Gavel and Stethoscope on Reflective Table

Opioids Top List of Malpractice Claims Linked to Medications

Opioid analgesics have a way of getting physicians as well as patients into trouble. These painkillers account for more medical-malpractice claims related to drug errors than any other drug class, according to a new study released today by the medical liability insurer Coverys that illustrates the far-reaching effects of the...

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DEA Issues List of Street Drug Names

DEA Issues List of Street Drug Names

In light of the plethora of street names used to refer to a number of drugs of abuse, the Drug Enforcement Administration (DEA) has issued an unclassified intelligence report designed as a “ready reference for law enforcement personnel … to identify a wide variety of controlled substances, designer drugs, and...

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Tramadol Effective on Opioid Withdrawal Symptoms

Tramadol Effective on Opioid Withdrawal Symptoms

The extended-release (ER) formulation of tramadol was shown to be as effective as buprenorphine and more effective than clonidine for treating symptoms of opioid withdrawal, in a study published in JAMA Psychiatry.1 The use of clonidine and buprenorphine in supervised withdrawal treatment of patients with opioid use disorder (OUD) is...

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Guidelines on opioid use during pregnancy

Guidelines on opioid use during pregnancy by the American College of Obstetricians and Gynecologists

Early universal screening, brief intervention (eg, engaging the patient in a short conversation, providing feedback and advice), and referral for treatment of pregnant women with opioid use and opioid use disorder improve maternal and infant outcomes. Screening for substance use should be part of comprehensive obstetric care and should be...

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Why Choose Oral Fluid versus Urine Drug Testing?

Why Choose Oral Fluid versus Urine Drug Testing?

Oral fluid testing can detect drugs immediately after the most recent use and up to 4 days later. Conventional drug testing with urine is unable to detect usage in the first four hours after use.

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How Long Do Drugs Stay In Your System?

How Long Do Drugs Stay In Your System?

The amount of time it takes a drug to leave your body is based on the drug’s half-life, or how long it takes for the liver and kidneys to break down and filter half of the amount of the drug in your bloodstream.

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The Opioid Crisis

The Opioid Crisis

One thing that should be evident to all of us is the swing of the pendulum of medical care. Medical management that is first thought to be state of the art eventually falls out of favor, replaced by a more promising therapy. Look at drowning victims. In the late 1700s,...

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American Society of Addiction Medicine’s Drug Testing Guidelines: Clinical Congratulations, Questions and Concerns

American Society of Addiction Medicine’s Drug Testing Guidelines: Clinical Congratulations, Questions and Concerns

The American Society of Addiction Medicine (ASAM) has recently published “Appropriate Use of Drug Testing in Clinical Addiction Medicine” (www.asam.org/quality-practice/guidelines-and-consensus-documents/drug-testing) in an effort to provide guidance in the “identification, diagnosis, treatment, and promotion of recovery for patients with or who are at risk for addiction.

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Can You Name More Than 5 Street Terms for These Drugs?

Can You Name More Than 5 Street Terms for These Drugs?

In light of the plethora of street names used to refer to a number of drugs, the DEA has issued a comprehensive list for common drugs.

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Identification of Mechanism Involved in the Maintenance of Pain Behaviors, Mechanical Hypersensitivity

Identification of Mechanism Involved in the Maintenance of Pain Behaviors, Mechanical Hypersensitivity

The extracellular phosphorylation of EphB2 was shown to maintain pain behaviors and mechanical hypersensitivity after injury.

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FDA Grants Recurrent UTI Vaccine Fast Track Designation

FDA Grants Recurrent UTI Vaccine Fast Track Designation

FDA Grants Recurrent UTI Vaccine Fast Track Designation. Sequoia Sciences announced that the FDA has granted Fast Track Designation to its investigational vaccine for recurrent urinary tract infections caused by multi-drug resistant bacteria.

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Screeners to Predict Opioid Misuse in Patients With Chronic Pain

Screeners to Predict Opioid Misuse in Patients With Chronic Pain

Rates of opioid misuse and related overdoses have soared in recent years in the United States, highlighting the importance of screening tools to identify patients at high risk for adverse events from opioid use.

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Uncovering Conversion Disorder: A Guide for Primary Care Physicians

Uncovering Conversion Disorder: A Guide for Primary Care Physicians

Primary care physicians can face many challenges in diagnosing conversion disorder; Dr Patricia Tsui sheds light on diagnosis and management in the primary care setting.

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Understanding the Epidemic

Understanding the Epidemic

Drug overdose deaths and opioid-involved deaths continue to increase in the United States. The majority of drug overdose deaths (more than six out of ten) involve an opioid.

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