opioid

Too Many Antibiotics, Opioids Given to Dental Patients in the ER

Title: Too Many Antibiotics, Opioids Given to Dental Patients in the ER
Category: Health News
Created: 2/25/2020 12:00:00 AM
Last Editorial Review: 2/25/2020 12:00:00 AM




opioid

After Tooth Pull, Opioids Don't Relieve Pain Better Than Other Meds: Study

Title: After Tooth Pull, Opioids Don't Relieve Pain Better Than Other Meds: Study
Category: Health News
Created: 3/13/2020 12:00:00 AM
Last Editorial Review: 3/16/2020 12:00:00 AM




opioid

Babies Born Addicted to Opioids Often Struggle With Learning

Title: Babies Born Addicted to Opioids Often Struggle With Learning
Category: Health News
Created: 5/3/2017 12:00:00 AM
Last Editorial Review: 5/4/2017 12:00:00 AM




opioid

Opioid Crisis Means More Newborns With Hepatitis C, But Few Get Tested

Title: Opioid Crisis Means More Newborns With Hepatitis C, But Few Get Tested
Category: Health News
Created: 5/2/2018 12:00:00 AM
Last Editorial Review: 5/2/2018 12:00:00 AM




opioid

The Other Opioid Crisis: Shortages at U.S. Hospitals

Title: The Other Opioid Crisis: Shortages at U.S. Hospitals
Category: Health News
Created: 5/2/2018 12:00:00 AM
Last Editorial Review: 5/2/2018 12:00:00 AM




opioid

U.S. Teen Opioid Deaths Soaring

Title: U.S. Teen Opioid Deaths Soaring
Category: Health News
Created: 4/30/2019 12:00:00 AM
Last Editorial Review: 5/1/2019 12:00:00 AM




opioid

Not Just Opioids: Deaths Tied to Cocaine, Meth Are Soaring, Too

Title: Not Just Opioids: Deaths Tied to Cocaine, Meth Are Soaring, Too
Category: Health News
Created: 5/2/2019 12:00:00 AM
Last Editorial Review: 5/3/2019 12:00:00 AM




opioid

A New Paroxetine-Based GRK2 Inhibitor Reduces Internalization of the {mu}-Opioid Receptor [Articles]

G protein-coupled receptor (GPCR) kinases (GRKs) play a key role in terminating signals initiated by agonist-bound GPCRs. However, chronic stimulation of GPCRs, such as that which occurs during heart failure, leads to the overexpression of GRKs and maladaptive downregulation of GPCRs on the cell surface. We previously reported the discovery of potent and selective families of GRK inhibitors based on either the paroxetine or GSK180736A scaffold. A new inhibitor, CCG258747, which is based on paroxetine, demonstrates increased potency against the GRK2 subfamily and favorable pharmacokinetic parameters in mice. CCG258747 and the closely related compound CCG258208 also showed high selectivity for the GRK2 subfamily in a kinome panel of 104 kinases. We developed a cell-based assay to screen the ability of CCG258747 and 10 other inhibitors with different GRK subfamily selectivities and with either the paroxetine or GSK180736A scaffold to block internalization of the μ-opioid receptor (MOR). CCG258747 showed the best efficacy in blocking MOR internalization among the compounds tested. Furthermore, we show that compounds based on paroxetine had much better cell permeability than those based on GSK180736A, which explains why GSK180736A-based inhibitors, although being potent in vitro, do not always show efficacy in cell-based assays. This study validates the paroxetine scaffold as the most effective for GRK inhibition in living cells, confirming that GRK2 predominantly drives internalization of MOR in the cell lines we tested and underscores the utility of high-resolution cell-based assays for assessment of compound efficacy.

SIGNIFICANCE STATEMENT

G protein–coupled receptor kinases (GRKs) are attractive targets for developing therapeutics for heart failure. We have synthesized a new GRK2 subfamily–selective inhibitor, CCG258747, which has nanomolar potency against GRK2 and excellent selectivity over other kinases. A live-cell receptor internalization assay was used to test the ability of GRK2 inhibitors to impart efficacy on a GRK-dependent process in cells. Our data indicate that CCG258747 blocked the internalization of the μ-opioid receptor most efficaciously because it has the ability to cross cell membranes.




opioid

Predicting Opioid Use Following Discharge After Cesarean Delivery [Original Research]

PURPOSE

Although cesarean delivery is the most common surgical procedure in the United States, postoperative opioid prescribing varies greatly. We hypothesized that patient characteristics, procedural characteristics, or both would be associated with high vs low opioid use after discharge. This information could help individualize prescriptions.

METHODS

In this prospective cohort study, we quantified opioid use for 4 weeks following hospital discharge after cesarean delivery. Predischarge characteristics were obtained from health records, and patients self-reported total opioid use postdischarge on weekly questionnaires. Opioid use was quantified in milligram morphine equivalents (MMEs). Binomial and Poisson regression analyses were performed to assess predictors of opioid use after discharge.

