-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0108_05-24-2009.pdf
January 01, 2009 - Several consensus statements, clinical guidelines, and evidence reviews caution against the
use of opioids … However, opioids are used in
more than half of all migraine visits to the emergency department in the … factors, including
patient familiarity with the medications, history of successful treatment with opioids
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/back-pain-treatment_clinician.pdf
November 01, 2016 - .
�� Pharmacological interventions: NSAIDs, opioids, and
duloxetine are effective in treating chronic … low back pain
(moderate SOE).
�» Note: No evidence supporting the effectiveness
and safety of opioids … the potential for increased
risk of misuse, abuse, addiction, overdose, and death
associated with opioids … Placebo Pain (short-term) 1 SR + 2 additional RCTs ++
���
Function (short-term) +
Opioids—other§ … Drugs FDA Black Box Warning
Opioids
(immediate-release)
��Misuse, abuse, addiction, overdose, and
-
effectivehealthcare.ahrq.gov/sites/default/files/cer-228-nonopioid-pharm-chronic-pain-comments.pdf
April 16, 2020 - The second study
was not eligible for this review
because comparisons to opioids were
not included … However, this
comparison was covered in our
related report on the use of opioids in
chronic pain and … More importantly, nonopioid drug therapies are not necessarily a replacement
for the use of opioids … In such cases, opioids can and
should be tested on a trial basis, and the use of opioids for chronic … opioids = BAD
marijuana, alcohol, cigarettes, sugar = A OK
So you see, WE are NOT the problem.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-d-opioid-chronic-pain-surveill-report-1.xlsx
September 30, 2015 - Pain > 3 months, currently prescribed opioids; excluded cancer and end-of-life treatment A. … Inclusion: Adults aged 18-64 years with post-surgical, non-cancer back pain; addiction to prescription opioids … 12 month followup Inclusion: Patients with chronic opioid therapy (≥84 consecutive days of available opioids … in 2014 or 2015 with an average daily MME ≥ 50
Exclusion: NR n=14,596
A: Abrupt discontinuation of opioids … of opioids (n=6,480)
D: Stable or increasing dose of opioid (n=2,277) Age
0-29: 3%
30-39: 12%
40-49:
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/plant-based-treatments-revised-protocol.pdf
March 29, 2023 - From 1999 to
2014, over 165,000 people died from overdose related to prescription opioids in the United … CDC Guideline for Prescribing Opioids for Chronic Pain– United
States, 2016. … CDC Guideline for Prescribing Opioids for Chronic Pain - United
States, 2016. … Efficacy of opioids for chronic pain: a review of the evidence. … Critical issues on opioids in chronic non-cancer pain: an
epidemiological study.
-
effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/research-gap-primary-care-summary-table.pdf
March 01, 2022 - • Only a small number of studies have evaluated
opioids. … Some opioids may reduce pain of episodic
migraine. … Some opioids may be less effective than
other drugs. … pain, but opioids are probably less effective than
acetaminophen for kidney stone pain … individuals are
dependent on opioids and experiencing pain
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-d-opioid-chronic-pain-surveillance-report-2.xlsx
September 30, 2015 - Pain > 3 months, currently prescribed opioids; excluded cancer and end-of-life treatment A. … Inclusion: Adults aged 18-64 years with post-surgical, non-cancer back pain; addiction to prescription opioids … 12 month followup Inclusion: Patients with chronic opioid therapy (≥84 consecutive days of available opioids … in 2014 or 2015 with an average daily MME ≥ 50
Exclusion: NR n=14,596
A: Abrupt discontinuation of opioids … of opioids (n=6,480)
D: Stable or increasing dose of opioid (n=2,277) Age
0-29: 3%
30-39: 12%
40-49:
-
effectivehealthcare.ahrq.gov/sites/default/files/back-pain-treatment_research_executive.pdf
February 01, 2016 - opioids also received higher
doses of opioids. … opioids also received higher
doses of opioids. … Opioids vs. … Long acting opioids vs. … to long-acting opioids also received higher doses of opioids.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-brief1-care-coordination.pdf
April 01, 2021 - In addition, persons with pain are often discharged
on opioids; such patients may be at risk for opioid-related … adverse events or withdrawal if
opioids are discontinued or tapered abruptly. … Management of pain during hospitalization often involves use of opioids. … are potentially at risk for opioid-related adverse events as well untreated
pain or withdrawal if opioids … Opioid analgesics play an essential role in treating pain, and pain management in the context
of the
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/topic-brief1-care-coordination.pdf
April 01, 2021 - In addition, persons with pain are often discharged
on opioids; such patients may be at risk for opioid-related … adverse events or withdrawal if
opioids are discontinued or tapered abruptly. … Management of pain during hospitalization often involves use of opioids. … are potentially at risk for opioid-related adverse events as well untreated
pain or withdrawal if opioids … Opioid analgesics play an essential role in treating pain, and pain management in the context
of the
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/dot-plots-methods.pdf
October 01, 2021 - Dot plot for dichotomous outcomes, opioids versus placebo or no opioid ..................... 3
