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Barriers to accessing treatment for opioid use disorder need to be addressed to help curb the epidemic

Barriers to Opioid Use Disorder Treatment Should Be Addressed

Report IDs barriers such as separation of OUD treatment delivery settings from rest of medical care
From 2009 to 2015

In Pregnancy, Buprenorphine Use Up, Methadone Use Down

And the 4Ps Plus and SURP-P scale are sensitive for identifying illicit drug use in pregnancy
The U.S. Centers for Disease Control and Prevention has clarified that the new guideline on prescribing opioids for chronic pain is not meant to limit access to appropriate pain management

CDC Clarifies Guideline on Opioid Prescribing for Chronic Pain

Clarification pertains to opioid prescribing for cancer patients, cancer survivors, sickle cell disease
Because of the danger of "serious harm" to patients

FDA: Patients Should Not Abruptly Stop Taking a Prescribed Opioid

Agency warns that rapid discontinuation can result in uncontrolled pain or withdrawal symptoms
Greater practice restrictions are associated with a lower percentage of nurse practitioners with waivers to prescribe buprenorphine

Many NPs Unable to Prescribe Meds to Treat Opioid Addiction

Greater practice restrictions lead to lower percentage of NPs with waivers to prescribe buprenorphine
Providing patients undergoing surgical procedures with an activated charcoal bag for opioid deactivation could increase appropriate opioid disposal

Receiving Activated Charcoal Bag Tied to Proper Opioid Disposal

Less medication flushing, inappropriate garbage disposal seen for those receiving activated charcoal bag
Hearing loss is independently associated with substance use disorders among those aged 49 years and younger

Hearing Loss Before Age 50 Tied to Higher Substance Use

Associations particularly pronounced for Rx opioid use disorders in those aged 18 to 34 with hearing loss
Analgesics taken during pregnancy

Analgesics in Pregnancy Do Not Seem to Cause Offspring Asthma

Sibling comparison analysis suggested association confounded by specific maternal factors
Many providers stopped initiating opioid therapy from July 2012 to December 2017

Opioid Prescriptions Dropped for New Users From 2012 to 2017

Decline seen in number of providers initiating opioid therapy in any patients who have not used opioids
An opioid supply for seven or fewer days might be sufficient for most patients seen in primary care settings for acute pain who appear to need opioid analgesics

Four-to-Seven-Day Opioid Rx Likely Sufficient for Acute Pain Treatment

No more than one in five patients who filled an opioid analgesic prescription obtained a refill