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  • Title: Update on Barriers to Pharmacotherapy for Opioid Use Disorders.
    Author: Sharma A, Kelly SM, Mitchell SG, Gryczynski J, O'Grady KE, Schwartz RP.
    Journal: Curr Psychiatry Rep; 2017 Jun; 19(6):35. PubMed ID: 28526967.
    Abstract:
    PURPOSE OF REVIEW: The recent heroin and prescription opioid misuse epidemic has led to a sharp increase in the number of opioid overdose deaths in the USA. Notwithstanding the availability of three FDA-approved medications (methadone, buprenorphine, and naltrexone) to treat opioid use disorder, these medications are underutilized. This paper provides an update from the recent peer-reviewed literature on barriers to the use of these medications. FINDINGS: These barriers are interrelated and can be categorized as financial, regulatory, geographic, attitudinal, and logistic. While financial barriers are common to all three medications, other barriers are medication-specific. The adverse impact of the current opioid epidemic on public health can be reduced by increasing access to effective pharmacotherapy for opioid use disorder.
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