Make us your home page
Instagram

Today’s top headlines delivered to you daily.

(View our Privacy Policy)

Opioids are bad medicine for chronic pain, say new federal guidelines

Prescription painkillers should not be a first-choice for treating common ailments like back pain and arthritis, according to new federal guidelines designed to reshape how doctors prescribe drugs like OxyContin and Vicodin. Amid an epidemic of addiction and abuse tied to these powerful opioids drugs, the CDC is urging general doctors to try physical therapy, exercise and over-the-counter pain medications before turning to painkillers for chronic pain. [Associated Press]

Prescription painkillers should not be a first-choice for treating common ailments like back pain and arthritis, according to new federal guidelines designed to reshape how doctors prescribe drugs like OxyContin and Vicodin. Amid an epidemic of addiction and abuse tied to these powerful opioids drugs, the CDC is urging general doctors to try physical therapy, exercise and over-the-counter pain medications before turning to painkillers for chronic pain. [Associated Press]

In an effort to curb the worst public health drug crisis in decades, the federal government Tuesday published the first national standards for prescription painkillers, ending months of arguments with pain doctors and drug industry groups and beginning what officials contended would be more judicious prescribing of the highly addictive medicines.

The guidelines, issued by the Centers for Disease Control and Prevention, are nonbinding, and they come after numerous professional medical societies as well as some states have issued restrictions of their own. But they are the broadest measure now in place addressing the medications known as opioids, and they are likely to have sweeping effects on the practice of medicine.

"This is the first time the federal government is communicating clearly to the medical community that the risks outweigh the potential benefits of these drugs," said Dr. Andrew Kolodny, head of Physicians for Responsible Opioid Prescribing, which supports the guidelines. "It's one of the most significant interventions by the federal government."

The guidelines recommend what many addiction experts have long called for — that doctors first try ibuprofen and aspirin to treat pain, and that opioid treatment for short-term pain last for three days, and rarely longer than seven. That is far less than current practice, in which patients are often given two weeks or a month worth of pills.

The guidelines are meant for primary care doctors, who prescribe about half of all opioids but often have little training in how to use them. They call for patients to be urine tested before getting prescriptions and for doctors to check prescription drug tracking systems to make sure patients are not secretly getting medicine somewhere else. Currently, 49 states have such systems, but only 16 require that doctors use them, according to experts at Brandeis University.

The guidelines do not apply to prescriptions for patients who are receiving cancer or end-of-life treatment.

Opioids are bad medicine for chronic pain, say new federal guidelines 03/15/16 [Last modified: Tuesday, March 15, 2016 9:56pm]
Photo reprints | Article reprints

Copyright: For copyright information, please check with the distributor of this item, New York Times.
    

Join the discussion: Click to view comments, add yours

Loading...
  1. Rays DFA Danny Farquhar to make room for Brad Boxberger

    Blogs

    The Rays continued shuffling their bullpen, dumping RHP Danny Farquhar after Wednesday's game to make room for RHP Brad Boxberger to be activated off the DL.

    Farquhar, who worked an inning in Wednesday's 6-2 loss, had a 2-2, 4.11 record for 37 appearances, working primarily in lower leverage situations. In …

  2. USF to face Indiana in men's basketball next season

    College

    The USF men's basketball team will get an early test from a Big Ten powerhouse next season.

  3. Rays employee helps save suicidal woman near Pirates stadium

    Blogs

    A Rays front-office employee joined umpire John Tumpane in saving a woman threatening to jump from a bridge near PNC Park on Wednesday afternoon in Pittsburgh.

    Multimedia production manager Mike Weinman, 32, was walking across the Roberto Clemente Bridge with Rays broadcasting director Larry McCabe when he …

  4. Blake Snell struggles in return as Rays fall to Pirates

    The Heater

    PITTSBURGH

    Blake Snell talked a good game ahead of his return to the Rays rotation Wednesday night, but he didn't pitch one.

    The Pirates’ David Freese scores on a Blake Snell wild pitch during the first inning against the Rays.
  5. College World Series title puts Florida Gators in elite company

    College

    The Florida Gators put themselves in rare company with Tuesday night's College World Series national championship victory.

    Florida ace and Tampa native Alex Faedo (21) lets loose with his teammates after they win the Gators’ first baseball national title.