Journal of pain & palliative care pharmacotherapy
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J Pain Palliat Care Pharmacother · Jan 2008
Is the DEA's new "prescription series" regulation balanced?
To address the dual public health imperatives of enhanced pain management and decreased abuse and diversion of prescription medications, the U. S. ⋯ The DEA later explicitly confirmed that they did not intend to impose undue limits on practice. Rather, if implemented appropriately, the new regulation can be considered an important mechanism to control medication diversion while maintaining access for legitimate medical purposes and patient care.
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Multiple same-day prescriptions for Schedule II medications offer the flexibility to provide continuous access to necessary medication without requiring that stabilized patients unnecessarily visit their prescriber on a monthly basis. The federal Drug Enforcement Administration recently promulgated a new regulation that specifically authorizes the use of multiple prescriptions. This is a change in policy within the agency. Health care professionals must communicate to each other that this useful practice is now recognized as being completely legal.
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The U. S. ⋯ Only papers published in journals that are indexed in the databases are accessible through electronic literature searches utilizing those databases. Those 19 journals are listed with their NLM abbreviations and their print and electronic ISSNs.
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J Pain Palliat Care Pharmacother · Jan 2008
Evidence-based pain management and palliative care in issue four for 2007 of The Cochrane Library.
The Cochrane Library of Systematic Reviews is published quarterly. Issue 4 2007 contains 3298 complete reviews, 1755 protocols for reviews in production and 6761 one-page summaries of systematic reviews published in the general medical literature. ⋯ The health technology assessment database contains 6087 citations. This edition of the Library contains 101 new reviews of which 7 have potential relevance for practitioners in pain and palliative medicine.
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J Pain Palliat Care Pharmacother · Jan 2008
The case for Pain Insomnia Depression Syndrome (PIDS): a symptom cluster in chronic nonmalignant pain.
This commentary suggests that pain, insomnia, and depression might be considered as a symptom cluster in chronic nonmalignant pain and that it might be called Pain Insomnia Depression Syndrome, or PIDS. Evidence is provided in support of the designation. The author suggests acceptance of PIDS would increase awareness of the pain comorbidities insomnia and depression, and this might lead to improved symptom management and better clinical outcomes.