Does early response to buprenorphine-naloxone predict treatment outcome in prescription opioid dependence?

2015 ◽  
Vol 146 ◽  
pp. e19
Author(s):  
Roger Weiss ◽  
Katherine McDermott ◽  
Margaret L. Griffin ◽  
Elisa Hilario ◽  
Hilary Connery
Keyword(s):  
Treatment Outcome ◽  
Opioid Dependence ◽  
Early Response ◽  
Prescription Opioid

scholarly journals Patient characteristics associated with buprenorphine/naloxone treatment outcome for prescription opioid dependence: Results from a multisite study

2013 ◽  
Vol 131 (1-2) ◽  
pp. 112-118 ◽  
Author(s):  
Jessica A. Dreifuss ◽  
Margaret L. Griffin ◽  
Katherine Frost ◽  
Garrett M. Fitzmaurice ◽  
Jennifer Sharpe Potter ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Opioid Dependence ◽  
Patient Characteristics ◽  
Prescription Opioid ◽  
Naloxone Treatment

scholarly journals Erratum: An Intronic Variant in OPRD1 Predicts Treatment Outcome for Opioid Dependence in African-Americans

2014 ◽  
Vol 39 (4) ◽  
pp. 1039-1039 ◽  
Author(s):  
Richard C Crist ◽  
Toni-Kim Clarke ◽  
Alfonso Ang ◽  
Lisa M Ambrose-Lanci ◽  
Falk W Lohoff ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
African Americans ◽  
Opioid Dependence

scholarly journals Brief buprenorphine detoxification for the treatment of prescription opioid dependence: A pilot study

2009 ◽  
Vol 34 (3) ◽  
pp. 304-311 ◽  
Author(s):  
Stacey C. Sigmon ◽  
Kelly E. Dunn ◽  
Gary J. Badger ◽  
Sarah H. Heil ◽  
Stephen T. Higgins
Keyword(s):  
Pilot Study ◽  
Opioid Dependence ◽  
Prescription Opioid

Tramadol for maintenance in opioid dependence: A retrospective chart revie

2017 ◽  
Vol 13 (5) ◽  
pp. 329 ◽  
Author(s):  
Siddharth Sarkar, MD, DNB ◽  
Rakesh Lal, MD ◽  
Mohit Varshney, MD ◽  
Yatan Pal Singh Balhara, MD, DNB, MNAMS
Keyword(s):  
Opioid Dependence ◽  
Maintenance Treatment ◽  
Evidence Base ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Opioid Agonist ◽  
Heroin Use ◽  
Select Group ◽  
Treatment Centre ◽  
Icd 10

Background and aims: Tramadol is an opioid agonist which can be potentially used for maintenance treatment of patients with opioid use disorders. This chart review presents the characteristics of individuals with an ICD 10 diagnosis of opioid dependence who were maintained on tramadol for a period of at least 6 months.Methods: Records of patients seeking treatment for opioid dependence from the outpatient clinic of the National Drug Dependence Treatment Centre, Ghaziabad, India were screened. One hundred consecutive patients who received tramadol for more than 6 months were included.Results: The sample comprised exclusively of males and had a mean age of 40.9 years. The median dose of tramadol at initiation and continuation was 300 mg/ day. Sixty-two patients achieved complete abstinence during the course of treatment. Greater age, longer duration of opioid use, and better follow-up adherence were associated with abstinent status. The rates of abstinence were higher among those presenting with natural opioid use as compared to others (prescription opioid use or heroin use).Conclusion: Tramadol can be an alternative medication for harm reduction in select group of patients with opioid dependence. Further research is required to strengthen the evidence base of rational use of tramadol for maintenance treatment of patients with opioid dependence.

Review of perioperative pain management of opioid-dependent patients

2016 ◽  
Vol 12 (4) ◽  
pp. 289 ◽  
Author(s):  
Nalini Vadivelu, MD ◽  
Sukanya Mitra, MD, MAMS ◽  
Alice M. Kai, BA ◽  
Gopal Kodumudi, MS ◽  
Karina Gritsenko, MD
Keyword(s):  
Drug Addiction ◽  
Pain Control ◽  
Opioid Dependence ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Postoperative Rehabilitation ◽  
Rehabilitation Process ◽  
Perioperative Pain Management ◽  
Prescription Opioid Use ◽  
Effective Analgesia

Opioid dependence can occur due to prescription opioid use, recreational opioid use, or as a result of opioid use for the treatment of drug addiction. Pain control in these patients is truly a challenge. It is important to understand the patient's condition such as the phenomenon of drug dependence, drug addiction, and pseudo-addiction to provide effective analgesia. This may be accomplished using appropriate multimodal therapies and by treatment of coexisting diseases such as anxiety. The goal is to provide effective analgesia, prevent cognitive and emotional problems, and produce a positive postoperative rehabilitation process. Multimodal options include pharmacological and nonpharmacological approaches, psychological support, and interventional pain procedures, all focused toward providing optimal pain control while preventing undertreatment, withdrawal symptoms, and other complications.

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