Deaths from opioid overdose in the United States doubled between 2000-2014. An increase in prescription opioid drug-induced fatalities parallels a rise in the frequency of these medications being prescribed. Although the number of legal narcotics sold in this country has nearly quadrupled, there is no change reported in the degree of pain Americans experience. Deaths are most common among those opioid users who are drug dependent, even though overdoses occur in medical and non-medical narcotic users who are not addicted.
Public health efforts have focused on providing patients with chronic pain appropriate access to opioid pain relievers, while reducing non-medical usage. However, that alone has been insufficient to curb opioid overdoses. There remains a high opioid-related morbidity and mortality among people with pain, even for those receiving these analgesics for legitimate clinical reasons. Research results demonstrating the safety and efficacy of narcotics for chronic, non-cancer pain are not evident. Surveys of patients prescribed opioids over the long-term indicate that most of them continued to experience significant distress; yet, some of them, also experience greater comfort and were without abuse of medication.
Physicians should avoid unnecessary opioid prescribing for some people with chronic conditions, although it is difficult to predict which patients might be vulnerable to addiction versus who might benefit from these pharmaceuticals. Because of such uncertainty, it is helpful when doctors screen personal and family histories for substance abuse and provide careful, regular monitoring. Strategies for reducing abuse of prescription analgesic drugs focus on physician prescribing regulations that are thus far not consistently effective.
Published on: Apr 3, 2017 Pages: 8-12
Full Text PDF
Full Text HTML
CrossMark Publons Harvard Library HOLLIS Search IT Semantic Scholar Get Citation Base Search Scilit OAI-PMH ResearchGate Academic Microsoft GrowKudos Universite de Paris UW Libraries SJSU King Library SJSU King Library NUS Library McGill DET KGL BIBLiOTEK JCU Discovery Universidad De Lima WorldCat VU on WorldCat
Osmar Antonio Centurion
Asuncion National University, Paraguay
Global Journal of Medical and Clinical Case Reports
Dr. Pierre Guertin
Laval University, Canada
Archive of Gerontology and Geriatrics Research
Columbia University, USA
Journal of Novel Physiotherapy and Physical Rehabilitation
Metaxas Memorial Anticancer Hospital , Greece
Annals of Bone Marrow Research
Prof. Pierre Guertin
Laval University, Canada
International Journal of Pharmaceutical Sciences and Developmental Research
ReGenera R&D International for Aging Intervention & San Babila Clinic, Milano, Italy
Archives of Clinical Gastroenterology
Huazong University of Science and Technology, China
Open Journal of Pediatrics and Child Health
University of Pisa, Italy
Annals of Psychiatry and Treatment
Beijing University of Technology , PR China
Journal of Civil Engineering and Environmental Sciences
Former member of MGH, USA
International Journal of Immunotherapy and Cancer Research
PTZ: We're glad you're here. Please click "create a new query" if you are a new visitor to our website and need further information from us.
If you are already a member of our network and need to keep track of any developments regarding a question you have already submitted, click "take me to my Query."