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Opioid tapering may have unintended negative consequences

Opioid tapering may have unintended negative consequences

For patients prescribed long-term opioid therapy (LTOT), opioid tapering may have unintended negative consequences, including more emergency department visits and hospitalizations, according to a study published online Feb. 7 in JAMA Network Open.

Elizabeth M. Magnan, M.D., Ph.D., from the University of California at Davis, and colleagues conducted a to examine tapering among adults prescribed stable doses of LTOT at 50 morphine milligram equivalents or more per day during a 12-month baseline period. Data were included for 113,604 patients prescribed LTOT; 41,207 and 23,335 had and diabetes, respectively.

The researchers found more emergency department visits and hospitalizations in association with tapering in the overall cohort (adjusted incidence rate ratios [aIRRs], 1.19 and 1.16, respectively), with associations of similar magnitude noted in the hypertension and diabetes subcohorts.

Fewer primary care visits were seen in association with tapering in the overall cohort (aIRR, 0.95) and the hypertension subcohort (aIRR, 0.98). Tapering was associated with reduced medication adherence in the hypertension and diabetes subcohorts (aIRRs, 0.60 and 0.69, respectively) and with small increases in and hemoglobin A1c levels.

"Although cautious interpretation is warranted, these outcomes may represent unintended negative consequences of opioid tapering in who were prescribed previously stable doses," the authors write.

One author disclosed financial ties to International Flavors and Fragrances.

More information: Magnan et al, Association Between Opioid Tapering and Subsequent Health Care Use, Medication Adherence, and Chronic Condition Control, JAMA Network Open (2023). DOI: 10.1001/jamanetworkopen.2022.55101

Journal information: JAMA Network Open

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Citation: Opioid tapering may have unintended negative consequences (2023, February 13) retrieved 22 June 2024 from https://medicalxpress.com/news/2023-02-opioid-tapering-unintended-negative-consequences.html
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