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Managing the Misuse of Opioids

Prescription drug misuse—taking medication originally intended for therapeutic use in a manner other than prescribed—commonly takes the form of opioid, stimulant, and central nervous system depressant misuse. For decades, prescription opioids have provided effective pain relief for patients following acute care, such as surgery (including dental surgery), yet in recent years, opioid abuse has become a major public health crisis.

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Reported rates of diagnosed opioid abuse have tripled since 2006.

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In 2017, the United States Department of Health and Human Services declared the opioid epidemic a public health emergency.

Paramedics taking patient on stretcher from ambulance to hospital JazzIRT / E+
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In 2011, what percentage of emergency department visits involving nonmedical pharmaceutical usage was due to the use of narcotic pain relievers?

Female Surgeon and Doctor Walk Through Hospital Hallway, They Consult Digital Tablet Computer while Talking about Patient's Health. Modern Bright Hospital with Professional Staff. gorodenkoff / iStock / Getty Images Plus
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Patients exhibiting drug-seeking behaviors may present to the dental office for the specific purpose of obtaining opioid prescriptions.

Unsorted prescription pills sit in a pharmacist's counting tray before they are bottled. Darwin Brandis / iStock / Getty Images Plus
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In pain management, oral health professionals are advised to consider which nonpharmacological therapies?

Acupuncturist inserting a needle into a female back. patient having traditional Chinese treatment using needles to restore an energy flow through specific points on the skin. peakSTOCK / iStock / Getty Images Plus
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Oral health professionals should always consider opioid therapies before nonopioid therapies.

Healthcare, opioid epidemic and drug abuse concept with the map of USA filled with oxycodone and hydrocodone pharmaceutical pills on the American flag Moussa81 / iStock / Getty Images Plus
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For many patients, a prescription for nonsteroidal anti-inflammatory medication, combined with education on the benefits of scheduling, is one of the best strategies for managing pain.

Capsule of NSAID drug on white background(Nonsteroidal anti-inflammatory drug). This medication used for pain control, decrease inflammation, fever treatment, prevent blood clot. sittithat tangwitthayaphum / iStock / Getty Images Plus
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Managing the Misuse of Opioids
Not bad, but there’s room to grow when it comes to understanding managing the misuse of opioids. Consider reading more about this important facet of dental hygiene care. Good luck!
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This information is from the article “Addressing Prescription Opioid Misuse” by Romesh P. Nalliah, DDS, MHCM, Shernel Thomas, BS, Diane Rhee, PharmD, MHA, Sarah Bettag, BA and Melanie Boyd, RDA. To read the article, click here.
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