- |||||||||| fentanyl citrate / Generic mfg.
Journal: Trends in opioid initiation among people who use opioids in three US cities. (Pubmed Central) - Jul 31, 2021 Pre-emptive IV dexketoprofen may be a good option for arthroscopic shoulder surgery and provides effective analgesia. Our study highlights women and PWUO initiating with NMPO as key risk groups amid the changing landscape of opioid use and overdose, and discusses implications for targeted prevention and treatment.
- |||||||||| Clinical, Journal: Drug-drug interactions in neonatal intensive care: A prospective cohort study. (Pubmed Central) - Jul 31, 2021
Neonates in intensive care have a high exposure to DDIs and the occurrence of major DDIs is related specifically to the prescription of fentanyl. The number of prescribed drugs, gestational age, cesarean delivery and low APGAR score in the first minute were identified as risk factors for DDIs in NICU.
- |||||||||| Olinvyk (oliceridine) / Trevena, Jiangsu NHWA Pharma, pethidine / Samaritan
Journal: A novel [5.2.1]bicyclic amine is a potent analgesic without µ opioid activity. (Pubmed Central) - Jul 31, 2021 DS21980956 had potent analgesic activity in the mouse acetic acid writhing test or tail flick test without agonistic activity at the µ opioid receptor (MOR). The mechanism of analgesic action of DS21980956 was considered to differ from a biased ligand, for example, TRV-130 (3, oliceridine).
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Journal: A deadly trend in fentanyl fatalities (England, 1998-2017). (Pubmed Central) - Jul 30, 2021 The increasing availability of both pharmaceutical fentanyls and NPFDs represents a serious risk to public health. Unintentional misuse of these compounds in England is contributing to the exponential increase in fentanyl-associated deaths that is being observed at the global scale.
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Journal: Help me fix: The provision of injection assistance at an unsanctioned overdose prevention site in Toronto, Canada. (Pubmed Central) - Jul 30, 2021 Findings that women receiving assisted injecting are at higher odds of overdose within the supervised setting of the MP-OPS are consistent with previous literature on assisted injection in community settings. Rules banning assisted injection in supervised consumption services may be putting a group of people, particularly women and those injecting fentanyl, at higher risk of health harms by denying them access to a supervised space where prompt overdose response is available.
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Journal: Exploring willingness to engage with law enforcement among syringe service program participants in New York City. (Pubmed Central) - Jul 30, 2021 Overdose prevention strategies in SRAs should also include gender-specific models (e.g. women-only HOPS, women peer workers) to help mitigate barriers to these services within the context of the current overdose crisis. Police investigations of both fatal and non-fatal drug overdose events have the potential to exacerbate mistrust of law enforcement and discourage emergency medical service utilization among PWUD.
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Journal: The protective effect of trusted dealers against opioid overdose in the U.S. (Pubmed Central) - Jul 30, 2021 Interpersonal relationships between individuals who use drugs and their suppliers strongly influence the risk and protective factors experienced by people who use drugs in today's opioid overdose epidemic. Evidence-based prevention strategies that are based on an awareness of-or even designed to harness-those positive and/or protective relationships that people who use drugs have already constructed for themselves are likely merited.
- |||||||||| methadone / Generic mfg.
Clinical, Journal: The Effect of Intraoperative Methadone During Pediatric Cardiac Surgery on Postoperative Opioid Requirements. (Pubmed Central) - Jul 30, 2021 Use of intraoperative methadone appears to be a reasonable alternative to the use of fentanyl with potential other benefits both intra- and postoperatively of decreased total dose of opioids and other sedatives. Future studies will assess for any improvement in total postoperative opioid requirements during the total hospital stay, and potential use of methadone by the ICU team.
- |||||||||| fentanyl citrate / Generic mfg., morphine sulphate / Generic mfg., methadone / Generic mfg.
Reimbursement, Journal, Medicare: State Medical Cannabis Laws Associated With Reduction in Opioid Prescriptions by Orthopaedic Surgeons in Medicare Part D Cohort. (Pubmed Central) - Jul 30, 2021 Orthopaedic surgeons are among the highest prescribers of opioids, highlighting the importance of providing nonopioid analgesic alternatives in efforts to reduce opioid use in the patient cohort. This study is the first to examine the association between implementation of state cannabis laws and prescribing patterns for opioids by orthopaedic surgeons in Medicare Part D patients.
- |||||||||| fentanyl citrate / Generic mfg., hydromorphone hydrochloride / Generic mfg.
