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The CDC has updated its guidelines, advising doctors to counsel their patients before IUD insertion about what to expect and what their options are for pain management. Pain relief options might ...
Lidocaine “might be useful for reducing patient pain” when injected as a local anesthetic or applied topically as a numbing gel, cream or spray, the CDC said in the update, the first since 2016.
Guidelines do state that lidocaine, a local anesthetic, may help, but research shows that the majority of clinicians offer no pain management options for IUDs beyond over-the-counter painkillers ...
Other notable achievements under her leadership included releasing the CDC Opioid Prescribing Guidelines for Chronic Pain, acquiring the management of the Drug Free Communities program encompassing 700 local coalitions, expanding the National Violent Death Reporting System from 18 to 50 states, and standing up new funding lines in adverse ...
While the CDC guideline was intended to inform primary care physicians on new prescription initiation, in many cases it was misapplied beyond this narrow scope and used to inform opioid tapering practices among patients taking long-term prescription opioids for chronic pain.
The opioid epidemic unfolded in three waves. The first wave of the epidemic in the United States began in the late 1990s, according to the Centers for Disease Control and Prevention (CDC), when opioids were increasingly prescribed for pain management, resulting in a rise in overall opioid use throughout subsequent years. [2]
While the guidelines still say opioids should not be the go-to option for pain, they ease recommendations about dose limits, which were widely viewed as hard rules in the CDC’s 2016 guidance.
She has also served as a reviewer of the 2016 Centers for Disease Control and Prevention (CDC) guidelines for primary care physicians prescribing opioids for chronic pain management and in 2018 was appointed to a CDC board of scientific advisors to advise on approaches to address the opioid epidemic in the United States. [26] [27]
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