Dr. Curry from the Mayo Clinic discusses how genetics influence how the body processes and reacts to medications. Excepts are from the meeting sponsored by the Mayo Clinic in October 2017 : IIndividualizing Medicine 2017: Advancing Care Through Genomics, a two day conference hosted by the Mayo Clinic Center for Individualized Medicine.
The latest opioid prescribing and counseling recommendations (last updated on 10/2/2017) are available to download.
The recommendations include appropriate patient education and counseling for all patients.
New method describes measuring strontium isotopes can be used as a chemical marker for geography and geology to differentiate heroin samples from different geographic regions.
Joshua DeBord, Ali Pourmand, Sarah C. Jantzi, Sini Panicker, Jose Almirall. Profiling of heroin and assignment of provenance by 87 Sr/ 86 Sr isotope ratio analysis. Inorganica Chimica Acta, 2017; DOI: 10.1016/j.ica.2017.07.049
The FDA “notified 74 manufacturers of immediate-release opioid analgesics intended for use in the outpatient setting that their drugs will now be subject to a more stringent set of requirements under a Risk Evaluation and Mitigation Strategy (REMS).
The REMS requires that training be made available to health care providers who prescribe IR opioids, including training on safe prescribing practices and consideration of non-opioid alternatives.”
Intranasal sumatriptan for acute migraine attacks: a systematic review and meta-analysis.
A recent study from the Annals of Emergency Medicine founds that compared to other settings, emergency room prescriptions for opioids found more likely to be in compliance with CDC recommendations and have a lower risk of progression to long term opioid use.
- Opioid Prescribing for Opioid-Naive Patients in Emergency Departments and Other Settings: Characteristics of Prescriptions and Association With Long-Term Use
Jeffery, Molly Moore et al.
Annals of Emergency Medicine , Volume 0 , Issue 0 ,
Patompong Ungprasert, MD, MS of the Mayo Clinic reviews the cardiovascular risk of NSAIDS used for pain relief, including arthritis.
The FDA released the use of a new Cefaly® medical device for the acute treatment of migraine, with or without aura, in patients 18 years of age or older.
As part of CVS’s commitment to fighting the national opioid abuse epidemic, CVS is:
- limiting to seven days the supply of opioids dispensed for certain acute prescriptions for patients who are new to therapy;
- limiting the daily dosage of opioids dispensed based on the strength of the opioid; and
- requiring the use of immediate-release formulations of opioids before extended-release opioids are dispensed.
This authors suggest that chronic pain should be considered a global health priority as 1 in 5 people suffer from some form of long term pain. Arthritis, nerve damage, and cancer pain are the leading causes of chronic pain.
Pain as a global public health priority
- Daniel S Goldberg and Summer J McGee