Don’t Stop OUD Drugs Before Surgery: Study

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Medications for opioid use disorder protect against overdoses and postsurgical complications, researchers found.

Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit.Patients who need medications for opioid use disorder should continue to receive them prior to surgery, rather than stopping those drugs, as has been the convention.

Among all the surgeries, about 40,000 occurred in people with a history of OUD. Less than half of these patients — 34% — used OUD medications in the month before surgery, while the other 66% did not use any OUD medications. The people who halted OUD medication in the month before surgery were approximately three times more likely to overdose or be hospitalized for complications of OUD, Dixit’s group found.

Dixit noted that since this study explores many different types of surgeries, the beneficial effects of maintaining OUD treatments could vary between surgeries.

 

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