Journal: Tackling the overdose crisis: The role of safe supply. (Pubmed Central) - Jul 30, 2021 In view of the persistent gaps in services and the limitations of available options, immediate scale-up of low-barrier opioid distribution programs are urgently needed. This includes "off-label" prescription of pharmaceutical grade opioids (e.g., hydromorphone) to disrupt the toxic drug supply and make safer opioids widely available to people at high risk of fatal overdose.
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Journal: Agency in the fentanyl era: Exploring the utility of fentanyl test strips in an opaque drug market. (Pubmed Central) - Jul 30, 2021 When fentanyl presence is assumed, people used fentanyl test strips in unexpected ways to gain some control over their drug use. Novel uses for fentanyl test strips strengthen existing strategies used to navigate the drug market and mitigate overdose risk, and highlight their potential to quickly disseminate valuable information about the local drug supply.
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Journal: US drug overdose mortality: 2009-2018 increases affect young people who use drugs. (Pubmed Central) - Jul 30, 2021 We also report shorter anesthesia time, surgical time, and recovery room length of stay in patients who received spinal anesthesia compared to general anesthesia. Rapid changes in the demographics of overdose demonstrate distinct but overlapping US overdose sub-epidemics, and highlight the need for targeted interventions to reduce overdose risk in young people.
- |||||||||| fentanyl citrate / Generic mfg., methamphetamine / Generic mfg., methadone / Generic mfg.
Journal: Supplying synthetic opioids during a pandemic: An early look at North America. (Pubmed Central) - Jul 30, 2021 Drug policy will need to evaluate market indicators as soon as they are available but responding now with expanded medication therapies, like methadone, may help save lives. The drug policy landscape could look different in a post-COVID world.
- |||||||||| fentanyl citrate / Generic mfg.
Journal: Regional Anesthesia for Clavicle Fracture Surgery is Safe and Effective. (Pubmed Central) - Jul 30, 2021 Regional anesthesia using a combined brachial plexus and modified superficial cervical plexus block is a reliable, efficacious technique. The combined block appears to be a reasonable alternative to general anesthesia with an interscalene brachial plexus block, and it may have benefits regarding the anesthesia start time and total case time.
- |||||||||| fentanyl citrate / Generic mfg., methadone / Generic mfg.
Clinical, Journal: Differences in Opioid Overdose Mortality Rates Among Middle-Aged Adults by Race/Ethnicity and Sex, 1999-2018. (Pubmed Central) - Jul 30, 2021 The combined block appears to be a reasonable alternative to general anesthesia with an interscalene brachial plexus block, and it may have benefits regarding the anesthesia start time and total case time. Policy making should consider unique subgroup risks and alternative trajectories of opioid use other than people being prescribed opioids, developing opioid use disorder, subsequently moving to heroin, and then to fentanyl.
- |||||||||| fentanyl citrate / Generic mfg.
Journal: The discounting of death: Probability discounting of heroin use by fatal overdose likelihood and drug purity. (Pubmed Central) - Jul 30, 2021 Prior to completing the probability-discounting tasks, participants were randomized to read one of four prompts varying by the presence of information on heroin effects and active (e.g., fentanyl) or inert impurities...Expanded access to drug checking services, which inform impurity and overdose risk, can reduce fatal overdoses. Due to fear of legal sanctions for these services, legislation and judicial decisions should explicitly protect these services.
- |||||||||| midazolam hydrochloride / Generic mfg.
[VIRTUAL] Sedative medications in COVID-19 positive ARDS patients undergoing tracheostomy () - Jul 29, 2021 - Abstract #ERS2021ERS_1935; Fentanyl was used in 38 (69.1%), dexmedetomidine in 28 (50.9%), midazolam in 13 (23.6%), hydromorphone in 13 (23.6%), and propofol in 12 (21.8%) patients. In a small cohort of 55 COVID-19 ARDS patients, we were able to describe significantly decreased SAM administritation, improved sedation parameters, and improved physical functioning.
- |||||||||| fentanyl citrate / Generic mfg.
Clinical, Journal: Pediatric opioid fatalities: What can we learn for prevention? (Pubmed Central) - Jul 29, 2021 These pediatric ingestions have closely mirrored the opioid epidemic in adults transitioning from prescription medications to illicit drugs including fentanyl and fentanyl analogues...Accidental pediatric poisonings are preventable. Risk reduction through improving awareness and education of the dangers of opioids is a key factor in mitigating these tragedies.
- |||||||||| fentanyl citrate / Generic mfg.
Journal: Fentanyl-related substance scheduling as an effective drug control strategy. (Pubmed Central) - Jul 29, 2021 Opposition to permanent class-wide was lodged due to concerns over law enforcement overreach, inadequate Health and Human Services input, and hindrance of research. This paper reaffirms the importance of a class-based scheduling strategy while also arguing for increased research of schedule I controlled substances.
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