German ‘Island’ Aids Children and Adolescents With Addiction

They come from broken homes, from youth welfare organizations, or from the street. These are the addicted children and teenagers who seek help at Germany’s “Teen Spirit Island.” Medscape spoke to the pediatric and adolescent psychiatrist Frank M. Fischer, MD, senior physician of the Addiction and Trauma Therapy Ward at the Auf der Bult Children’s … Read more

Naloxone May Fail for Overdoses Tainted With ‘Tranq,’ FDA Warns

The US Food and Drug Administration (FDA) is alerting healthcare professionals about the special management required for opioid overdoses tainted with xylazine, an animal tranquilizer known on the street as tranq, tranq dope, sleep-cut, Philly dope, and zombie drug. The tranquilizer is often combined with fentanyl or heroin, or occasionally with a stimulant, said the … Read more

Taking Prescribed Opioids Tied to Low Rates of Illicit Drug Use

Less than 5% of people whose opioid therapy is managed in a pain management setting test positive for illicit drugs, a new study found. An analysis of urine drug tests (UDTs) from 600,000 pain clinic patients also shows that those who test positive for their prescribed opioids are significantly less likely to test positive for … Read more

Is Medical Cannabis the Answer to the Opioid Crisis?

Medical cannabis may be an important alternative to opioids for pain management, new research suggests. In a large survey, patients with a variety of ailments, including pain and mental health problems, reported less pain and better functioning, after using medical cannabis — and most were able to stop or cut back on their opioid use. … Read more

Mindfulness ‘Changes the Biology’ of Pain

New research provides novel insight into how mindfulness alters pain-related activity in the brain, in findings that point to more targeted pain management. In a randomized trial, more than 100 healthy individuals were assigned to an 8-week mindfulness-based stress reduction (MBSR) program, a health improvement program (HEP) of the same length, or a waiting list. … Read more

Cannabis on Par With Opioids for Pain Relief, Study Suggests

Cannabis-based products may control chronic pain as effectively as opioids, but adverse effects are common, and long-term safety remains unknown, according to a new study. Several other systematic reviews have recently evaluated cannabinoids for treating chronic pain, but the new study’s methodology was “distinct” in “important ways,” leading to “conclusions that differ from other reviews,” … Read more

Can a Novel Med School Curriculum Curb the US Opioid Epidemic?

An opioid-centered curriculum for medical students improves awareness of pain management and treatment of opioid use disorder (OUD) and may help mitigate the current opioid crisis in the US, new research suggests. “Our study showed that implementing training for medical students about opioid use disorder and its treatment improves knowledge and understanding of clinical principles … Read more

No More Autopilot Opioids After Cesarean Delivery

A group of clinicians is hoping to prompt a rethink of how opioids are prescribed to new mothers after cesarean deliveries after finding that sending patients home with smaller prescriptions led to dramatic drops in use of the drugs. In research scheduled to be presented Saturday at the 2022 annual meeting of the American College … Read more

The Problematic Use of Tramadol Is Increasing in France

This article was originally published in French on Univadis. Key Takeaways According to French addiction surveillance data compiled from 2013 through 2018, the problematic use of tramadol is increasing in France, even though prescription levels remain stable. The rate of dependence among patients treated for pain seems high, and tramadol could become the opioid analgesic … Read more

Top Drug Official Wants New Approach to Abuse Crisis

When a chemical spill left 300,000 West Virginians in need of clean drinking water and a public official they could trust, Rahul Gupta, MD, MPH, was there. When the March of Dimes needed a voice to fight legislation that threatened to gut healthcare for pregnant women, Gupta was front and center. Dr Rahul Gupta, MD … Read more