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

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

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

Chronic Pain and Prescription Opioid Abuse

2003 ◽  
Vol 14 (2) ◽  
pp. 103-107
Author(s):  
Diane Snow ◽  
Peggy Compton
Keyword(s):  
Chronic Pain ◽  
Opioid Abuse ◽  
Prescription Opioid ◽  
Prescription Opioid Abuse

scholarly journals Prescription Opioid Abuse in Chronic Pain: A Review of Opioid Abuse Predictors and Strategies to Curb Opioid Abuse

2012 ◽  
Vol 3S;15 (3S;7) ◽  
pp. S67-ES92 ◽  
Author(s):  
Nalini Sehgal
Keyword(s):  
Chronic Pain ◽  
Opioid Therapy ◽  
Opioid Abuse ◽  
Screening Tools ◽  
Prescription Opioid ◽  
Prescribing Practices ◽  
Chronic Noncancer Pain ◽  
The Past ◽  
Noncancer Pain ◽  
Prescription Opioid Abuse

Both chronic pain and prescription opioid abuse are prevalent and continue to exact a heavy toll on patients, physicians, and society. Individuals with chronic pain and co-occurring substance use disorders and/or mental health disorders, are at a higher risk for misuse of prescribed opioids. Opioid abuse and misuse occurs for a variety of reasons, including self medication, use for reward, compulsive use because of addiction, and diversion for profit. Treatment approaches that balance treating chronic pain while minimizing risks for opioid abuse, misuse, and diversion are much needed. The use of chronic opioid therapy for chronic noncancer pain has increased dramatically in the past 2 decades in conjunction with a marked increase in the abuse of prescribed opioids and accidental opioid overdoses. Consequently, a validated screening instrument that provides an effective and rational method of selecting patients for opioid therapy, predicting risk, and identifying problems once they arise could be of enormous benefit. Such an instrument could potentially curb the risk of iatrogenic addiction. Although several screening instruments and strategies have been introduced in the past decade, there is no single test or instrument that can reliably and accurately predict patients who are not suitable for opioid therapy or identify those who need increased vigilance or monitoring during therapy. At present, screening for opioid abuse includes assessment of premorbid and comorbid substance abuse; assessment of aberrant drug-related behaviors; risk factor stratification; and utilization of opioid assessment screening tools. Multiple opioid assessment screening tools and instruments have been developed by various authors. In addition, urine drug testing, monitoring of prescribing practices, prescription monitoring programs, opioid treatment agreements, and utilization of universal precautions are essential. Presently, a combination of strategies is recommended to stratify risk, identify and understand aberrant drug related behaviors, and tailor treatments accordingly. This manuscript will review the current state of knowledge regarding the growing problem of opioid abuse and misuse; known risk factors; and methods of predicting, assessing, monitoring, and addressing opioid abuse and misuse in patients with chronic noncancer pain. Key words: Opioids, misuse, abuse, chronic pain, prevalence, risk assessment, risk management, drug monitoring, aberrant drug-related behavior

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