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Emergency department providers need evidence-based strategies to identify and manage patients with opioid use disorder

ED Plays Critical Role in Caring for Patients With Opioid Use Disorder

Review provides evidence-based strategies for identifying, managing, transitioning care
Nalbuphine can relieve opioid-induced urine retention

Nalbuphine Can Relieve Opioid-Induced Urine Retention

Case report describes relief for patient with hepatocellular carcinoma treated with hydromorphone

National Association of Chain Drug Stores, Aug. 25-27

The National Association of Chain Drug Stores Total Store Expo The Total Store Expo of the National Association of Chain Drug Stores (NACDS)...
Physical therapy management is associated with better outcomes for young patients undergoing arthroscopic hip surgery

PT Better After Hip Surgery Than Opioids in Younger Adults

Benefits include lower hip-related downstream costs and lower opioid use after arthroscopic surgery
Rates of opioid use in the United States do not appear to be declining

U.S. Opioid Use Not Declining, Despite Focus on Abuse

Higher average daily dose seen in 2017 versus 2007, particularly for the disabled
There was an increase in buprenorphine with naloxone fills in expansion versus nonexpansion counties after Medicaid expansion

Buprenorphine/Naloxone Rx Fills Up With Medicaid Expansion

Significant increase in buprenorphine with naloxone fills per 100,000 county residents in expansion areas
Four more online networks that operate 21 websites illegally selling potentially dangerous

FDA Warning Letters Target Illegal Online Sales of Opioids

Medications may be counterfeit, contaminated, expired, or otherwise unsafe
Implementation of a mandatory prescription drug monitoring program does not necessarily reduce the overall rate of opioid prescribing or the mean number of pills prescribed for patients undergoing general surgical procedures

Prescription Drug Monitoring Program May Not Cut Opioid Use

No significant reduction in percentage of patients prescribed opioids after general surgery
Release of the U.S. Centers for Disease Control and Prevention Guideline for Prescribing Opioids for Chronic Pain in March 2016 corresponded to greater increases in several opioid prescribing patterns

Bigger Drop in Opioid Prescribing After CDC Guideline Release

Several opioid prescribing practices were decreasing before guideline; release linked to greater declines
Hydrocodone's change from schedule III to schedule II in 2014 was associated with an increase in the amount of opioids filled in the initial prescription after surgery

Hydrocodone Schedule Change Affected Post-Op Opioid Rx

Increase in mean OMEs filled in initial opioid rx after hydrocodone's change from schedule III to II