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Many patients with non-cancer-related chronic pain prescribed long-term opioids may wish to taper their opioid use

Chronic Opioid Users May Wish to Taper Opioid Use

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In study completers, median morphine equivalent daily dose fell from 288 mg to 150 mg in four months
Intravenous acetaminophen with or without ketorolac is associated with reduced opioid consumption and cost of care after scoliosis surgery in adolescents

Opioids Plus Acetaminophen, Ketorolac Cost-Effective Post-Sx

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In children having scoliosis surgery, combo is linked to reduced opioid intake compared with opioids alone
Antidepressant medication adherence is associated with cessation of long-term prescription opioid use among patients with non-cancer pain

Treating Depression Found to Up Successful Opioid Cessation

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Taking antidepressants helped non-cancer pain patients successfully stop long-term opioid use
Opioid prescribing among dermatologists is limited

Limited Opioid Prescribing Among Dermatologists

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Overall, 93.9 percent of the top 1 percent of opioid prescribers worked in a surgical practice
Opioid use is associated with elevated risk of invasive pneumococcal disease

Opioid Use Linked to Risk of Invasive Pneumococcal Disease

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Strongest associations seen for opioids that were long acting, of high potency, and used at high doses
For newborns with neonatal abstinence syndrome

Rooming-In May Up Outcomes in Neonatal Abstinence Syndrome

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Reduction in pharmacotherapy use, length of stay for newborns with neonatal abstinence syndrome
Patients with musculoskeletal conditions who are using prescribed opioids are more likely to be highly satisfied with their care

Prescribing of Opioids Adds to Patient Satisfaction With Care

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Findings strongest with higher opioid use among patients with musculoskeletal conditions
Improvement in obstetrician-gynecologists' knowledge and prescribing practices regarding opioids is needed

Improvement Needed in Ob-Gyn Opioid Prescribing Practices

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Respondents prescribed median of 26 pills/patient; amount prescribed varied widely by indication
Helping patients understand individualized reasons for opioid tapering and encouraging them to provide input into the process are key for patient-provider communications

Tips Offered for Patient-Provider Opioid Tapering Talks

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Patients should understand individualized reasons for tapering, know their providers will not abandon them
For postoperative patients there is considerable variation in the amount of opioids prescribed at hospital discharge

Amount of Opioids Prescribed After Hospital Discharge Varies

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45.6 percent of patients using no opioids 24 hours predischarge were prescribed opioids at discharge