How to stop the painkiller painkiller, the pain, and the painkillers

By: Shoshana Dube, MD, MD | Editor’s note: Dr. Shoshanna Dube is a licensed internal medicine physician, internist, and internist at New York Presbyterian Hospital.

She is a member of the Board of the American Academy of Internal Medicine.

Dr. Dube has been working with patients and families in the pain and health care field for the last eight years.

In 2018, Dr. Siegel and her colleagues published the first comprehensive report on the use of opioid pain medications in the United States.

The authors found that opioid use was a significant contributor to opioid overdose deaths, especially among African Americans.

Drs.

Sacher and Siegel published a second study in 2018 that examined data from more than 40,000 patients from more general practices in New York City.

They found that the majority of patients treated with opioid pain medication died within three months of starting opioid treatment.

Dr Siegel is the author of “Pain: A Medical Emergency” and “Painkiller: A Clinical Update.”

Her articles have been published in the New England Journal of Medicine, American Journal of Emergency Medicine, and Pain Medicine.

This article was originally published on The Conversation.

Read the original article.

SOURCE: Medical News Now title Painkiller painkillers can cause heart attack, stroke, strokes and death in children article By Mayo Clinic Reporter, Jodi Cottrell | Editor Mayo Clinic| March 27, 2019 | 09:02:14It can be a challenge for parents to understand what to do in the event of a sudden and unexpected death, or to plan the funeral or burial of a loved one.

But a new Mayo Clinic study has found that prescription painkillers and opioid painkillers have the potential to cause a variety of cardiac and cardiovascular complications in children and adolescents. 

In the study, published in Pediatrics, researchers analyzed data from the National Death Index (NDI) for deaths from heart attacks, strokes, and sudden cardiac death in adults and children. 

Children under the age of 12 years were the least likely to be hospitalized with a heart attack or stroke.

And the odds of dying from sudden cardiac arrest (SCAD) increased significantly with the amount of opioid use reported by a parent or guardian. 

However, these deaths were not the most common among children under the same age, and many of these deaths occurred in the past six months.

The authors say these findings indicate that opioids may not be helpful for most patients when they are first admitted to hospital.

The study was conducted by researchers at the Mayo Clinic’s Children’s Hospital Medical Center in Rochester, Minn., and the University of Rochester School of Medicine. 

The study included 5,872 children and adults who were hospitalized for cardiac, sudden cardiac, or CHD between November 2015 and April 2016. 

Of those patients who were admitted to the hospital for a cardiac event, more than 50% of those who used opioids had an elevated risk for a sudden cardiac event.

The researchers analyzed cardiac event death data from a sample of more than 30,000 adult and children, using the National Center for Health Statistics (NCHS) Death Index, which provides detailed data on the death of people in the US who were between the ages of 10 and 99. 

According to the National Institute on Drug Abuse, about 8 million Americans have an elevated cardiac risk, or 1 in 3 adults and 2 in 3 children.

Children under 10 years old account for more than one-quarter of cardiac hospitalizations in adults. 

While opioids can be used for relief from pain and depression, the Mayo researchers found that they can also be dangerous for children.

The NCHS report indicates that children ages 10 to 17 years are more likely to experience heart attack (CHA) and stroke (SVC) than adults.

In children younger than 5 years old, CHA and SVC are significantly more likely than adults to result in death. 

These findings are consistent with previous studies.

In one of these studies, published last year in the American Journal on Aging, researchers found an association between opioid use and a significantly higher risk of sudden cardiac arrests.

The researchers found a statistically significant increase in the risk of CHA, SVC, and MI among children aged 6 to 17, with a significantly increased risk among children younger. 

Among children who used opioid pain relief medication, there was a statistically significantly higher incidence of CH and SCE (Sudden Death Syndrome), MI, and CHD among children, as compared to children who did not use opioids.

The Mayo study is the first to show a statistically higher risk for CHA among children ages 6 to 12 years who have used opioid medications.

The NCHC report found an increased risk for children aged 12 to 17 who had used opioids, but no increased risk of strokes, heart attacks or sudden cardiac deaths.

“The study provides the first evidence of an association of opioid medication use and sudden death in the general population,” Dr. David B. Sper