{"title":"Nalmefene study: A faster alternative to naloxone","authors":"Alison Knopf","doi":"10.1002/cpu30857","DOIUrl":"https://doi.org/10.1002/cpu30857","url":null,"abstract":"<p>In the first head-to-head study of nalmefene nasal spray (OPVEE is the trade name) vs. naloxone to reverse opioid overdose conducted in volunteers, researchers found that nalmefene worked faster than a 4 milligram (mg) dose of naloxone. It worked much faster, in fact, 2.7 mgs of OPVEE reversed respiratory depression within 5 minutes, compared to 20 minutes for 4 mgs of naloxone. The opioid that was given to the volunteers was remifentanil, a synthetic opioid.</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"26 5","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140552073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"NIDA: More than 11% of high school seniors use delta-8, the unregulated THC","authors":"Alison Knopf","doi":"10.1002/cpu30858","DOIUrl":"https://doi.org/10.1002/cpu30858","url":null,"abstract":"<p>About 11% of 12th graders have used delta-8 tetrahydrocannabinol (THC) in the past year, according to an analysis of last year's Monitoring the Future Study which is conducted by the National Institute on Drug Abuse (NIDA).</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"26 5","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140552074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Teens prescribed stimulants for ADHD not likely to have later drug misuse","authors":"Alison Knopf","doi":"10.1002/cpu30862","DOIUrl":"https://doi.org/10.1002/cpu30862","url":null,"abstract":"","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"26 5","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140552078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"All rescue medications are needed in fentanyl era","authors":"Alison Knopf","doi":"10.1002/cpu30850","DOIUrl":"https://doi.org/10.1002/cpu30850","url":null,"abstract":"<p>Stories of overdose deaths greatly outnumber stories of withdrawal precipitated by the use of rescue medications such as naloxone. In fact, the illicit fentanyl supply is so strong that the standard dose of intranasal naloxone — 4 milligrams — is no longer enough in most cases, unless there is oxygen supplementation (see FDA urges higher naloxone doses in fentanyl era, <i>CPU</i> March 2024; https://onlinelibrary.wiley.com/doi/full/10.1002/cpu30843). Most reversals of overdose require at least two doses and waiting in between those doses can be fatal. Brain damage from oxygen loss can also occur. Yet the harm reduction community continues to fret about naloxone and other rescue medications causing precipitated withdrawal.</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"26 4","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140114291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"SAMHSA overdose toolkit contradicts evidence on doses needed","authors":"Alison Knopf","doi":"10.1002/cpu30853","DOIUrl":"https://doi.org/10.1002/cpu30853","url":null,"abstract":"<p>A “toolkit” (federalese for a brochure) on overdose prevention and rescue from the Substance Abuse and Mental Health Services Administration (SAMHSA) issued last month has outdated recommendations for overdose rescue medications. The toolkit, which SAMHSA released at last month's annual CADCA conference, calls for giving one dose (4 mg) of naloxone initially, followed by a second dose two or three minutes later. It also says that studies show increased doses of naloxone are not necessary in the fentanyl era.</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"26 4","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140114294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Researchers find maternal use of ADHD stimulants safe during pregnancy","authors":"Alison Knopf","doi":"10.1002/cpu30854","DOIUrl":"https://doi.org/10.1002/cpu30854","url":null,"abstract":"","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"26 4","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140114179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-harming individuals admitted to hospital are high risk for psychosis","authors":"Alison Knopf","doi":"10.1002/cpu30852","DOIUrl":"https://doi.org/10.1002/cpu30852","url":null,"abstract":"<p>That there is a strong relationship between psychosis and self-harm is not in question. However, most of the research conducted has been on individuals already diagnosed with a psychotic disorder. So researchers wanted to look at whether self-harm can be a marker for future psychosis.</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"26 4","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140114293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ADHD medications for young children","authors":"","doi":"10.1002/cpu30855","DOIUrl":"https://doi.org/10.1002/cpu30855","url":null,"abstract":"<p>Attention-deficit hyperactivity disorder, also known as ADHD, is a condition that often begins between ages 3 and 6, according to the National Institute of Mental Health. And it's not just a childhood disease. ADHD may continue through the teenage years and into adulthood.</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"26 4","pages":"7-8"},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140114180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CM management, best treatment for stimulant disorder, still on the ropes","authors":"Alison Knopf","doi":"10.1002/cpu30851","DOIUrl":"https://doi.org/10.1002/cpu30851","url":null,"abstract":"<p>Contingency management (CM) is the only proven treatment for stimulant use disorder. It is based on paying people money for staying off stimulants, but the reward has to be much bigger than the $75 a year allowed under federal law (See Contingency management, best treatment for stimulants, essential with fentanyl; <i>CPU</i> April 2023; https://onlinelibrary.wiley.com/doi/10.1002/cpu.30761). In February, top researchers again called on the federal government to pay attention to this problem, raising the cap. Methamphetamine-involved deaths increased from 545 in 1999 to 32,353 in 2021. Of the more than 100,000 illicit drug deaths in 2021, two-thirds involved fentanyl, but almost half of the fentanyl-involved deaths included the co-use of methamphetamine, cocaine, or other stimulants..</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"26 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140114292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}