Roni Shye - June 01, 2017
In response to the current opioid epidemic, the FDA has been encouraging drug companies to create abuse-deterrent pain medications. These medications have properties that make it harder, or less rewarding, for a person to inject or snort them, and are typically resistant to crush or extraction. Some abuse-deterrent pain medications that you may have heard of include Xtampza ER (oxycodone) and Hysingla ER (hydrocodone), and now we have another to add to the list! The FDA recently approved Arymo ER (morphine), an extended-release tablet for the treatment of pain, and it is now available in pharmacies. See More
Roni Shye - June 15, 2016
The FDA has issued a new required warning for all opioid pain medications. If you are taking an opioid, you should be aware of a few potential side effects, including reactions with other medications, and effects on hormone levels.
What are some examples of opioid medications?
Opioids are powerful prescription-only medications, used to manage manage pain when other treatments may not work. Some common opiods include:
- hydrocodone/acetaminophen (Vicodin, Norco, Lorcet)
- oxycodone/acetaminophen (Percocet, Endocet, Roxicet)
- oxycodone (Oxycontin, Roxicodone)
- fentanyl (Duragesic, Subsys)
Why exactly was the FDA safety alert issued?
The FDA identified some safety concerns for anyone using opioid pain medications:
- They can interact with many other medications
- They can cause problems with a person’s adrenal glands
- They can decrease sex hormone levels
What kind of medications can react with opioids?
Specifically, opioids may react with antidepressants and migraine medications. See More
Dr. Sharon Orrange - February 04, 2016
Opioid pain medication is an emotional topic for everyone. Patients who struggle with chronic noncancer pain and need opioid medications feel they are portrayed as addicts when they ask for refills. Each week I see many patients using opioids for the appropriate reason, who have tried and failed with other medications and yet feel stigmatized by the use of medicine they need.
Dr. Sharon Orrange - April 23, 2014
One of the bright new changes in pain medications over the last few years were two medications: Ultram (tramadol) and now Nucynta (tapentadol). These are different from Vicodin (hydrocodone/acetaminophen), Percocet (oxycodone/acetaminophen), and Tylenol #3 (codeine/acetaminophen) in many ways and are considered much “gentler.” So, is Nucynta better? Lets look.
1. See More
Dr. Sharon Orrange - April 09, 2014
Heroin, Oxycontin or any opioid overdose is easily reversed with naloxone. You’ve seen it in the movies and it’s true, naloxone works to wake people up from the dead, well . . . most of the time. Now people won’t have to wait for paramedics to arrive or to get to the ER, it will be available as a prescription.
The FDA has approved Evzio (naloxone injection) for the emergency treatment of known or suspected opioid overdose, which as you know manifests as respiratory and/or central nervous system depression. See More
Roni Shye - November 20, 2013
Express Scripts and Caremark have removed certain medications from their formulary starting in January 2014. These companies handle prescription benefits for more than 200 million Americans, so your prescription coverage will likely be changing in the new year.
We’re reviewing which prescriptions will no longer be covered and the suggested alternatives to give you a better picture of your options. Listed below are some changes to the pain med coverage from each formulary that might affect you:
Roni Shye - November 01, 2013
Controlled substances and prescription drug abuse have been increasingly under the spotlight. This has been fueled, in particular, by overuse of drug such as opioids. Opioids are used as painkillers and include hydrocodone, oxycodone, hydromorphone, and morphine. Hydrocodone and oxycodone are among the top most abused prescription drugs.
Overdose is the second leading causing of accidental death in the United States, with an estimated 16,600 deaths from overdose in 2010. See More