Opioid use is now a significant problem for the pediatrician and the families served in pediatric practices. Whereas patients with a prior history of drug use, misuse, or suspicions of drug misuse have long been studied, monitored, screened, and treated for adverse outcomes, opioid-naïve patients with legitimate medical reasons for opioid prescriptions may represent a greater risk for opioid complications.
As problems with opioid use and abuse in the United States increasingly emerge to create what is being called a public health epidemic, clinicians are facing the great challenge of trying to provide optimal pain management for their patients while being mindful of the potential deleterious effects of the highly addictive opioids.
FDA advisers recommended approval of the first long-acting, subdermal buprenorphine implant (Probuphine, Titan Pharmaceuticals, Inc. and Braeburn Pharmaceuticals) for the maintenance treatment of opioid addiction.
Even the most brilliant physicians often lack the capacity to see inside their own heads or view themselves as others see them. They may neglect or fail to notice the obvious: Burnout, violation of boundaries, depression, anger, substance abuse. Or they may understand they’re in trouble, but fear letting anyone know about their struggles. Help is available when physicians need a path back to professional health. Learn more
Increasingly, reports are emerging that some children and adolescents become preoccupied with Internet gaming. These “gamers” may demonstrate compulsivity and exclude other interests as a result of online gaming that leads to clinically significant impairment or distress.