Figure … The opioids review reported dichotomous and continuous outcomes; for the pilot we used
pooled data for … the comparison involving opioids versus placebo or no opioids. … Dot plot for dichotomous outcomes, opioids versus placebo or no opioid
Note: Pain response indicates … Dot plot for continuous outcomes, opioids versus placebo or no opioid
Abbreviations: CI = confidence
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-d-opioid-chronic-pain-surveillance-report-3.xlsx
September 30, 2015 - Pain > 3 months, currently prescribed opioids
Exclusion: cancer and end-of-life treatment A. … Weak opioids; investigators prescribed most suitable drug and daily dose, and would switch to another … 12 month followup Inclusion: Patients with chronic opioid therapy (≥84 consecutive days of available opioids … of opioids (n=6,480)
D: Stable or increasing dose of opioid (n=2,277) Age
0-29: 3%
30-39: 12%
40-49: … based on age and time of cohort entry
Dose: Long-acting, short-acting, and short- and long-acting opioids
-
effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/dot-plots-methods.pdf
October 01, 2021 - Dot plot for dichotomous outcomes, opioids versus placebo or no opioid ..................... 3
Figure … The opioids review reported dichotomous and continuous outcomes; for the pilot we used
pooled data for … the comparison involving opioids versus placebo or no opioids. … Dot plot for dichotomous outcomes, opioids versus placebo or no opioid
Note: Pain response indicates … Dot plot for continuous outcomes, opioids versus placebo or no opioid
Abbreviations: CI = confidence
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-250-cannabis-table-e5-2022-update_0.xlsx
January 01, 2022 - discontinuation
49.3% (2650/5373) vs. 72.3% (3887/5373) p<0.001
Estimates of the odds ratio to cease opioids … B
Between-cohort differences in discontinuation of strong opioid analgesics: 71.6% vs. 33.8%, p<0.001 … Between-cohort differences in stopping of mild opioids: 82.4% vs.
27.3%, p<0.001
Between-cohort differences … in stopping of strong opioids: 75.9% vs. 46.4%, p<0.001
Discontinuation of all rescue analgesics: 75.6%
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/main-apps-surv-rept-1-acute-pain.pdf
May 01, 2022 - Opioids and NSAIDs were more effective than
acetaminophen for surgical dental pain, but opioids were … Any systemic opioid, including agonists,
partial agonists, and mixed mechanism opioids.
f. … Transdermal patches,
topical opioids
f. … Can we eliminate opioids after anterior
cruciate ligament reconstruction? … Opioid analgesics and persistent pain after
an acute pain emergency department visit:
evidence from
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/migraine-emergency_executive.pdf
November 01, 2012 - Opioids are often used to treat acute migraine,
despite their recognized ability to cause dependence … Opioids
were more effective than placebo for pain relief (moderate
SOE). … Results were mixed for opioids compared with
other active agents for pain relief. … Single trials compared
opioids with other opioids (e.g., nalbuphine, meperidine),
hydroxyzine, methotrimeprazine … Few short-term side
effects were reported for opioids.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/acute-pain-protocol-amended.pdf
June 10, 2018 - Opioids are a primary pharmacologic treatment for pain. … risen
from 3 deaths per 100,000 people in 2000 to more than 13 per 100,000 in 2016.1
Prescription opioids … how to effectively prevent and manage acute and chronic
pain with less reliance on highly addictive opioids … • Which settings are of highest priority in terms of
identifying alternatives to opioids? … • Are you aware of clinical practice guidelines addressing
reducing the use of opioids?
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-250-cannabis-executive-summary-2023-update.pdf
January 01, 2023 - placebo,2 and two new observational studies,
one of plant-based comparable THC to CBD versus long-acting opioids … gabapentin
+ nabilone
(1)
Active comparator;
oral mucosal spray
vs. dronabinol
Long-acting
opioids … Nabiximols
sublingual
oromucosal spray,
2.7 mg THC/2.5
mg CBD per 100
mcl
Oral long-acting
opioids … Effectiveness, Safety, and Tolerability of
Nabiximols Oromucosal Spray vs Typical
Oral Long-Acting Opioid … Analgesics in
Patients with Severe Neuropathic Back Pain:
Analysis of 6-Month Real-World Data from
-
effectivehealthcare.ahrq.gov/sites/default/files/hip-fracture-pain.ppt
May 01, 2011 - Systemic opioid analgesics present complications that include alterations in mental status, nausea and … All interventions were examined in the context of usual care for pain (e.g., NSAIDs and opioids). … 11-EHC022-EF
http://effectivehealthcare.ahrq.gov/hippain.cfm
Systemic Analgesia
Both narcotic (opioids … For all other comparisons of doses, modes of administration, and the addition of opioids to the injection … For all other comparisons of doses, modes of administration, and the addition of opioids to the injection
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/hip-fracture-pain.ppt
May 01, 2011 - Systemic opioid analgesics present complications that include alterations in mental status, nausea and … All interventions were examined in the context of usual care for pain (e.g., NSAIDs and opioids). … 11-EHC022-EF
http://effectivehealthcare.ahrq.gov/hippain.cfm
Systemic Analgesia
Both narcotic (opioids … For all other comparisons of doses, modes of administration, and the addition of opioids to the injection … For all other comparisons of doses, modes of administration, and the addition of opioids to the injection