National focus on overdose prevention should include alcohol too, study suggests

The need to prevent and rapidly treat opioid overdoses is in the spotlight. But a new study suggests more focus is needed on the risk of alcohol overdoses among people who use opioids of all kinds, and other drugs. Ninety percent of residential recovery center patients surveyed had overdosed on alcohol at least once, and 80 percent of them said that at the time of their overdose, they had also been taking other drugs.

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New Opioid Prescription Dosages Drop 22 Percent in Penn Medicine’s New Jersey Practices Following Changes to State Law and Health Record Alerts

The total amount of opioids dispensed per new opioid prescription decreased by 22 percent in Penn Medicine outpatient practices in New Jersey after the state passed a law limiting prescriptions to a five-day supply for new opioid prescriptions. Penn Medicine implemented an electronic health record (EMR) alert, or “nudge,” to notify clinicians if that limit had been reached. The study, published online today in the Journal of General Internal Medicine, is one of the first evaluations of a state law’s impact on prescribing outcomes, and is the first report of an EMR being used to make compliance with prescribing limits easier. Importantly, after the prescribing limit and alert went into effect there was no evidence to suggest pain control worsened.

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American Journal of Roentgenology reviews vaping-associated lung injury findings

AJR details patterns of inhalation lung injury associated with vaporizers and e-cigarettes: hypersensitivity pneumonitis, diffuse alveolar hemorrhage, acute eosinophilic pneumonia, organizing pneumonia, lipoid pneumonia, giant cell interstitial pneumonia

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