The choice of opioid has scientific importance. Oxycodone performed a central role in the event of your opioid epidemic in the U.
An additional crucial locating is always that standard practitioners are to blame for just about 90% of opioid prescriptions in Norway.
Information > 2025 > Oxycodone use is increasing equally in hospitals and first care Oxycodone use is rising both in hospitals and primary care
Det er ingen nasjonale norske retningslinjer som anbefaler legene å bruke morfin fremfor oksykodon. Norsk legemiddelhåndbok anbefaler morfin ved valg av sterke opioidagonister.
Ifølge Eirik Haarr har funnene flere aspekter som er relevante for både sykehusleger og fastleger, i tillegg til å ha et helsetjenesteperspektiv:
Instead, improvements in procurement contracts might Engage in a role: In the course of this period, the amount of procurement agreements for morphine in hospitals substantially lessened, although the amount of agreements for oxycodone elevated.
Moreover, You will find a deficiency of robust proof exhibiting that extensive-time period treatment of Serious suffering with opioids is powerful. Lengthy-expression use can result in major side effects, including the possibility of overdose and dependancy.
Researchers have also seemed nearer at feasible explanations. The increase can not be attributed to increased action in hospitals.
Foruten den sterke økningen i forskrivningen av oksykodon finner de en moderat samvariasjon mellom endringer i forskrivning som skjer på sykehus og de samme endringene i primærhelsetjenesten.
– Jeg har nylig hatt kontakt med to uavhengige anestesiavdelinger som er i en prosess med å skifte til mer morfin og mindre oksykodon. Det at check here andre faginstanser tenker i samme baner støtter også vår anbefaling.
Fastlegene har den fulle bredde av pasienter – også de pasientene som ikke fikk god nok smertelindring på sykehus. Males forskjellene mellom sykehusleger og fastleger kan gå begge veier når det gjelder forskriving, understreker Haarr, som selv er allmennlege ved Byhaugen legesenter i Stavanger to dager i uken.
Derimot ser male at endringer i anbudsavtaler kan spille en rolle: I perioden falt antall innkjøpsavtaler for morfin i sykehusene kraftig, mens antallet avtaler for oksykodon økte.
Strategies: This sign-up-based mostly cohort analyze will use information from Danish governmental databases linked to sufferers undergoing the 10 most Recurrent surgical treatments in 2018, excluding most cancers-relevant and small methods. The primary result would be the dispensed postoperative opioid prescriptions at retail pharmacies around four quar- ters. Secondary analyses will include associations with intercourse, age, education attainment, and oral morphine equivalent quotient. Surgical treatment plans and diagnoses is going to be discovered utilizing NOMESCO technique codes and ICD-ten codes. Opioids will be iden- tified by ATC codes N02A and R05DA04. Subjects might be categorised as preoperative opioid consumers or non-opioid consumers according to opioid prescriptions redeemed within the 6 months before medical procedures. Discussion: The analyze will use considerable countrywide register-centered facts, making certain con- sistent data assortment and maximizing the generalizability of your findings to very similar healthcare programs. The analyze could detect higher-possibility populations for extensive-term opi- oids and provide facts to aid opioid prescribing suggestions and community overall health procedures.
Monitoring opioid prescribing throughout distinct Health care devices is important to knowing inhabitants-degree publicity and informing worldwide health procedures.