Opiate Crisis

The Fourth Wave Of The Opiate Crisis

For over two decades, the opioid crisis in the United States has been an urgent health care emergency. Initially driven by over-prescription of pharmaceutical opioids, this has evolved into a “fourth wave” marked by poly-substance use, combining opioids and methamphetamine, resulting in record-high deaths year after year. The Covid-19 pandemic has made the situation even

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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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