Stimulant use and opioid-related harm in patients on long-term opioids for chronic pain

Original research
par
Appa, Ayesha et al

Date de publication

2023

Géographie

USA

Langue de la ressource

English

Texte disponible en version intégrale

Non

Open Access / OK to Reproduce

Non

Évalué par des pairs

Yes

L’objectif

To determine if a positive urine drug test (UDT) for stimulants was associated with subsequent opioid-related harm or discontinuation of long-term opioid therapy (LTOT).

Constatations/points à retenir

Despite no association between a stimulant-positive UDT and subsequent opioid-related harm, there was an association with subsequent LTOT discontinuation, with heterogeneity across clinical groups. Detection of stimulant use should result in a discussion of substance use and risk, rather than reflex LTOT discontinuation.

La conception ou méthodologie de recherche

Retrospective cohort study (n=600).

Mots clés

Stimulants
Chronic pain
Outcomes