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Opioid misuse in older patients requires careful consideration of many factors

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Abstract

There is insufficient clinical data on how to optimally treat and manage opioid misuse in older patients. Opioid use affects older adults differently to younger patients, which significantly impacts management strategies and treatment outcomes. Every older patient should be regularly screened for opioid use disorder. Detoxify, then manage withdrawal, utilising mainly buprenorphine and methadone, but consider physiological differences in older patients as well as comorbidities and concomitant medications.

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References

  1. Duggirala R, Khushalani S, Palmer T, et al. Screening for and management of opioid use disorder in older adults in primary care. Clin Geriatr Med. 2022;38(1):23–38.

    Article  PubMed  Google Scholar 

  2. Dufort A, Samaan Z. Problematic opioid use among older adults: epidemiology, adverse outcomes and treatment considerations. Drugs Aging. 2021;38(12):1043–53.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Substance Abuse and Mental Health Services Administration (SAMSHA). Treatment Improvement Protocol (TIP) series 26: treating substance use disorder in older adults. 2020. https://store.samhsa.gov. Accessed 6 Oct 2022.

  4. The American Society of Addiction Medicine. The ASAM national practice guideline for the treatment of opioid use disorder: 2020 focused update. J Addict Med. 2020;14(2S Suppl 1):1–91.

    Google Scholar 

  5. Rieb LM, Samaan Z, Furlan AD, et al. Canadian guidelines on opioid use disorder among older adults. Can Geriatr J. 2020;23(1):123–34.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Kuerbis A, Sacco P, Blazer DG, et al. Substance abuse among older adults. Clin Geriatr Med. 2014;30(3):629–54.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Dürsteler-MacFarland KM, Vogel M, Wiesbeck GA, et al. There is no age limit for methadone: a retrospective cohort study. Subst Abuse Treat Prev Policy. 2011;6(1):9.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Carew AM, Comiskey C. Treatment for opioid use and outcomes in older adults: a systematic literature review. Drug Alcohol Depend. 2018;182:48–57.

    Article  PubMed  Google Scholar 

  9. Fareed A, Casarella J, Amar R, et al. Benefits of retention in methadone maintenance and chronic medical conditions as risk factors for premature death among older heroin addicts. J Psychiatr Pract. 2009;15(3):227–34.

    Article  PubMed  Google Scholar 

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Correspondence to Connie Kang.

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The preparation of this review was not supported by any external funding.

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C. Kang is a salaried employee of Adis International Ltd/Springer Nature and declares no relevant conflicts of interest. All authors contributed to the review and are responsible for the article content.

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Kang, C. Opioid misuse in older patients requires careful consideration of many factors. Drugs Ther Perspect 38, 527–531 (2022). https://doi.org/10.1007/s40267-022-00964-0

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  • DOI: https://doi.org/10.1007/s40267-022-00964-0

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