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Author: Pollen Williamson

ACOG Guidance for Opioid Treatment Options

Opioid agonist pharmacotherapy, also known as medication-assisted treatment (MAT), continues to be the recommended therapy for pregnant women with an opioid use disorder. However, in newly revised guidance, The American College of Obstetricians and Gynecologists (ACOG) also recognizes that medically supervised withdrawal can be considered under the care of a physician experienced in perinatal addiction treatment and with informed consent if a woman does not accept MAT. “While neonatal abstinence syndrome is often seen in infants who have been exposed prenatally to opioids, it is important to remember that it is an expected and treatable condition that has not been...

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Consensus Document for Drug Testing

The Consensus Document Appropriate Use of Drug Testing in Addiction Medicine addresses a wide range of daily issues encountered in the process of drug testing, including the selection of tests and the appropriate response to test results. Urine tests remain by far the most common category of tests, but are also the most prone to tampering. The document recommends that drug testing should be done at least weekly at the beginning of treatment, and at least monthly for patients in stable recovery; however, individual consideration may be given for less frequent testing if a patient is in stable recovery....

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1980 NEJM Letter a Major Factor in Opioid Crisis

The “Porter and Jick” letter published in the New England Journal of Medicine (NEJM) in 1980, which has been cited more than 600 times over the years, may have been the spark that ignited North America’s opioid crisis, new research suggests. A new Correspondence piece published in the June 1 issue of the NEJM reports that although the letter was not heavily referenced, it has been cited more than 600 times, with many authors “grossly misrepresenting” the conclusion. The brief, five-sentence 1980 letter reported that among 39,946 hospitalized medical patients, of whom 11,882 received at least one narcotic, there...

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