Opiate Crisis

Pre-op Cannibis Use Associated More Post-Op Pain, Opiate Use

In an online-first article in Anesthesia News a study presented at the 2022 annual meeting of the American Society of Anesthesiologists found adults who use cannabis have more pain after surgery and consume more opiates than those who don’t use the drug, Elyad Ekrami, MD, a lead author of the study and clinical research fellow …

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Former Federal Prosecutor States Opiate Crisis Far Worse…

In his tweet “Things I learned working as an Assistant US Attorney prosecuting violent crime in St Louis, America’s murder capital” former federal prosecutor Will Scharf called out in one fell-swoop the mainstream media for under-reporting, Washington for it’s open border policies, and the Chinese Communist Party for their complicity in the fentanyl epidemic raging …

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2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain

On Thursday, November 3, 2022, the CDC released it’s most recent recommendations for the prescribing of opioids for acute, subacute, and chronic pain. The new guidelines provide 12 recommendations relating to the use of opioids and mostly favor a more individualized approach. However, the CDC issued a guideline much stronger than the 2016 version defining …

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Not Your Mother Or Father’s Skittles…

This year Halloween may present more difficulties for parents and unsuspecting trick-or-treaters. In an article by Pain Medicine News it is reported in August 2022 the DEA and its law enforcement partners seized “rainbow fentanyl” in 18 states. The agency believes the multicolored, candy-like appearance of the highly addictive and potentially deadly drug is designed …

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A Veritable Quandary?

One of the most common questions we hear from licensed dental healthcare professionals when considering the prospect of dropping their federal Drug Enforcement Agency (DEA) permit is “Can I do that?” The answer is “Yes you can”. Your professional license issued by the state in which you practice affords the ability to conduct patient care …

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A Shift In Thinking

We need to rethink the way acute pain is managed. We tend to think of non-steroidal anti-inflammatory or acetaminophen whether used alone or in combination (non-opiate multimodal anaglesic therapy) as “alternatives” to opiates…when in fact we should actually consider the converse…that opiates are the alternative to non-steroidal anti-inflammatory agents – alone or in combination. We …

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Study: Naproxen More Effective Than Hydrocodone-Acetaminophen After Dental Surgery

More evidence that NSAIDs with or without acetaminophen are more effective in alleviating pain in the postoperative dental surgery pain model. A recent study from JBR Clinical research demonstrated some unanticipated findings: “This study is important because the relative efficacy of these two commonly used pain medications has not been directly compared in a validated …

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