Disease Model ◽  
Opioid Abuse ◽  
Prescription Opioid ◽  
Chronic Disease Model ◽  
Prescription Opioid Abuse

Assessment of risk of prescription opioid abuse and aberrant behaviors in the primary care setting

2010 ◽  
Vol 11 (4) ◽  
pp. S35
Author(s):  
B. Setnik ◽  
K. Lee ◽  
J. Brown ◽  
M. Strehlow ◽  
L. Webster ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Opioid Abuse ◽  
Prescription Opioid ◽  
Aberrant Behaviors ◽  
Prescription Opioid Abuse

scholarly journals Psychological Comorbidities Predicting Prescription Opioid Abuse among Patients in Chronic Pain Presenting to the Emergency Department

Pain Medicine ◽  
2008 ◽  
Vol 9 (8) ◽  
pp. 1107-1117 ◽  
Author(s):  
Barth L. Wilsey ◽  
Scott M. Fishman ◽  
Alexander Tsodikov ◽  
Christine Ogden ◽  
Ingela Symreng ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chronic Pain ◽  
Opioid Abuse ◽  
Prescription Opioid ◽  
Psychological Comorbidities ◽  
Prescription Opioid Abuse

scholarly journals Reflections on the role of opioids in the treatment of chronic pain: a shared solution for prescription opioid abuse and pain

2015 ◽  
Vol 278 (1) ◽  
pp. 92-94 ◽  
Author(s):  
D. Thomas ◽  
J. Frascella ◽  
T. Hall ◽  
W. Smith ◽  
W. Compton ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Opioid Abuse ◽  
Prescription Opioid ◽  
Prescription Opioid Abuse

Physicians' Role in Curbing the Worst Drug Crisis in America: Prescription Opioid Abuse

2018 ◽  
Author(s):  
Sairam Atluri ◽  
Gururau Sudarshan
Keyword(s):  
Chronic Pain ◽  
Opioid Abuse ◽  
Screening Tools ◽  
Prescription Drug Abuse ◽  
Prescription Opioid ◽  
Dose Limitation ◽  
Chronic Pain Patients ◽  
Urine Drug ◽  
Pain Patients ◽  
Prescription Opioid Abuse

Opioids have an important role in the management of acute, cancer, and chronic pain. However, their indiscriminate use in chronic pain has led, in part, to the epidemic of prescription drug abuse, resulting in a dramatic increase in morbidity and mortality in America. Most of this abuse originates from legitimate prescriptions by physicians. Prescribing opioids to chronic pain patients while restricting them to those who abuse them is very challenging, and physicians seek appropriate and unbiased prescribing guidelines. Our review, based on analysis of the available literature, focuses on striking a balance between overprescribing and underprescribing. The core concept of this strategy relies in using screening tools to identify patients who are at high risk for opioid abuse along with diligent monitoring using prescription monitoring programs and urine drug screens, while also limiting opioid doses. Hopefully, using these principles, physicians can more confidently prescribe opioids to those who would benefit from these powerful drugs and at the same time keep opioids away from those who could potentially be harmed. Key Words: abuse, addiction, chronic pain, dose limitation, misuse, monitoring, opioids, overdose, screening

Physicians' Role in Curbing the Worst Drug Crisis in America: Prescription Opioid Abuse

2018 ◽  
Author(s):  
Sairam Atluri ◽  
Gururau Sudarshan
Keyword(s):  
Chronic Pain ◽  
Opioid Abuse ◽  
Screening Tools ◽  
Prescription Drug Abuse ◽  
Prescription Opioid ◽  
Dose Limitation ◽  
Chronic Pain Patients ◽  
Urine Drug ◽  
Pain Patients ◽  
Prescription Opioid Abuse

Opioids have an important role in the management of acute, cancer, and chronic pain. However, their indiscriminate use in chronic pain has led, in part, to the epidemic of prescription drug abuse, resulting in a dramatic increase in morbidity and mortality in America. Most of this abuse originates from legitimate prescriptions by physicians. Prescribing opioids to chronic pain patients while restricting them to those who abuse them is very challenging, and physicians seek appropriate and unbiased prescribing guidelines. Our review, based on analysis of the available literature, focuses on striking a balance between overprescribing and underprescribing. The core concept of this strategy relies in using screening tools to identify patients who are at high risk for opioid abuse along with diligent monitoring using prescription monitoring programs and urine drug screens, while also limiting opioid doses. Hopefully, using these principles, physicians can more confidently prescribe opioids to those who would benefit from these powerful drugs and at the same time keep opioids away from those who could potentially be harmed. Key Words: abuse, addiction, chronic pain, dose limitation, misuse, monitoring, opioids, overdose, screening

Distress intolerance and prescription opioid abuse in chronic pain patients

2015 ◽  
Vol 156 ◽  
pp. e146-e147
Author(s):  
Kate McHugh ◽  
Robert R. Edwards ◽  
Robert N. Jamison ◽  
Marise C. Cornelius ◽  
Roger Weiss
Keyword(s):  
Chronic Pain ◽  
Opioid Abuse ◽  
Prescription Opioid ◽  
Distress Intolerance ◽  
Chronic Pain Patients ◽  
Pain Patients ◽  
Prescription Opioid Abuse
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