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Guidelines have been developed for chronic pain management in adult cancer survivors. The American Society of Clinical Oncology Clinical Practice Guideline was published online July 25 in the Journal of Clinical Oncology.

Guidelines Developed for Pain Management in Cancer Survivors

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Recurrent disease, second malignancy, late-onset tx effects should be assessed in patients with new pain
Gut microbiome diversity is significantly lower in patients with chronic pelvic pain syndrome

Gut Microbiome Diversity Lower in Chronic Pelvic Pain Syndrome

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Tighter clustering of controls versus wider clustering of cases in UniFrac principal coordinate analysis
For patients with moderate to severe diabetic peripheral neuropathic pain

Buprenorphine May Be Helpful in Peripheral Neuropathic Pain

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When tolerated, buprenorphine is effective for DPNP, but many patients withdrew from study
The therapeutic benefit of stellate ganglion block for debilitating photophobia secondary to trigeminal postherpetic neuralgia has been described in a case report published online July 5 in Pain Practice.

Stellate Ganglion Block Beneficial in Postherpetic Neuralgia

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Report demonstrates benefit in severe photophobia secondary to trigeminal postherpetic neuralgia
Metamizole seems to be safer than other nonsteroidal anti-inflammatory drugs and causes fewer gastric and duodenal ulcers in postoperative pain management

Metamizole Could Be Alternative to Classical NSAIDs

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Fewer gastric, duodenal ulcers with metamizole; limited risk of bleeding in post-op pain management
For patients undergoing deeper dermal laser treatments of acne keloidalis nuchae and tattoos

Lidocaine/Prilocaine Optimal for Deeper Dermal Laser Procedures

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Better pain relief for deeper dermal laser treatments for acne keloidalis nuchae, tattoos
Several factors impact parents' management of their children's postoperative pain at home

Several Factors Impact Parent Management of Child Postop Pain

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Parents' experiences impacted by need to balance pros and cons of administering meds
Pharmacy programs to reduce opioid abuse are effective but underused

Pharmacy Programs to ID Opioid Abuse Effective, but Underused

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Monitoring program in Maine was only used by 56 percent of pharmacists
Patients on long-term opioid therapy who receive prescriptions for naloxone are less likely to return for emergency care related to opioid use

Coprescribing Naloxone to Opioid Users Helps Reduce ER Visits

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Finding supports naloxone prescriptions for patients taking opioids for chronic pain
Misuse of opioids by American adults more than doubled from the early 2000s to 2013

Misuse of Opioids Doubled in the United States Over a Decade

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Over 4 percent of adults reported nonmedical use of drugs like OxyContin in 2012 to 2013