Posts Tagged ‘Chronic pain’

Psychopathology and pain correlates of dispositional optimism in methadone-maintained patients.

Am J Addict. 2012 Nov; 21 Suppl 1: S56-62
Beitel M, Savant JD, Cutter CJ, Peters S, Belisle N, Barry DT

Background and Objectives: Although higher levels of dispositional optimism are associated with decreased levels of psychopathology and pain, and higher levels of mental health functioning-important outcomes in opioid treatment programs-a paucity of studies has examined dispositional optimism among individuals with opioid use disorders. The aim of this study was to examine the clinical correlates (ie, psychopathology, pain status) of dispositional optimism in opioid dependent patients enrolled in methadone maintenance treatment (MMT). Methods: A survey targeting demographics, pain, psychopathology, and dispositional optimism was administered to 150 MMT patients. Results: In multivariable analyses, higher levels of dispositional optimism were significantly associated with lower levels of: depression, screened personality disorder criteria, screened symptoms of posttraumatic stress disorder, and pain-related emotional strain. In comparison to those without a history of chronic pain (ie, noncancer related physical pain lasting at least 3 months), MMT patients who reported either lifetime or current chronic pain exhibited significantly lower levels of dispositional optimism. Conclusions and Scientific Significance: The associations among higher levels of dispositional optimism, lower levels of psychopathology, and lower pain-related emotional strain suggest that research focusing on the efficacy of specific interventions to promote dispositional optimism in MMT patients is warranted. (Am J Addict 2012;21:S56-S62).
HubMed – Methadone

Opiods, What Are Possible Complications? – Dr. Pohl shraes the complications that can arise when patients take opiods for physical and emotional pain. For more information on opioid abuse visit http:/…

Salix and Progenics Announce FDA Advisory Committee to Review Relistor …
“We remain optimistic that with the FDA and guidance from the Advisory Committee, we can find a path forward that will get this new and alternative therapy to patients with opioid-induced constipation who are taking opioids for their chronic pain …
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A Medication Primer for Alternative Health Care Practitioners (Part 2)
Because of these side effects, pharmacologists developed other opioid narcotics which are also powerful pain-killers, although not quite as strong as morphine. They also … It is used in drug-addiction clinics to help addicts withdraw from narcotics …
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Categorising methadone: Addiction and analgesia.

Int J Drug Policy. 2013 Jun 11;
Keane H

While methadone was first developed as an analgesic, and used for this purpose before it was adopted as a therapy for drug dependence, it is this latter use which has saturated its identity. Most of the literature and commentary on methadone discusses it in the context of methadone maintenance therapy (MMT). But one of the effects of the liberalization of opiate prescription for chronic pain which took place in the 1990s was the re-emergence of methadone as a painkiller. This article examines the relationship between methadone the painkiller and methadone the addiction treatment as it is constituted in recent medical research literature and treatment guidelines. It highlights the way medical discourse separates methadone into two substances with different effects depending on the problem that is being treated. Central to this separation is the classification of patients into addicts and non-addicts; and pain sufferers and non-pain sufferers. The article argues that despite this work of making and maintaining distinctions, the similarities in the way methadone is used and acts in these different medical contexts complicates these categories. The difficulties of keeping the ‘two methadones’ separate becomes most apparent in cases of MMT patients also being treated for chronic pain.
HubMed – Methadone

Methadone maintenance treatment and cognitive function: A systematic review.

Curr Drug Abuse Rev. 2013 Jun 14;
Wang GY, Wouldes TA, Russell BB

Methadone has been used as a pharmacotherapy for the treatment of opiate dependence since the mid-1960s. Many studies examining the benefits of methadone maintenance treatment (MMT) for opiate dependence have documented a significant reduction in both criminal behavior and the use of other opiates. Nevertheless, emerging evidence suggests that MMT may impair cognitive function. However, it is unclear as to the part methadone dose, duration of MMT or plasma level may play in any observed deficits. Given the large number of people enrolled in MMT world-wide and the potential for deficits in cognitive function, a systematic review of the research investigating the association between MMT and cognitive function seemed warranted. The following databases were searched with a combination of free-text and thesaurus terms (methadone AND cognition): MEDLINE In-Process, EMBASE, PsycINFO and EBM Reviews-Cochrane Central Register of Controlled Trials. Seventy-eight articles were retrieved of which 35 met the inclusion criteria. The majority of research suggests that MMT is associated with impaired cognitive function and that deficits extended across a range of domains. However, caution is required when interpreting these results due to the methodological limitations associated with many studies. Further research that includes a combination of psychological and physiological measures within well-controlled group comparison studies is required to more accurately assess which cognitive domains are affected.
HubMed – Methadone

News Report on the witch-hunt for prescription drug users – Visit http://www.recoveredlife.com for information about Suboxone treatment for opiate addiction Information about the Roots pharmacy in Utah, known for fulf…

New medicine offers hope for some addicts
She had to go through detoxification first to make sure she was opiate-free before starting naltrexone. Amber was drawn to this type of medication-assisted treatment because it doesn't have addictive properties, doesn't trigger physical dependence and …
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Oregon Governor signs bill for overdose prevention programs
From 1992 to 2011 the percentage of youth under 26, admitted for treatment of prescription drug abuse more than doubled. Young people and adults who are prescribed opiates to treat chronic pain or other conditions may become addicted to opiates, and in …
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Related Treatment For Opiate Addiction Information…

Question by Reddevil: Is it the Doctors or patients fault that the patient got addicted to narcotic prescription drugs?
I believe it is 90 percent the patients fault because no one forced them to take and they were weak minded about the pain

Best answer:

Answer by pisces_pirate7
It is partially the patients fault for letting the drug control them like that. However, the doctor is to blame for continuing their addiction if they keep supplying high amounts of medication and writing perscriptions often and not doing anything about it.

Give your answer to this question below!

Brainsway Receives CE Approval for Its System to Treat Neuropathic Chronic Pain
Brainsway Ltd. (TASE:BRIN) announced today that it has received CE Mark enabling commercialization of its Deep TMS system to treat neuropathic chronic pain (“neuropathic pain”) in the European Union and the countries in Asia and Latin America that …
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