People on Medicare who survived a drug overdose were much more likely to later receive opioid painkillers than any medication to treat addiction — and some went on to die of an overdose.
Packages of the overdose antidote naloxone await use on Thursday, June 6, 2024, at OnPoint NYC, an overdose prevention center in New York. According to a study published Monday, June 17, 2024, in JAMA Internal Medicine, people on Medicare who survived a drug overdose in 2020 were much more likely to later receive opioid painkillers than any medication to treat addiction and some went on to die of an overdose.
The researchers looked at nearly 137,000 Medicare beneficiaries who survived an overdose in 2020, when the emergence of COVID-19 scrambled drug treatment efforts. In some situations, it might be appropriate to continue to prescribe opioids after an overdose, but “these patients should be closely monitored, provided naloxone" and have plans in place to reduce overdose risk, said lead author Capt. Christopher Jones of the Substance Abuse and Mental Health Services Administration.
“The health system is very poor at connecting people to life-saving medication after they overdose,” Barnett said. “It’s a health system problem. And it’s also a problem of stigma and public education that many people may not be interested or may not trust medications for opioid use disorder.”. Methadone is the oldest, and experts say, the most effective of the three approved medications used to treat opioid addiction.
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