How to Choose Best Opoid Addiction Treatment | Medpage Today.
drug war
QuickStats: Rates of Deaths from Drug Poisoning and Drug Poisoning Involving Opioid Analgesics§ — United States, 1999–2013
Identifying Patients With Problematic Drug Use in the ED
Among patients who reported using marijuana as their primary drug, more than 46% met the criteria for having a drug problem. “This is an important finding to highlight because marijuana use is often considered less dangerous than other illicit drug use,” Dr. Macias-Konstantopoulos says. According to the study, a subgroup of marijuana users was at higher risk for problematic drug use, including age younger than 30, smoking tobacco, binge drinking, using drugs daily, and reporting that their ED visit was related to their drug use
via Physician’s Weekly for Medical News, Opinions, Features Articles.
Report Examines U.S.’s Addiction to Opioid Painkillers — Physician’s First Watch
Cannabis-Related ED Visits Rise in States With Legalized Use
Cannabis-Related ED Visits Rise in States With Legalized Use.
A second poster presented at the AAAP meeting examined “impact on the healthcare system” and showed that 10,532,658 ED visits due to any type of substance abuse occurred between 2007 and 2011 in the United States.
During that period, cannabis-related ED visits increased 67.8%, and alcohol-related visits increased by 49%. Also increasing were visits related to opioids (by 42%), hallucinogens (40.4%), sedatives (40%), and amphetamines (20.6%).
Interestingly, the percentage of visits related to cocaine use decreased by 67.9%.
“This poster is definitely starting to bring out some of the real concerns that I have as a healthcare provider ― that you are exposing more people to higher potency and riskier forms of the substance. This is not the shake weed that somebody smoked in the ’70s. This is four times more potent. It’s a much riskier proposition than a lot of people think.” Dr Ryan Caldeiro
Snorting bupropion – The Poison Review
Snorting bupropion | The Poison Review.
The abuse of bupropion by pulverizing and snorting the medication has been described at least as far back as 2002. Bupropion inhibits re-uptake of dopamine and norepinephrine, but apparently has little or no effect on serotonin. It is abused for its psychotropic effects that resemble those of amphetamine and cocaine..
A hallmark of overdose with sustained-release or extended-release bupropion formulations is delayed onset of seizures — sometimes more than 8 hours after ingestion. When these preparations are crushed and insufflated, absorption is rapid and manifestations would be expected to come on more quickly.
– See more at: http://www.thepoisonreview.com/2014/11/12/snorting-bupropion/#sthash.35NLtujG.dpuf
Trick or Treat – Halloween in Colorado 2014
Treat or nasty trick? Denver police warn of pot-tainted candy | Reuters.
Presented without further comment because it’s too early in the day for one of my rants.
Alcohol Involvement in Opioid Pain Reliever and Benzodiazepine Drug Abuse–Related Emergency Department Visits and Drug-Related Deaths — United States, 2010
The analyses showed alcohol was involved in 18.5% of OPR and 27.2% of benzodiazepine drug abuse-related ED visits and 22.1% of OPR and 21.4% of benzodiazepine drug-related deaths. These findings indicate that alcohol plays a significant role in OPR and benzodiazepine abuse. Interventions to reduce the abuse of alcohol and these drugs alone and in combination are needed.
JAMA – Treating Prescription Opioid Dependence
JAMA Network | JAMA | Treating Prescription Opioid Dependence.
Conclusions and Relevance This study represents a rigorous experimental evaluation of outpatient buprenorphine stabilization, brief taper, and naltrexone maintenance for treatment of PO dependence. Results suggest that a meaningful subset of PO-dependent outpatients may respond positively to a 4-week
Naltrexone maintenance? I bet they’ll lost weight too.
Deaths From Narcotic Painkillers Quadrupled in Past Decade: CDC – WebMD
Deaths From Narcotic Painkillers Quadrupled in Past Decade: CDC – WebMD.
Deaths from overdoses of drugs such as hydrocodone (Vicodin), morphine and oxycodone (Oxycontin) climbed from 1.4 per 100,000 people to 5.4 per 100,000, according to the U.S. Centers for Disease Control and Prevention.
That means about 3,000 people died in 1999 from unintentional overdoses. By 2011, that number was up to nearly 12,000 deaths, the report said.
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