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Morning Briefing

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Thursday, Apr 20 2017

Full Issue

'I Need Medicine For This Pain': The Landmines Of Treating Someone Addicted To Opioids

There's no definitive guidance for doctors on what to do when their patient is someone who is in recovery from an opioid addiction, but also in need of pain relief. In other public health news: antidepressants, mysterious diseases, antibiotic-resistant infections, stress in kids and sexual enhancement pills.

Nearly one and a half million Americans were treated for addiction to prescription opioids or heroin in 2015, according to federal estimates, and when those people get seriously hurt or need surgery, it's often not clear, even to many doctors, how to safely manage their pain. For some former addicts, what begins as pain relief ends in tragedy. (Lemoult, 4/20)

Women who take antidepressants early in pregnancy are not at a higher risk of having children who develop autism or attention deficit hyperactivity disorder (ADHD), contrary to earlier reports, a study published Tuesday found. The new study, published in the Journal of the American Medical Association, found only a slight increase in the risk of premature birth for infants of mothers who used antidepressants during the first trimester of their pregnancy. But the researchers found聽no increase in the risk of autism, ADHD or reduced fetal growth among children exposed to antidepressants during fetal development. (Naqvi, 4/19)

Lynn Whittaker stood in the hallway of her home looking at the framed photos on the wall. In one, her son, Andrew, is playing high school water polo. In another, he鈥檚 holding a trombone. The images show no hint of his life today: the seizures that leave him temporarily paralyzed, the weakness that makes him fall over, his labored speech, his scrambled thoughts. Andrew, 28, can no longer feed himself or walk on his own. The past nine years have been a blur of doctor appointments, hospital visits and medical tests that have failed to produce answers. (Gorman, 4/20)

Antibiotic-resistant infection is a rising issue in American society and thousands of people die each year when they develop infections that no antibiotic can control...聽A person is most vulnerable to antibiotic-resistant infection in the hospital, because that is a place that is more likely to harbor bacteria that has become resistant 鈥 and people in the hospital are more vulnerable and unable to fight the infection off. (Moffitt, 4/19)

Alzheimer鈥檚 disease has an unusual distinction: It鈥檚 the illness that Americans fear most 鈥 more than cancer, stroke or heart disease. The rhetoric surrounding Alzheimer鈥檚 reflects this. People 鈥渇ade away鈥 and are tragically 鈥渞obbed of their identities鈥 as this incurable condition progresses, we鈥檙e told time and again. (Graham, 4/20)

Dr. Gabriela Bronson-Castain, a pediatric psychologist in Oakland, said most of the kids she sees who are experiencing this fear have families who immigrated to the U.S. from Central America or families who are Muslim. (Klivans, 4/19)

From A to Zrect, Organic Herbal Supply has recalled its sexual assistance pills for men and women. The men鈥檚 pills 鈥 Uproar, Monkey Business, Zrect, Rectalis, Cummor, Tornado, ZDaily, Enhancerol, BigNHard 鈥 all contain tadalafil, the active ingredient in Cialis. While tadalafil is FDA-approved for dealing with male erectile dysfunction, the recall notice says, 鈥渢he presence of tadalafil in these male enhancement products renders it an unapproved drug for which safety and efficacy have not been established and, therefore, subject to recall.鈥 (Neal, 4/19)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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