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Tighter rules on opioid painkiller prescriptions for U.S. government employees will be implemented in the fall

New Opioid Rx Rules Coming for U.S. Employees’ Health Plans

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New Federal Employee Health Benefits Program rules are meant to prevent overprescribing
Since 2008

Opioid Prescribing, New Persistent Use Down After Childbirth

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Strongest modifiable factor linked to new persistent use after delivery was filling Rx before delivery
Access to primary care may be reduced for patients taking prescription opioids

Taking Prescription Opioids Could Limit Primary Care Access

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40 percent of primary care clinics won't take new patients using opioid painkillers, regardless of insurance type
Only one-fourth of U.S. plastic surgery residents report receiving opioid-prescriber education

Opioid Rx Education Insufficient for Plastic Surgery Trainees

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Significantly more opioids prescribed by U.S. versus Canadian trainees for seven of eight procedures
The number of days supplied of an initial opioid prescription is the strongest risk factor for developing long-term opioid use among previously opioid-free injured workers

Supply of Opioids Predicts Long-Term Use in Injured Workers

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Odds of long-term opioid use up with initial Rx for five- to nine-day supply versus supply of less than five days
Medical marijuana laws do not appear to impact nonmedical prescription opioid use or opioid use disorder

Medical Marijuana Laws May Not Impact Opioid Use

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No reduction seen in individual-level nonmedical prescription opioid use from 2002 to 2014
For the first time in three decades

U.S. Drug OD Deaths Fall for First Time in Three Decades

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However, U.S. drug overdose death rate remains about seven times higher than a generation ago
More than one-fourth of patients with acute gout discharged from the emergency department receive an opioid prescription

Opioids Commonly Prescribed in Emergency Department for Gout

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Diabetes, polyarticular gout, prior opioid use tied to increased risk for opioid prescription at discharge
Prepregnancy surgery is associated with elevated neonatal abstinence syndrome risk in future pregnancies

Prepregnancy Surgery Linked to Risk for Neonatal Abstinence Syndrome

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Prescription opioids for postsurgical pain may lead to addiction that affects future pregnancies
For patients undergoing anterior cruciate ligament reconstruction

Prescribing Fewer Tablets Can Cut Post-ACL Surgery Opioid Use

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Prescribing fewer tablets with education session further reduces opioid use