Opioid analgesic prescribing has been in trouble for decades in North America. Things are changing, though. Still, there’s room to adjust care, especially new starts.
[April 27] The ongoing opioid crisis continues to inflict serious harms on thousands of British Columbians. Some harms are due to initiation of opioid analgesics in primary care which contributes to the development of prescription opioid addiction and opioid use disorder (OUD) in up to a quarter of all individuals started on opioid analgesics. (more…)
Our new study published in the Canadian Journal of Addiction found plateauing rates of new starts of opioid analgesics in British Columbia in 2018-2019. We wanted to find out how many and what kind of opioid prescriptions were started to opioid naïve patients by family physicians in British Columbia. (more…)
This JAMA Insights Clinical Update reviews evidence-based use of opioids to manage noncancer pain, proposing opioid-sparing pain management. Based on recent literature and the rapidly evolving nature of the opioid overdose epidemic due to the emergence of fentanyl analogues in the illicit drug supply, there are clearly 3 main clinical scenarios being confronted by clinicians where evidence-based recommendations can be made. (more…)
Dr. Evan Wood spoke at the 20th Canadian Collaborative Mental Health Care Conference #ccmhc2019 in Richmond on strategies to optimize substance use care and treatment in British Columbia. (more…)