CDC Proposed Changes to Opioid Painkiller Guidelines

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FRIDAY, Feb. 11, 2022

Proposed modifications to voluntary federal pointers for prescribing opioid painkillers emphasize that medical doctors ought to first attempt different remedies for acute and chronic pain.

The non-opioid therapy choices prompt by the U.S. Facilities for Illness Management and Prevention embody prescription medicines like gabapentin and over-the-counter painkillers like ibuprofen (Advil, Motrin), in addition to bodily remedy, massage and acupuncture, The New York Times reported.

“The proof across the long-term advantages of opioids continues to stay very restricted,” Christopher Jones, a co-author of the draft pointers, advised the Occasions.

The proposed modifications dovetail with a nationwide epidemic of opioid use and overdose deaths. Between 1999 and 2019, almost 500,000 People died of an overdose from any opioid, together with illicit and prescription drugs.

The revisions symbolize the primary complete rewrite of the CDC’s opioid prescribing pointers since 2016. Like the present pointers, these are beneficial practices and never necessary.

The 12 suggestions take away prompt limits on doses for chronic pain sufferers, encouraging medical doctors to make use of their greatest judgment.

The draft doc makes an attempt to steadiness the necessity for utilizing opioids to deal with extreme pain and decreasing sufferers’ dangers from the drugs. It warns of addiction, depressed breathing, altered mental status and different risks related to opioids, the Occasions reported.

The CDC additionally identified that opioids play an necessary position in easing speedy, acute pain from traumatic accidents.

When medical doctors really feel the necessity to prescribe them, the proposed pointers say they need to start with the bottom efficient dose and prescribe immediate-release capsules as an alternative of long-acting ones.

The general public has 60 days to touch upon the proposed suggestions by way of the Federal Registry.

The CDC goals to launch a ultimate model of the up to date pointers by yr’s finish. The Occasions famous they don’t apply to sufferers with pain from cancer or sickle cell disease, or those that are in end-of-life palliative care.

“We’re welcoming feedback from sufferers who’re residing with pain each day and from their caregivers and suppliers,” stated Jones, appearing director of the Nationwide Middle for Damage Prevention and Management, the arm of the CDC that launched the proposed pointers.

Extra info

To touch upon the proposed pointers, go to the Federal Register.

SOURCES: U.S. Facilities for Illness Management and Prevention, information launch, Feb. 10, 2022; The New York Occasions, Feb. 10, 2022

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