States that have approved medical cannabis laws saw a dramatic reduction in opioid use, according to a new study by researchers at the University of Georgia.
In a paper published today in the Journal of the American Medical Association, Internal Medicine, researchers examined the number of all opioid prescriptions filled between 2010 and 2015 under Medicare Part D, the prescription drug benefit plan available to Medicare enrollees.
In states with medical cannabis dispensaries, the researchers observed a 14.4 percent reduction in use of prescription opioids and nearly a 7 percent reduction in opiate prescriptions filled in states with home-cultivation-only medical cannabis laws.
“Some of the states we analyzed had medical cannabis laws throughout the five-year study period, some never had medical cannabis, and some enacted medical cannabis laws during those five years,” said W. David Bradford, study co-author and Busbee Chair in Public Policy in the UGA School of Public and International Affairs. “So, what we were able to do is ask what happens to physician behavior in terms of their opiate prescribing if and when medical cannabis becomes available.”
Since California approved the first medical cannabis law in 1996, 29 states and the District of Colombia have approved some form of medical cannabis law.
“Physicians cannot prescribe cannabis; it is still a Schedule I drug,” Bradford said. “We’re not observing that prescriptions for cannabis go up and prescriptions for opioids go down. We’re just observing what changes when medical cannabis laws are enacted, and we see big reductions in opiate use.”
The researchers examined all common prescriptions opiates, including hydrocodone, oxycodone, morphine, methadone and fentanyl. Because heroin is not a legal drug, it was not included as part of the study.
Last year, the U.S. Department of Health and Human Services declared a public health emergency related to the abuse of opiates. Opioid overdoses accounted for more than 42,000 deaths in 2016, more than any previous year on record, and more than 40 percent of opioid overdose deaths involved a prescription opioid, according to HHS.
Opioid prescription rates increased from about 148 million prescriptions in 2005 to 206 million prescriptions by 2011, Bradford said. This coincided with an increase in the number of opioid-related deaths.
“There is a growing body of literature that suggests cannabis may be used to manage pain in some patients, and this could be a major component of the reductions we see in the use of opiates,” he said.
The researchers did not, however, see any significant reductions in the number of non-opioid drugs prescribed during the study period.
“In other studies, we examined prescription rates for non-opioid drugs such as blood thinners, flu medications and phosphorus stimulants, and we saw no change,” said Ashley Bradford, lead author of the study and graduate student in UGA’s department of public administration and policy. “Medical cannabis wouldn’t be an effective treatment for flu or for anemia, so we feel pretty confident that the changes we see in opioids are because of cannabis because there is a legitimate medical use.”
The researches concede that if medical cannabis is to become an effective treatment, there is still much work to be done. Scientists are only just beginning to understand the effects of the compounds contained in cannabis, and an effective “dose” of cannabis would need to be defined clearly so that each patient receives a consistent dose.
“Regardless, our findings suggest quite clearly that medical cannabis could be one useful tool in the policy arsenal that can be used to diminish the harm of prescription opioids, and that’s worthy of serious consideration,” David Bradford said.
The Latest on: Reduction in opioid use
via Google News
The Latest on: Reduction in opioid use
- Could Switching Opioids in Cancer Patients Provide Relief? on November 12, 2018 at 11:00 am
Side effects and inadequate pain relief with the use of opioids in cancer patients is a challenge for ... Researchers noted that pain reduction and controlled side effects were reported in 51.45% and ... […]
- Surgical patients receive four times the opioids they use, study shows on November 8, 2018 at 2:47 pm
But all patients were found to use more opioids when they received larger quantities ... The updated guidelines among surgeons at University of Michigan has led to a 63% reduction in opioid prescripti... […]
- ER doc leads effort to limit opioids use on November 7, 2018 at 8:52 am
Campagna’s inspiration to run reports on prescribing behavior, known as the Opioid Reduction Initiative, has imparted lessons beyond whittling down the number of prescribed narcotics. “From a physicia... […]
- One Way To Reduce Opioid Use After Surgery: Know That It Will Hurt on November 1, 2018 at 9:06 pm
likely contributed to this substantial reduction in opioid use following these surgeries. Providing reasonable expectations regarding degree of pain after surgery likely also helped patients be prepar... […]
- Study: Medical Cannabis Access Associated With Significant Reduction In Prescription Opioid Use on July 18, 2018 at 5:00 pm
San Diego, CA: The enactment of medical cannabis access laws is associated with significant reductions in prescription opioid use among Medicaid enrollees, according to data published online ahead of ... […]
- New York Health Officials Point To Reduction In Opioid Deaths As Reason To Legalize Marijuana on July 16, 2018 at 5:52 am
(Spitzer, 7/13) NPR: Colorado's Meth Use Complicates Recovery From Opioid Addiction Huddled at a computer screen at the Denver Recovery Group, counselor Melissa McConnell looks at the latest urinalysi... […]
- Opioid Reduction Act now in effect in West Virginia on June 8, 2018 at 12:26 am
The Opioid Reduction Act, a law that sets limitations on opioid prescriptions ... with the prescribing provider agreeing to only get medication from that doctor, use the same pharmacy each time and no... […]
- In opioid fight, find balance of supply and demand reductions on March 30, 2018 at 2:43 pm
we face a new crisis — an epidemic of opioid use disorder. As resources were allocated to fight the “war on drugs”, two schools of thought emerged regarding what should become the focus of the war. On ... […]
- Harm Reduction: More Than Just How to Use a Condom on March 28, 2018 at 8:11 am
The harm reduction conversation has become more prevalent, especially as different health crisis have emerged around opioid use and access to syringes and safer use supplies. Street outreach for sex w... […]
via Bing News