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The Other Opioid Crisis: Hospital Shortages Lead To Patient Pain, Medical Error

March 25, 2018 by admin 3 Comments

I came across this public-accesss story, and wanted to share the perspective: Pauline Bartolone, Kaiser Health News Even as opioids flood American communities and fuel widespread addiction, hospitals are facing a dangerous shortage of the powerful painkillers needed by patients in acute pain, according to doctors, pharmacists and a coalition of health groups. The shortage, … [Read more…]

Posted in: Acute Pain, Anesthesia, Public policy, surgery Tagged: Acute Pain, Chronic pain, opioid addiction

Ten Gripes of Buprenorphine Doctors

March 25, 2017 by admin 18 Comments

I recently gave a lecture to medical students about opioid dependence and medication assisted treatment using buprenorphine, methadone, or naltrexone. I was happy to see their interest in the topic, in contrast to the utter lack of interest in learning about buprenorphine shown by practicing physicians. In case someone from the latter group comes across … [Read more…]

Posted in: Acute Pain, Addiction, Buprenorphine, Chronic pain, Suboxone, surgery Tagged: buprenorphine stigma, Chronic pain, Suboxone, surgery

Post-op Pain on Suboxone

November 29, 2015 by admin Leave a Comment

Many patients on Suboxone or buprenorphine eventually require pain treatment, just like people who aren’t on buprenorphine products.  I’ve written about post-op pain control several times, but I continue to get emails from patients who haven’t seen my comments and who view an upcoming surgery with the same fear experienced by patients before the early … [Read more…]

Posted in: Acute Pain, Buprenorphine, pharmacology, receptor actions, Suboxone, surgery Tagged: Buprenorphine, buprenorphine and acute pain, post-op pain, Suboxone, surgery and Suboxone

Opioid Analgesia Without Addiction

October 22, 2015 by admin 3 Comments

I don’t have pull with the addiction-related organizations out there.  I’m never been a joiner, and I tend to notice the problems caused by medical societies over the good things that they supposedly accomplish.    For example PROP, or ‘Physicians for Responsible Opioid Prescribing’, have a specific mission.  Once a group has a mission, any … [Read more…]

Posted in: Acute Pain, Buprenorphine, Chronic pain, pharmacology, Suboxone, surgery Tagged: Acute Pain, Chronic pain, opioid dependence, pain control on buprenorphine, surgery on buprenorphine, surgery on Suboxone

Suboxone Patient Needs Surgery, Refused Pain Control

November 22, 2014 by admin 2 Comments

First Posted 10/21/2013 I have received MANY messages over the years from patients on buprenorphine/naloxone (Suboxone) who required surgery, but whose doctors refused to provide post-op analgesia.  Those of you not on Suboxone– can you imagine having surgery, and being told that ‘it is too much hassle to give you any medicine for pain relief’? … [Read more…]

Posted in: Acute Pain, Anesthesia, Buprenorphine, Suboxone, surgery Tagged: buprenorphine acute pain, post-op pain on Suboxone, suboxone pain treatment, surgery on Suboxone

Taking Buprenorphine, Having Surgery

November 14, 2014 by admin Leave a Comment

Originally Posted 8/12/2013 I will get to ‘Part II’, but today I talked with a patient about something that happens too often, that deserves to be pointed out.  The person was in the ER with an injury that resulted in tib/fib francture.  The ER doc provided no analgesia, in the ER or at discharge, telling … [Read more…]

Posted in: Acute Pain, Anesthesia, Buprenorphine, side effects, Suboxone, surgery Tagged: buprenorphine pain treatment, suboxone postop pain, surgery on buprenorphine, surgery on Suboxone

Post-Operative Pain in Suboxone Patients

October 21, 2014 by admin 3 Comments

Originally posted 12/19/2012 I’ve written about this topic a number of times, but I continue to receive emails from people on buprenorphine who describe inadequate pain control following surgery.  I have prepared a document for my own patients to provide to surgeons, dentists, and ER staff to be used in the case of injury or surgery.  A copy of that … [Read more…]

Posted in: Acute Pain, Anesthesia, Buprenorphine, pharmacology, Suboxone, surgery Tagged: buprenorphine post-op pain, how to treat pain on Suboxone, suboxone having surgery, suboxone pain relief

Codeine Never Works for Me

October 8, 2014 by admin Leave a Comment

Originally published 10/29/2012 The FDA recently released a Drug Safety Announcement about the use of codeine in young children after tonsillectomy/adenoidectomy surgery for obstructive sleep apnea.  I was somewhat surprised to see a safety announcement on a medication that has been in use for decades, but the release underscores our improved knowledge of drug metabolism, and … [Read more…]

Posted in: Acute Pain, Chronic pain, Education, pharmacology, surgery Tagged: codeine converted to morphine, codeine doesn't work for pain, codeine side effects, opioid pain relievers
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