- |||||||||| morphine sulphate / Generic mfg., tramadol hydrochloride / Generic mfg., methadone / Generic mfg.
Review, Journal: Psychosis after buprenorphine, heroin, methadone, morphine, oxycodone, and tramadol withdrawal: a systematic review. (Pubmed Central) - Mar 8, 2022 This study encompasses a comprehensive description of the literature concerning the possible not well-studied outcome of opioid withdrawal. There are some reports of temporal association between withdrawal and psychotic symptoms that improved after the reintroduction of the opioid; it could be taken into consideration in the clinical practice.
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Clinical, Journal: Multimodal Analgesia Reduces Opioid Requirements in Trauma Patients with Rib Fractures. (Pubmed Central) - Mar 8, 2022 There are some reports of temporal association between withdrawal and psychotic symptoms that improved after the reintroduction of the opioid; it could be taken into consideration in the clinical practice. The implementation of an MMPR in patients with rib fractures resulted in significant reduction in inpatient opioid consumption and was associated with a reduction in the quantity of opiates prescribed at discharge.
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Real-World Economic Benefit Administering Naloxone Among Patients with High and Low Dose Opioid Overdose (In-person & Virtual) - Mar 8, 2022 - Abstract #ISPOR2022ISPOR_1733; Overall, 45.64% of HDOOP were 50-64 years, 63.71% female, 62.06% Caucasian, and 61.08% Medicare, and FL (10.07%) had highest rates. Overall, 42.72% of LDOOP were 50-64 years, 67.80% female, 58.23% Caucasian, and 50.59% had Medicare, and TX (12.30%) had highest rates.
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Geographic Variation of High-Risk Prescription Opioid Use Measures Among Disabled Medicare Beneficiaries, 2011-2018 (Virtual) - Mar 8, 2022 - Abstract #ISPOR2022ISPOR_1586; In multi-year (2011-2018), cross-sectional analyses of disabled, non-cancer beneficiaries with > 2 opioid prescriptions, we examined geographic variation in high-dose use (≥120 daily morphine milligram equivalents for ≥90 consecutive days), multiple providers (receiving opioid prescriptions from ≥4 prescribers and ≥4 pharmacies), and concurrent benzodiazepine use (≥30 cumulative days)... Among disabled Medicare beneficiaries, we identified high-risk opioid use hotspots in 20-30% of HRRs, which may aid in developing targeted regional-level interventions and policies.
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Journal: Trends in Opioid Use Among Cancer Patients in the United States: 2013-2018. (Pubmed Central) - Mar 8, 2022 Both quarterly trends in mean days and morphine milligram equivalents of opioids supplied showed a gradual decline from 2013 to 2018, with a slightly larger decline after 2016. We observed a decline in opioid use among cancer patients, particularly after 2016, coinciding with the publication of the Centers for Disease Control and Prevention's guideline on prescription opioids for chronic pain management.
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Preclinical, Journal: Sex Differences in Kappa Opioid Receptor Agonist Mediated Attenuation of Chemotherapy-Induced Neuropathic Pain in Mice. (Pubmed Central) - Mar 8, 2022 Using an acute dose-response procedure, we showed that compared to morphine, 16-Ethynyl SalA was more potent at reducing mechanical allodynia; and SalA, 16-Ethynyl SalA, and EOM SalB were more potent at reducing cold allodynia...In the chronic administration model, treatment with U50,488 (10 mg/kg) reduced the mechanical and cold allodynia responses to healthy levels over 23 days of treatment. Overall, we have shown that KOR agonists are effective in a model of chemotherapy-induced neuropathic pain, indicating that KOR agonists could be further developed to treat this debilitating condition.
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Journal: Evaluation of Low-Dose Versus High-Dose Opioid Pathway in Opioid-Naïve Patients After Total Knee Arthroplasty. (Pubmed Central) - Mar 8, 2022 Tramadol is a weak opioid with potentially lower side effects and risk for dependency than stronger opioids...We compared morphine milligram equivalent (MME) consumption and outcomes up to 3 months postoperatively...Low opioid regimen following TKA showed lower MME consumption than high opioid regimen with no effect on outcomes up to 3 months. Use of low opioid regimen should be considered for TKA surgery.
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Severe Headache Trajectory Following Aneurysmal Subarachnoid Hemorrhage: The Association with Lower Sodium Levels ([VIRTUAL]) - Mar 6, 2022 - Abstract #AAN2022AAN_2056; In this study of headache after aSAH, we identified two distinct pain trajectory cohorts (mild-moderate and moderate-severe) and an association of these trajectories with age, analgesia, and sodium levels. Future multi-institutional prospective studies focusing on headache trajectories and phenotypes that account for standardized analgesic regimens, sodium homeostasis, and optimized volume status are needed.
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Clinical, Journal: Prescription Opioid Characteristics and Nonfatal Overdose Among Patients Discharged from Tennessee Emergency Departments. (Pubmed Central) - Mar 5, 2022 Although the perioperative administration of parecoxib did not provide significantly better postoperative pain control or reduce the opioid requirement relative to placebo, its use led to a shorter hospital stay. In Tennessee, many patients treated in the ED for an overdose are still prescribed high-dose opioid analgesics after an overdose, highlighting a missed opportunity for intervention and coordination of care between ED and non-ED providers.
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Enrollment open: Pre-emptive Intravenous Morphine for Acute Post-craniotomy Pain. (clinicaltrials.gov) - Mar 4, 2022 P=N/A, N=115, Recruiting, If proven to be an effective intervention, it represents a readily available treatment for patients. Not yet recruiting --> Recruiting
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Journal: Medically supervised taper for ultra high-dose opioids with significant comorbidities using a multidisciplinary approach: A case report. (Pubmed Central) - Mar 4, 2022 This case report describes in detail the opioid tapering approach used to taper a 53-year-old male with chronic low back pain on a regimen of a morphine equivalent daily dose (MEDD) of 1,990 mg...The patient was discharged with an MEDD of 392 mg with additional taper as an outpatient to an MEDD of 200 mg. Adequate pain relief and resolution of side effects were achieved without the patient reporting significant withdrawal symptomatology in the outpatient setting.
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Journal: dCA1-NAc shell glutamatergic projection mediates context-induced memory recall of morphine. (Pubmed Central) - Mar 3, 2022 Furthermore, chemogenetic and optogenetic inactivation of the dCA1-NAc shell pathway decreased the recurrence of long- and short-term morphine-paired context memory in mice. These results provided evidence that the dCA1-NAc shell glutamatergic projections mediated the context-induced memory recall of morphine.
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