Cannabinoids in Medicine: Limitless Hope or Hype?

What is the role of cannabinoids as an intoxicant and in medical applications today? This was the question addressed by Dieter Braus, MD, psychiatrist and neurologist at Vitos Clinic Rheingau in Eltville, Germany, at the DGIM Congress 2022. Dampening the Dopamine System Regardless of the type of substance-dependent addiction — whether alcohol, opiates, nicotine, or … 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

Juvenile Fibromyalgia Is Associated With Brain Changes

Juvenile fibromyalgia is associated with reduced volume in one region of the brain, according to a recent study. The findings were similar to those in patients with adult fibromyalgia, which suggest the importance of early diagnosis and treatment. The study was published online January 25 in Arthritis and Rheumatology. Adolescent Brain Development Juvenile fibromyalgia is … Read more

Microdosing Psychedelics: Untapped Potential in Psychiatry?

In her month-long memoir, A Really Good Day: How Microdosing Made a Mega Difference in My Mood, My Marriage, and My Life (Knopf, 2017), author Ayelet Waldman turns herself into a one-woman experiment. Over a single month she takes one tenth of a recreational dose of LSD every third day. She plots her emotions, her … Read more

‘Pandemic Brain’ Not Limited to Patients Infected With COVID-19

The stress of living through a pandemic may cause brain inflammation even in those uninfected with SARS-CoV-2, a new study suggests. Healthy individuals who tested negative for the virus that causes COVID-19 had elevated levels of inflammatory markers known to be involved in depression, stress, and mental fatigue. The study indicates a possible link between … Read more

‘Dr Dog’ Eases Emergency Patients’ Anxiety, Pain

A 10-minute visit with a therapy dog ​​leads to clinically significant reductions in pain and anxiety and improved well-being in patients attending the emergency department (ED), results of a randomized controlled trial show. “This did not occur among those that did that not visit with a therapy dog. This gives us confidence in the intervention,” … Read more

Will Physician Intent Matter in SCOTUS Pill Mill Cases?

Legal experts are divided on whether the US Supreme Court’s eventual decision on the cases of two physicians convicted for illegal opioid distribution will have precedent-setting implications for medicine. Attorneys for Xiulu Ruan, MD, and Shakeel Kahn, MD, both pain management specialists, argued — along with some medical organizations, business groups, and law professors, through … Read more

12 Physicians Sentenced in Illegal Opioid, Billing Fraud Scheme

Twelve physicians in Michigan and Ohio were to prison because of their involvement in distributing 6.6 million opioid pills, according to the US Department of Justice (DOJ). The defendants’ activities also resulted in more than $250 million in false billings. “It is unconscionable that doctors and healthcare professionals would violate their oath to do no … Read more