The Reply

Although the article by Bowman et al did address the importance of naloxone prescription in primary care settings to prevent opioid overdoses in patients prescribed any opioid, the article did not address the prescribing of specific opioids for the treatment of chronic pain that could result in overdose. The focus of the article was on opioid addiction in primary care settings and sought to direct attention to 5 areas: (1) Addiction is present in primary care practices and should be screened for in a standardized manner; (2) brief motivational interviewing to engage patients in behavior change can be conducted even in busy primary care practices; (3) needles and syringes should be accessible in primary care to avoid the transmission of blood-borne diseases, such as human immunodeficiency…

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The Reply

Although the article by Bowman et al did address the importance of naloxone prescription in primary care settings to prevent opioid overdoses in patients prescribed any opioid, the article did not address the prescribing of specific opioids for the treatment of chronic pain that could result in overdose. The focus of the article was on opioid addiction in primary care settings and sought to direct attention to 5 areas: (1) Addiction is present in primary care practices and should be screened for in a standardized manner; (2) brief motivational interviewing to engage patients in behavior change can be conducted even in busy primary care practices; (3) needles and syringes should be accessible in primary care to avoid the transmission of blood-borne diseases, such as human immunodeficiency…

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The Reply

Although the article by Bowman et al did address the importance of naloxone prescription in primary care settings to prevent opioid overdoses in patients prescribed any opioid, the article did not address the prescribing of specific opioids for the treatment of chronic pain that could result in overdose. The focus of the article was on opioid addiction in primary care settings and sought to direct attention to 5 areas: (1) Addiction is present in primary care practices and should be screened for in a standardized manner; (2) brief motivational interviewing to engage patients in behavior change can be conducted even in busy primary care practices; (3) needles and syringes should be accessible in primary care to avoid the transmission of blood-borne diseases, such as human immunodeficiency…

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Clinician beliefs and attitudes about buprenorphine/naloxone diversion.

CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: Attitudes and beliefs, not education level, were associated with clinician’s perceived danger from B/N diversion. Clinicians with greater B/N patient experience were more likely to believe treatment access barriers are the major cause of B/N diversion. (Am J Addict 2013;22:574-580).
PMID: 24131165 [PubMed – in process] (Source: American Journal on Addictions)

Clinician beliefs and attitudes about buprenorphine/naloxone diversion.

CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: Attitudes and beliefs, not education level, were associated with clinician’s perceived danger from B/N diversion. Clinicians with greater B/N patient experience were more likely to believe treatment access barriers are the major cause of B/N diversion. (Am J Addict 2013;22:574-580).
PMID: 24131165 [PubMed – in process] (Source: American Journal on Addictions)

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