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Multipronged Postoperative Opioid Program Cuts Rx Length

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Program includes mix of physician education, monitoring, and incentives to shorten Rx length for surgical patients
Emergency departments are increasingly seeing patients for repeat opioid-related care

Repeat ED Visits for Opioid-Related Emergencies on the Rise

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Health information exchanges may enable more efficient care for patients seeking care in multiple EDs
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
An ad campaign to inform people harmed by the prescription opioid OxyContin as to where they can file claims against maker Purdue Pharma was launched Monday by the company as part of bankruptcy proceedings.

Purdue Launches Ad Campaign for OxyContin Claims

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The $23.8 million ad campaign has been approved by a bankruptcy judge
Adult dental patients are frequently overprescribed opioids

Adult Dental Patients Frequently Overprescribed Opioids

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29 percent of prescribed opioids exceed recommended morphine equivalent for pain management
An enhanced recovery after surgery program complemented by a preemptive pain management program is associated with a decrease in opioid prescriptions at discharge following minimally invasive foregut surgery

Proactive Pain Management May Cut Postop Opioid Prescriptions

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Program linked to opioid-free discharge following elective minimally invasive benign foregut surgery
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
Altering the default settings in the electronic medical record can influence the quantity of opioids prescribed in an emergency department setting

Altering Default Settings in EHR Influences Opioid Prescribing

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Lower default was associated with lower number of pills prescribed in eight of 15 pairwise comparisons
Exposure to controlled-release hydromorphone

Hydromorphone-CR Exposure Ups Heart Infection Risk in PWID

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Rates of infective endocarditis increased among PWID exposed to controlled-release hydromorphone
Prescription drug monitoring program data from individual states show a decline in opioid prescribing rates in 11 participating states from 2010 to 2016

Opioid Prescribing Rates Down at State Level From 2010 to 2016

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Among 11 states, daily dosage declined the least in Idaho and Maine, the most in Florida