Opiates: Benefits and Overuse Potential
نویسنده
چکیده
This study reviews opiates (endorphin agonists) in treatment of pain and addiction with specific focus on their addictive potential versus benefits. This review suggests endorphin agonists enjoy mood stabilizing and antidepressant properties and have been helpful in treatment of pain, mood and addictive disorders. The evidence is consistent with the observation that slow release opiate preparations with long elimination life do have significant immunity against overuse. Collectively the evidence suggests long-acting preparations of opiates are both effective to treat pain, addiction and some mood disorders and represent low risk for overuse.
منابع مشابه
Potential underuse, overuse, and inappropriate use of antidepressants in older veteran nursing home residents.
OBJECTIVES To examine prevalence and resident- and site-level factors associated with potential underuse, overuse, and inappropriate use of antidepressants in older Veterans Affairs (VA) Community Living Center (CLC) residents. DESIGN Longitudinal study. SETTING One hundred thirty-three VA CLCs. PARTICIPANTS Three thousand six hundred ninety-two veterans aged 65 and older admitted between...
متن کاملThe Achilles’ heel of welfare state legitimacy: perceptions of overuse and underuse of social benefits in Europe
When analysing the legitimacy of the welfare state, perceptions of the overuse and underuse of welfare are of great importance. Previous literature suggests that many people perceive overuse (misuse or fraud), and there is evidence that people also perceive underuse (non-take-up) of welfare benefits. Perceptions of overuse have therefore been called ‘the Achilles’ heel of welfare state legitima...
متن کاملRace/ethnicity, and Americans’ perceptions and experiences of over- and under-use of care: a cross-sectional study
BACKGROUND Despite widespread documentation of racial/ethnic disparities in care (predominantly under-use of needed care), differences in population-wide attitudes or experiences about under- or overuse (care where harms may outweigh potential benefits) of care are not well understood. We examined whether race/ethnicity is associated with perceptions or experiences of overuse or underuse. MET...
متن کاملToo much medicine happens too often: the teachable moment and a call for manuscripts from clinical trainees.
A columnist at theNew York Times asked readers, “Have you experiencedtoomuchmedicine?”Shereceivedmorethan1000 responses detailing examples ranging fromunnecessary testing and hospitalizations to useless office visits and specialist referrals.1 Patients are not the only ones worried about too muchmedicine: 42%of anational sampleofprimary carephysicians believe that patients in their own practice...
متن کاملAntibiotic Use and Misuse during Pregnancy and Delivery: Benefits and Risks
Although pregnancy is considered as a physiological state, most pregnant women in developed countries receive multiple medications to prevent maternal or neonatal complications, with antibiotics among the most frequently prescribed. During pregnancy, antibiotics are often prescribed in the context of preterm labor, intrapartum fever, prevention of neonatal Group B Streptococcus fever, and cesar...
متن کامل