By Steven Reinberg

HealthDay Reporter

WEDNESDAY, June 24, 2020 (HealthDay Information) — Us citizens go on to look to the drugs cupboard for ache aid, with one in ten employing some form of prescription painkiller, a new U.S. government report claims.

But use of prescription opioid painkillers leveled off from 2015 to 2018, while prescriptions for nonopioid ache meds rose, in accordance to the report from the U.S. Facilities for Illness Handle and Avoidance.

This study and other analysis is displaying that ache management is starting to be safer, mentioned Dr. Ajay Wasan, president of the American Academy of Pain Medication.

“It is starting to be a lot less reliant on opioids, and doctors are prescribing a great deal a lot more responsibly,” mentioned Wasan, who is co-director of the Center for Innovation in Pain Care at the University of Pittsburgh.

Between 2015 and 2018, nearly eleven% of American adults aged 20 and around utilized at minimum a person prescription opioid like oxycodone or a nonopioid like Celebrex, investigators located.

Breaking that down, they located that nearly six% of American adults utilized a person or a lot more prescription opioid painkillers, while five% utilized a nonopioid prescription ache treatment to quell their aches and pains.

“Medical professionals really should look 1st at nonopioid medicine to deal with ache and then if nonopioid medications will not perform, think about opioids,” mentioned researcher Dr. Qiuping Gu, an epidemiologist at the CDC’s Nationwide Center for Overall health Figures (NCHS).

For the review, Gu and colleagues utilized facts from the U.S. Nationwide Overall health and Nourishment Examination Survey.

Other results:

  • Far more women than men utilized prescription opioids in the earlier 30 times, and use elevated with age.
  • Use of any prescription ache treatment was best between whites (nearly 12%), compared to Blacks (about ten%) and Hispanics (8.five%). Use was lowest between Asians (4.five%).
  • Between 2009 and 2010 and among 2017 and 2018, there was no important alter in the use of prescription opioids, while the use of prescription nonopioids rose.

Even with a leveling off of prescription opioids, which is very good news specified the nation’s dependancy epidemic, their use continues to be a worry.

“When having into account that 21% to 29% of people prescribed opioids for long-term ache may possibly misuse them, and 8% to 12% of these people may possibly build opioid use problem, the study facts displaying higher than one of 20 U.S. adults employing opioids for ache carries on to be problematic,” mentioned Dr. Yili Huang, director of the Pain Administration Center at Northwell Overall health Phelps Healthcare facility in Sleepy Hollow, N.Y.


“This stresses a have to have for continued ache management instruction as very well as elevated accessibility to safe and sound and helpful ache treatment,” mentioned Huang.

Wasan mentioned other reports seeking at doctors’ prescribing procedures have located fewer opioids prescribed for long-term ache.

But he also mentioned he expects the quantity of Us citizens having a prescription painkiller to increase as the populace ages.

And Wasan voiced worry that some people may possibly not get the ache aid they ought to have mainly because medical doctors are a lot more hesitant to prescribe opioids and insurance corporations have come to be hesitant to approve them.

“Sad to say, a whole lot of that has been built even worse by insurance corporations that have come to be quite restrictive on opioid prescribing,” he pointed out.

“Even if opioids are appropriate to prescribe, you can’t prescribe mainly because of all the limitations concerned that insurance corporations introduce,” Wasan mentioned. “That is a person of the huge drivers for quite a few people obtaining insufficient ache treatment.”

Wasan additional that insurance corporations will not, as a rule, go over ache management, which includes not only medications but physical and psychological treatment.

“In handling long-term ache, there demands to be use of multimodal approaches, so that you can prevent opioids and so you can also get the most advancement in ache and functionality,” he mentioned.

The CDC report was released June 24 in an NCHS Knowledge Brief.

WebMD Information from HealthDay


Sources: Qiuping Gu, M.D., Ph.D., epidemiologist, Nationwide Center for Overall health Figures, U.S. Facilities for Illness Handle and Avoidance Ajay Wasan, M.D., president, American Academy of Pain Medication, and co-director, Center for Innovation in Pain Care, University of Pittsburgh Yili Huang, D.O., director, Pain Administration Center, Northwell Overall health Phelps Healthcare facility, Sleepy Hollow, N.Y. June 24, 2020, CDC’s NCHS Knowledge Brief:Prevalence of Prescription Pain Medication Use Between Older people: United States, 2015-2018

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