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NAME OF DOCUMENT
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| Cautious, Responsible, Opioid Prescribing |
The Rheumatologist, Jan. 2008
Perils of Pain Meds, Opioid overuse is a dangerous path for patients, and physcians
excerpt:
"In view of the well-documented risks of opioids, careful patient selection and prudent use should be the standard. Pain should not be managed in isolation without an understanding of its roots, just as fever mandates a search for causes. Under-treatment should refer not only to drug therapy, but also to the absence of important non-drug interventions. Hopefully, this approach will reduce inappropriate opioid use as well as associated morbidity and mortality."
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| SELF-MANAGEMENT IN CHRONIC DISEASES , Stephen G. Gelfand M.D. Rheumatologist
MUSCLE AND MIND SELF-MANAGEMENT
Obtaining maximum outcomes in chronic noncancer pain and other medical disorders
Excerpt:
"One of the most important but frequently overlooked forms of medical treatment today, which is necessary for the optimal outcome of many medical conditions, is referred to as self-management [as contrasted with medication management]. This involves active patient participation in non-drug methods that produce beneficial biological effects which can reduce the severity of a particular medical disease or condition. In fact, these techniques may actually enhance the effectiveness of medications, frequently permitting dosage reductions or even discontinuation of certain drugs."...... |
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Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain
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Research Gaps on Use of Opioids for Chronic Noncancer Pain:
Findings From a Review of the Evidence for an American Pain Societyand American Academy of Pain Medicine Clinical Practice Guideline
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| ANNALS OF INTERNAL MEDICINE: Opioid Prescriptions for Chronic Pain and Overdose |
| NEJM A Flood of Opioids, a Rising Tide of Deaths |
| AJPM: Poisoning by Prescription Drugs on the Rise |
| Long-term Opioid Treatment of Nonmalignant Pain |
| Are we making pain patients worse? |
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OHIO: A Statewide Prescription Monitoring Program Affects EmergencyDepartment Prescribing Behaviors
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| Cautionary Guidelines for the Use of Opioids in Chronic Pain |
| Opioid induced hyperalgesia: clinical implications for the pain practitioner |
| Unintentional Drug Poisoning in the United States |
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Prescription Drug Abuse: What is Being Done to Add ress This New Drug Epidemic?
Testimony Before the Subcommittee on Criminal Justice, Drug Policy and Human Resources
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Effectiveness of Opioids in the Treatment of Chronic Non-Cancer Pain
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The Comparative Safety of Opioids for Nonmalignant Pain in Older Adults
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Trends in opioid use and dosing among socio-economically disadvantaged patients
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| The Safety of Opioid Analgesics in the Elderly |
| Broken Heart Syndrome” After Separation (From OxyContin) |
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Opioid Pharmacotherapy for Chronic Non-cancer Pain in theUnited States:
A Research Guideline for Developing an Evidence-Base
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| Clustering of opioid prescribing and opioid-related mortality among family physicians in Ontario |
DOCUMENTARY:
Chapter 1, Risk of Addiction: http://www.youtube.com/watch?v=aoJoBq89OBE
Chapter 2, High Dose Prescribing: http://www.youtube.com/watch?v=OmcwCZ2PS7A
Chapter 3, Discontinuing Opioids: http://www.youtube.com/watch?v=noxJ_mDBdBk
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CDC:
Overdose Deaths Involving Prescription Opioids Among Medicaid Enrollees --- Washington, 2004--2007
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| Increase in Fatal Poisonings Involving Opioid Analgesics in the United States, 1999–2006 |
| Prescribing Patterns of Schedule II Opioids in California Workers’Compensation |
| Low Use of Opioid Risk Reduction Strategies in Primary Care Even for High Risk Patients with Chronic Pain |
Advocates for Prescription Opioid Reform
MEDICAL RESOURCES