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Patients at high risk of opioid overdose rarely receive prescriptions for naloxone

Most Patients at High Risk of Opiate Overdose Do Not Receive Naloxone Rx

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Only 1.5 percent of high-risk patients are prescribed naloxone upon ED or inpatient discharge
The World Health Organization's pain care guidelines contain false claims about the safety of prescription opioid painkillers and should be withdrawn

U.S. Lawmakers Say WHO Opioid Guidelines Too Lax

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Organization claims guidelines influenced by people with financial ties to Purdue Pharma
Black patients are less likely to receive a buprenorphine prescription to treat opioid use disorder

Racial Disparity Seen in Prescriptions for Buprenorphine

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Office visits for drug to treat opioid use disorder most commonly self-pay or private insurance
For opioid-naive patients treated for a surgical musculoskeletal injury

Opioid Quantity Prescribed After Musculoskeletal Injury Tied to Prolonged Use

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Opioid type not predictive of prolonged use for patients with musculoskeletal injury undergoing surgery
Receipt of tramadol alone after surgery is associated with an increased risk for prolonged opioid use

Risk for Prolonged Opioid Use Up in Patients Receiving Tramadol

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Those receiving tramadol postop have similar, higher risks as those receiving other short-acting opioids
Only state naloxone access laws allowing direct dispensing of naloxone by pharmacists appear to be useful in cutting fatal overdose rates

Fatal Overdoses Reduced With Pharmacist Dispensation of Naloxone

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However, greater naloxone availability tied to more nonfatal overdoses seen in emergency departments
Drug overdose deaths involving cocaine and psychostimulants accounted for 19.8 and 14.7 percent

Cocaine-, Psychostimulant-Involved Death Rates Increasing

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Synthetic opioids driving increases in cocaine-involved deaths, less so in psychostimulant-involved deaths
Implementing a care path for newborns with fetal opioid exposure that emphasizes nonpharmacologic interventions can reduce hospital stay and pharmacologic treatment

Nonpharmacologic Tx Enhances Care of Opioid-Exposed Newborns

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Reduction seen in length of hospital stay and in use of medication to treat neonatal abstinence
Implementation of the U.S. Centers for Disease Control and Prevention opioid prescribing recommendations should be consistent with the guideline's intent

CDC Provides Clarification of Opioid Prescribing Guideline

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Misapplication of the guideline can put patient health and safety at risk
Many people with cancer use marijuana

Rates of Marijuana Use in Cancer Patients on the Rise in U.S.

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People with cancer also more likely to use prescription opioids than those without