Final Report of National Opioid Commission Recommends National Implementation of Prescriber/Patient Conversations Before an Opioid is Prescribed


Video from Prevent Opiate Abuse Rhode Island Forum


A simple question and a conversation could be key to fight opioid abuse

Almost half the patients taking pain medication in the past year were not asked one vital question
February 16, 2016 | By Matt Kuhrt
The opioid addiction crisis has led to increased pressure on primary care practices to look closely at the way they communicate with and care for afflicted patients. A new survey from the Hazelden Betty Ford Foundation suggests primary care doctors could do more to stem addiction problems earlier in the cycle, simply by asking the right questions before prescribing pain medication.
As more and more primary care physicians find themselves on the front linesdealing with opioid addicts, they have also discovered that, in many cases, they unwittingly contributed to the problem by prescribing them in the first place, according to previous reporting by FiercePracticeManagement.
The biggest risk factor for addicts is “a past personal or family history of issues with alcohol and/or other drugs,” says Marvin D. Seppala, M.D., chief medical officer at the Hazelden Betty Ford Foundation. It’s telling, then, that his organization’s survey found that 46 percent of the time patients indicated their doctors failed to ask about past problems before writing their prescriptions for opioid painkillers.
When dispensing opioids, Seppala suggests doctors need to keep in mind the stigma surrounding addiction and take the time to have a medical conversation with patients about the potential risks. As simple as this step may seem, 80 percent of the patients surveyed indicated their doctors prescribed opioid pain medication without their requesting it. In six of 10 cases, doctors didn’t even bother to tell patients the painkillers could be addictive.
Other survey findings suggest a conversation about what to do with leftover pills would be worthwhile, since 63 percent of patients reported keeping them around, and data from the National Institute on Drug Abuse indicate 54 percent of those using pain pills got them from a friend or relative for free.
To learn more:
– check out the survey results

The Prescription Opioid and Heroin Crisis: An Epidemic of Addiction

Read a recent presentation by Dr. Andrew Kolodny, Executive Director of Physicians for Responsible Opioid Prescribing.

Download PDF here.

 


Heroin Use Skyrockets in U.S.

From U.S. News and World Report:

Heroin-related overdose deaths in the U.S. have increased by nearly 300 percent in recent years, and a new report from the federal government shows people who use the drug are not confined to a particular income level or age group.

Read whole article.


CDC Releases Research on Heroin Epidemic

New research reveals the trends and risk factors behind America’s growing heroin epidemic

Heroin use seen increasingly in most demographic groups

Heroin use has increased across the United States among men and women, most age groups, and all income levels. The greatest increases have occurred in groups with historically lower rates of heroin use, including women and people with private insurance and higher incomes. In addition, nearly all people who use heroin also use multiple other substances, according to the latest Vital Signs report from the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA). The report also finds the strongest risk factor for a heroin use disorder is a prescription opioid use disorder.

Read whole article.


NSAIDs Often Safer, More Effective Than Opioids for Treating Pain: Expert

From Partnership for a Drug Free America:

While opioid medications are considered powerful painkillers, evidence shows taking a combination of ibuprofen and acetaminophen can be more effective in treating pain, according to Dr. Don Teater, MD, Medical Advisor of the non-profit National Safety Council.

Read complete article here.


Rate of Opioid Misuse Is Around 25 Percent, Addiction Rate 10 Percent, Reports Study in PAIN

Researchers Note Variability in Rates across Studies, Question Whether Benefits of Opioid for Chronic Pain Outweigh Consequences

March 30, 2015 – New estimates suggest that 20 to 30 percent of opioid analgesic drugs prescribed for chronic pain are misused, while the rate of opioid addiction is approximately 10 percent, reports a study in the April issue of PAIN®, the official journal of the International Association for the Study of Pain. The journal is published by Wolters Kluwer.

Read complete article here.


NJ Residents Want More Information on the Drug They Are Taking

From the Partnership for a Drug Free New Jersey:

TRENTON – The majority of New Jersey residents want the legislature to mandate that their doctor tell them if their prescription medicine is addictive and believe those conversations will reduce the number of individuals who become addicted to pain medications, according to a recent survey effort between Fairleigh Dickinson University’s independent survey research center, PublicMind, and Partnership for a Drug Free New Jersey (PDFNJ).

The study finds that 91% of New Jersey residents agree, the majority (78%) strongly agreeing, that physicians should be legally required to discuss the risk of developing either a physical or psychological dependency on the prescription pain medication with patients prior to prescribing it.  Individuals 35 to 59 – the cohort most likely to have been prescribed such a pain medication, are also the most likely to (82%) to strongly agree.

Read whole article.