RESULTS

Of the 233 patients starting the study, 203 (87.1%) completed at least 1 questionnaire and were included in analyses (86.3% completed all 4 questionnaires). A total of 113 patients were high users (>75 MMEs) and 90 patients were low users (≤75 MMEs) of opioids postdischarge. The group reporting low opioid use received on average 44% fewer opioids in the 24 hours before discharge compared with the group reporting high opioid use (mean = 33.0 vs 59.3 MMEs, P <.001). Only a minority of patients (11.4% to 15.8%) stored leftover opioids in a locked location, and just 31 patients disposed of leftover opioids.

CONCLUSIONS

Knowledge of predischarge opioid use can be useful as a tool to inform individualized opioid prescriptions, help optimize nonopioid analgesia, and reduce opioid use. Additional studies are needed to evaluate the impact of implementing such measures on prescribing practices, pain, and functional outcomes.




opioid

Treatment for opioid use disorder is rare in hospitals, study finds

Despite a national opioid-related overdose epidemic that continues to claim tens of thousands of lives annually, a new nationwide study shows that a scant proportion of hospitalized patients with opioid use disorder receive proven life-saving medications both during and after they're discharged.




opioid

D.C. Week: Trump Declares Opioid Abuse a Public Health Emergency

Also, CMS chief vows to lessen docs' record-keeping burden




opioid

FDA to Review Second Long-Acting Opioid Treatment (FDA</em>)

Braeburn Pharmaceuticals' CAM2038 gets positive FDA review




opioid

Endo, Allergan Nearing Deals to Limit Ohio Litigation Over Opioids - Report

Click to view a price quote on AGN.




opioid

Attorney General Holder Announces New Drug Take-Back Effort to Help Tackle Rising Threat of Prescription Drug Addiction and Opioid Abuse

Calling prescription drug addiction an “urgent and growing threat” to our nation’s public health, Attorney General Eric Holder on Monday announced a new Drug Enforcement Administration(DEA) regulation that would allow pharmacies, hospitals, clinics, and other authorized collectors to serve as authorized drop-off sites for unused prescription drugs.



  • OPA Press Releases

opioid

Policy Priorities to Address Opioid Use Disorder

Individuals with opioid use disorder (OUD) struggle to get effective care: Of 2 million Americans with the illness, only 26% receive treatment. Now, as the coronavirus pandemic presents an added strain on the U.S. health care system, it is creating greater hardships for those seeking OUD treatment.




opioid

How States and Counties Can Help Individuals With Opioid Use Disorder Re-Enter Communities

At least 95 percent of individuals in state prisons will eventually return to communities. In fact, in a typical year more than half a million people do so, with many more coming from jails. A disproportionate share of these individuals have one or more chronic illnesses.




opioid

Opioid Use Disorder Treatment in Jails and Prisons

The most effective therapy for people with opioid use disorder (OUD) involves the use of Food and Drug Administration-approved medications—methadone, buprenorphine, and naltrexone. Despite evidence that this approach, known as medications for opioid use disorder (MOUD), reduces relapse and saves lives, the vast majority of jails and prisons do not offer this treatment. This brief examines what...




opioid

America's Opioid Crisis: Outpatient Treatment is Effective and Accessible

More than 2 million Americans suffer from opioid use disorder, but only about 25% of people receive any sort of care. For many, inpatient treatment often means leaving a job and loved ones behind to seek recovery.




opioid

More Outpatient Treatment Needed for Opioid Use Disorder

The treatment gap continues to be an obstacle in addressing opioid use disorder (OUD) in the U.S. In 2018, an estimated 2 million Americans had OUD but only about 26% received specialty addiction treatment.




opioid

Opioid and Hedgehog signalling pathways converge to modulate OA




opioid

An analysis of the effect of mu-opioid receptor gene (<i>OPRM1</i>) promoter region DNA methylation on the response of naltrexone treatment of alcohol dependence




opioid

Effects of acute and repeated treatment with methocinnamox, a mu opioid receptor antagonist, on fentanyl self-administration in rhesus monkeys




opioid

Generational trends in US opioid-overdose deaths




opioid

Age and generational patterns of overdose death risk from opioids and other drugs




opioid

What the US and Canada can learn from other countries to combat the opioid crisis

In a 2018 article for Foreign Affairs, we detailed what set off the North American opioid crisis and what other nations can learn from mistakes the U.S. and Canada made. Here, we describe the opioid situation in other countries and then reflect on what U.S. and Canadian officials could learn from them. Key lessons include…

       




opioid

The opioid crisis and community-level spillovers onto children’s education

Introduction Recent high-profile litigation and settlements among states and local governments with drug companies have highlighted the costs of the opioid epidemic on communities. The dollar amounts discussed in some of these cases have been huge. For example, Purdue Pharma and Mallinckrodt agreed to a national settlements of about $10 billion and $1.6 billion, respectively,…

       




opioid

The troubling impact of America’s opioid epidemic on student learning

Today, the Brown Center on Education Policy is releasing a new report on one of the unexplored effects of the opioid crisis: the link between the opioid epidemic and the educational outcomes of children in hard-hit areas. Written by Rajeev Darolia and John Tyler, the report suggests a need to be aware of the potentially…

