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A lawsuit has been filed by an Indian nation against six of the top drug distributors and pharmacies in the United States for harm done by prescription pain medications.

Cherokee Nation Sues Retailers, Distributors Over Opioid Crisis

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Suit alleges companies violated sovereign Cherokee laws by failing to prevent black market sales
Opioid addicts who get their medical care in settings such as primary care offices and hospitals

Mortality Up for Opioid Addicts Not Treated in Addiction Clinics

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Those treated in primary care, hospitals twice as likely to die as those treated in addiction centers
Nearly half a billion dollars promised by the Obama administration for opioid abuse prevention and treatment programs will be handed out by the Trump administration.

Trump Administration Offers Grants to Fight Opioid Crisis

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Money to be used to train health professionals, foster prescription drug monitoring programs
Children should not be given any medications containing codeine or tramadol due to risk of life-threatening breathing difficulties

FDA Warns Against Children Taking Codeine, Tramadol

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Agency strengthens warning labels on these medications to address dangers
Certain surgery patients prescribed opioids for postoperative pain relief may face a higher risk for developing a persistent opioid addiction

Surgery Often the Starting Point for Opioid Addiction

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Some patients may face higher risk of becoming dependent on opioids, researchers say
There is geographic variation in treatment admissions among opioid treatment programs that accept Medicaid

Geographic Variation in Admission for Opioid Tx Programs

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Widest gap between county-level opioid use disorder, estimated capacity for treatment is in Southeast
Teenagers with prescription opioid exposures are more likely to have health care facility admission and serious medical outcomes than younger children

Teens Exposed to Opioid Rx at Risk for Serious Outcomes

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Teens more likely than younger children to have health facility admission, serious medical outcome
For adolescents

Recent Decline in Prescription Opioid Use Among U.S. Teens

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Lifetime prevalence of use peaked in 1989, 2002, and remained stable until decline in 2013 to 2015
Preoperative opioid use is associated with increased health care utilization and costs after elective abdominal surgery

Opioid Users Incur Higher Costs After Elective Abdominal Surgery

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Preoperative opioid use linked to increased likelihood of longer hospital stay, rate of 30-day readmission
Doctors who limit the supply of opioids they prescribe to three days or less may help patients reduce their risk of dependence and addiction

Initial Rx Can Affect Likelihood of Long-Term Opioid Use

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Prescribing opioids for three days or less may lower chances of addiction, researchers say