Strategies to Stop Abuse of Prescribed Opioid Drugs
Authors: Jennifer Fisher Wilson
Journal: Annals of Internal Medicine (2007)

Current Clinical Issues19 June 2007Strategies to Stop Abuse of Prescribed Opioid DrugsJennifer Fisher WilsonJennifer Fisher WilsonSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-146-12-200706190-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Prescription opioids have substantially and safely improved the quality of life for many patients disabled by pain, but they are also commonly misused and abused. Opioid analgesics are the second most commonly abused drugs in the country, falling after marijuana and before cocaine, according to the National Survey on Drug Use and Health by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA). The addictive nature of opioids is nothing new; however, there has been an alarming increase in the number of people misusing and becoming addicted to these prescription analgesics.Consider the growth in the number of first-time ...References1. Turk DC. Clinical effectiveness and cost-effectiveness of treatments for patients with chronic pain. Clin J Pain. 2002;18:355-65. [PMID: 12441829] CrossrefMedlineGoogle Scholar2. Sullivan MD, Edlund MJ, Steffick D, Unützer J. Regular use of prescribed opioids: association with common psychiatric disorders. Pain. 2005;119:95-103. [PMID: 16298066] CrossrefMedlineGoogle Scholar3. Sullivan MD, Edlund MJ, Zhang L, Unützer J, Wells KB. Association between mental health disorders, problem drug use, and regular prescription opioid use. Arch Intern Med. 2006;166:2087-93. [PMID: 17060538] CrossrefMedlineGoogle Scholar4. Webster LR, Webster RM. Predicting aberrant behaviors in opioid-treated patients: preliminary validation of the Opioid Risk Tool. Pain Med. 2005;6:432-42. [PMID: 16336480] CrossrefMedlineGoogle Scholar5. Gourlay DL, Heit HA, Almahrezi A. Universal precautions in pain medicine: a rational approach to the treatment of chronic pain. Pain Med. 2005;6:107-12. [PMID: 15773874] CrossrefMedlineGoogle Scholar6. Ives TJ, Chelminski PR, Hammett-Stabler CA, Malone RM, Perhac JS, Potisek NM, et al. Predictors of opioid misuse in patients with chronic pain: a prospective cohort study. BMC Health Serv Res. 2006;6:46. [PMID: 16595013] CrossrefMedlineGoogle Scholar7. Gourlay DL, Heit HA, Caplan YH. Drug Testing in Clinical Practice. Stamford, CT: PharmaCom Group; 2004. Accessed at www.familydocs.org/monographs.php on 7 May 2007. Google Scholar8. Hariharan J, Lamb GC, Neuner JM. Long-term opioid contract use for chronic pain management in primary care practice. A five year experience. J Gen Intern Med. 2007;22:485-90. [PMID: 17372797] CrossrefMedlineGoogle Scholar9. Martell BA, O'Connor PG, Kerns RD, Becker WC, Morales KH, Kosten TR, et al. Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addiction. Ann Intern Med. 2007;146:116-27. [PMID: 17227935] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Disclosures: None disclosed.E-mail:[email protected]org. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDoctor–patient interactions that exclude patients experiencing homelessness from health services: an ethnographic explorationMaking sense of street chaos: an ethnographic exploration of homeless people’s health service utilizationEvaluation and comparison of tools for diagnosing problematic prescription opioid use among chronic pain patientsCombined Use of Opioids and Antidepressants in the Treatment of Pain: A Review of Veterans Health Administration Data for Patients with Pain Both With and Without Co-morbid DepressionAddiction, Pain, and Stress ResponseOpioid attentional bias and cue-elicited craving predict future risk of prescription opioid misuse among chronic pain patientsTreating chronic pain: the need for non-opioid optionsAttentional bias for prescription opioid cues among opioid dependent chronic pain patientsThe downward spiral of chronic pain, prescription opioid misuse, and addiction: Cognitive, affective, and neuropsychopharmacologic pathwaysCómo controlar el dolor en los pacientes adictosHow to manage pain in addicted patientsStrategies to Optimize Pain Management With Opioids While Minimizing Risk of AbuseMorphine/NaltrexoneSubjective Effects and Safety of Whole and Tampered Morphine Sulfate and Naltrexone Hydrochloride (ALO-01) Extended-Release Capsules versus Morphine Solution and Placebo in Experienced Non-Dependent Opioid Users 19 June 2007Volume 146, Issue 12Page: 897-900KeywordsAnalgesicsBehaviorDrug abuseDrugsNeuropathic painOpioid addictionOpioidsPain managementSubstance abuseUrine ePublished: 19 June 2007 Issue Published: 19 June 2007 Copyright & PermissionsCopyright © 2007 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...