       




opioid

Mussels test positive for opioids and chemo drugs

Over the course of three months, previously clean mussels picked up a slew of contaminants from the waters of Puget Sound.




opioid

Opioid Prescriptions from Dentists Linked to Youth Addiction Risk

Dental painkillers put teens and young adults at increased risk for opioid addiction in the following year, a study from the Stanford University School of Medicine has found.




opioid

Around Half of Dental Opioid Prescriptions Exceed Guidelines

Around half of the opioids prescribed by dentists in the United States exceed the three-day supply recommended by federal dental pain-management guidelines.




opioid

Forecasting Proper Opioid Prescriptions After Cesarean

Knowing the dose of opioids taken after cesarean delivery and before discharge can inform individualized prescriptions and reduce unnecessary, leftover




opioid

Marketing Opioids To The Doctors Could Be Influencing The Opioid Overdose Deaths

Pharmaceuticals companies which market their drugs tend to target physicians, which encourages them to prescribe more opioids which is what is causing




opioid

Low Testosterone Levels Are Linked With Long-Term Opioid Use

Opioid use has been linked with low testosterone in men. But the number of men screened is unknown. /br A new study by researchers from The University




opioid

Urgent action needed to address growing opioid crisis

Governments should treat the opioid epidemic as a public health crisis and improve treatment, care and support for people misusing opioids. Overdose deaths continue to rise, fuelled by an increase in prescription and over-prescription of opioids for pain management and the illicit drugs trade, according to a new OECD report.




opioid

Urgent action needed to address growing opioid crisis

Governments should treat the opioid epidemic as a public health crisis and improve treatment, care and support for people misusing opioids. Overdose deaths continue to rise, fuelled by an increase in prescription and over-prescription of opioids for pain management and the illicit drugs trade, according to a new OECD report.




opioid

Opioid addiction costs many lives and harms livelihoods

In the past decade, overdose deaths have surged, particularly as (illicit) synthetic opioids have become more available. Opioid-related deaths touch urban and rural communities alike and are spreading to affect all demographic groups.




opioid

Doctor who called himself the 'El Chapo of opioids' admits to over-prescribing painkillers

New Jersey doctor Robert Delagente, 45, has pleaded guilty to distribution of controlled dangerous substances, conspiracy and falsifying medical records for dolling out opioids to patients.




opioid

Opioid therapy in infants, children, and adolescents Ravi D. Shah, Santhanam Suresh, editors

Online Resource




opioid

Examining Opioid Use Among Applicants for Disability Insurance

On this episode of On the Evidence, April Yanyuan Wu, a researcher at Mathematica, discusses a project that used supervised machine learning to estimate prescription opioid use among applicants for Social Security Disability Insurance.




opioid

In Montana, Wastewater Testing Sheds New Light on Opioid and Methamphetamine Use

Last year, Mathematica worked with researchers at Montana State University (MSU) to help assess the policy value of municipal wastewater testing, an innovative approach that can augment existing data by providing more rapid, cost-effective, and unbiased measures of drug use.




opioid

Multigenerational approaches to fostering children's health and well-being: the opioid crisis as a case study ; proceedings of a workshop / Megan Snair, rapporteur ; Forum for Children's Well-Being: Promoting Cognitive, Affective, and Behavioral H

Online Resource




opioid

Why Banning Kratom May Make the Opioid Epidemic Even Worse

In August the DEA announced plans to ban Kratom, a herbal substance used to treat pain, anxiety and in some cases opioid addiction. A group of tenacious users got the agency to back down and extend public comment until December 1st. Now a tough decision lies before the DEA.




opioid

Podcast: The impact of legal pot on opioid abuse, and a very early look at a fetus’s genome

This week, news writer Greg Miller chats with us about how the legalization of marijuana in certain U.S. states is having an impact on the nation’s opioid problem. Plus, Sarah Crespi talks to Sascha Drewlo about a new method for profiling the DNA of fetuses very early on in pregnancy.   [Image: OpenRangeStock/iStockphoto/Music: Jeffrey Cook] ++   Authors: Sarah Crespi; Alexa Billow




opioid

The Role of the Workforce System in Addressing the Opioid Crisis: A Review of the Literature

This literature review was conducted as part of an evaluation of the National Health Emergency demonstration grants awarded by the U.S. Department of Labor to states that using their workforce systems to address problems presented by the opioid crisis.




opioid

The Role of the Workforce System in Addressing the Opioid Crisis: A Resource Guide

This guide supports state recipients of the U.S. Department of Labor National Health Emergency demonstration grants that leverage their workforce systems to address problems presented by the opioid crisis.




opioid

Effect of prescription opioids and prescription opioid control policies on infant health [electronic resource] / Engy Ziedan, Robert Kaestner

Cambridge, Mass. : National Bureau of Economic Research, 2020




opioid

Getting wrecked: women, incarceration, and the American opioid crisis / Kimberly Sue

Dewey Library - HV8738.S835 2019