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HealthDay Reports: Preoperative COVID-19 Incidence

Risks of Opioids Should Be Recognized for Children After Surgery

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Opioid prescribing guidelines for children developed; authors underscore importance of nonopioid analgesic options, providing education to patients and their families

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Deaths of Despair Likely to Increase During Pandemic

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Authors propose policies addressing employment; access to care; and integrated behavioral, clinical care
Few primary care physicians report interest in treating patients with opioid use disorder

Physicians Report Low Interest in Opioid Use Disorder Meds

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Few PCPs report obtaining buprenorphine waiver orprescribing buprenorphine, naltrexone for OUD
Juul sales recovered within weeks following a dip after the company withdrew some flavored products from stores

Removal of Flavored E-Cigarette Products Likely Ineffective

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Despite Juul's voluntary removal, other sellers filled the void, while Juul saw growth among other flavors
Evidence relating to pharmacological interventions for cannabis use disorder is mainly insufficient and suggests that several drug classes are ineffective

Evidence Lacking for Pharmacologic Therapy for Cannabis Use Disorder

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Several drug classes including cannabinoids, SSRIs seem to be ineffective for cannabis use disorder
Medication treatment with methadone and buprenorphine is associated with a significantly lower risk for overdose death for people with opioid use disorder compared with nonmedication treatment

Medication Treatment May Lower Risk for Opioid Overdose Death

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But protective effect during care does not last after discontinuation of treatment for opioid use disorder
A change in the law allowing pharmacists to dispense naloxone correlated with a large increase in the number of naloxone orders dispensed in Ohio

More Naloxone Orders Filled When Pharmacists Can Dispense

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2,328 percent increase in naloxone orders found in Ohio Medicaid population after policy implementation
Less than one-third of youths surviving an opioid overdose receive timely addiction treatment

Few Youths Receive Addiction Treatment After Opioid Overdose

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Only 1.9 percent of Medicaid-enrolled youth received pharmacotherapy after nonfatal opioid overdose
Buprenorphine treatment may be needed for several years after an opioid overdose to reduce the risk of overdose and other adverse events

Overdose, Relapse After Buprenorphine Discontinuation High

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The longer patients continue with buprenorphine treatment, the lower their risk of adverse outcomes
Coprescription of benzodiazepines and opioid agonist treatment is associated with an increased risk for drug-related poisoning mortality in opioid-dependent individuals

Benzodiazepines With Opioid Agonist Tx May Up Mortality Risk

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Coprescription of z-drugs with OAT also linked to increased risk for drug-related poisoning mortality