Abstract | BACKGROUND: OBJECTIVES: DESIGN: A prospective, consecutive study. SETTING: METHODS: A total of 500 consecutive patients on opioids, considered to be receiving stable doses of opioids supplemental to their interventional techniques, were studied by random drug testing. Testing was performed by rapid drug screen. Results were considered positive if one or more of the monitored illicit drugs including cocaine, marijuana ( THC), methamphetamine or amphetamines were present. RESULTS: CONCLUSION: The prevalence of illicit drug abuse in patients with chronic pain receiving opioids continues to be a common occurence. This study showed significant reductions in overall illicit drug use with adherence monitoring combined with random urine drug testing.
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Authors | Laxmaiah Manchikanti, Rajeev Manchukonda, Vidyasagar Pampati, Kim S Damron, Doris E Brandon, Kim A Cash, Carla D McManus |
Journal | Pain physician
(Pain Physician)
Vol. 9
Issue 2
Pg. 123-9
(Apr 2006)
ISSN: 1533-3159 [Print] United States |
PMID | 16703972
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Chemical References |
- Amphetamines
- Narcotics
- Dronabinol
- Cocaine
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Topics |
- Adult
- Age Factors
- Aged
- Amphetamines
(adverse effects, urine)
- Chronic Disease
- Cocaine
(adverse effects, urine)
- Confidence Intervals
- Dronabinol
(adverse effects, urine)
- Drug Prescriptions
- Female
- Humans
- Male
- Meta-Analysis as Topic
- Middle Aged
- Narcotics
(adverse effects, therapeutic use, urine)
- Pain
(drug therapy, urine)
- Pain Clinics
- Prevalence
- Prospective Studies
- Substance Abuse Detection
(methods)
- Substance-Related Disorders
(complications, epidemiology, urine)
- United States
(epidemiology)
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