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That's true also for the use of over-the-counter painkillers like ibuprofen and naproxen, and other non-steroidal anti-inflammatory drugs (NSAIDs) like Celebrex (celecoxib). Guidelines written and published by the American Geriatrics Society warned against using these drugs chronically and at moderate-to-high doses in patients age 75 or older with persistent pain. Citing the many risks of long-term NSAID use, including fatal ulcers and gastrointestinal bleeding, increased risk of heart attack and stroke and dangerous interactions with other drugs commonly prescribed to the elderly, the American Geriatrics Society suggested that seniors try acetaminophen instead...

Author: /time Magazine | Title: Are Doctors Too Reluctant to Prescribe Opioids? | 2/24/2010 | See Source »

...while the risk of opioid addiction in the elderly is low, there are other cautions. A study published in January by Von Korff and colleagues linked high-dose opioid use to a doubling of the risk of broken bones in the elderly. "One-third of these were hip and pelvic fractures," Von Korff says. "These can really be debilitating." The authors speculate that the patients may have been prone to falls caused by dizziness or sedation, side effects of drug treatment that tend to occur early in a new drug regimen or when dosage changes...

Author: /time Magazine | Title: Are Doctors Too Reluctant to Prescribe Opioids? | 2/24/2010 | See Source »

Doctors are often afraid to dispense high doses, sometimes at the expense of patients' daily functioning. "Those are the kinds of doses that get doctors arrested," says Siobhan Reynolds, founder of patient-advocacy group the Pain Relief Network. But as researchers figure out the best way to use their most powerful pain relievers, patients are beginning to benefit, Reynolds says. "More people are getting a very little bit of opioids, and that's good," she says. "But those who need high doses are still being put through hell. These drugs are a miracle for the right people: they...

Author: /time Magazine | Title: Are Doctors Too Reluctant to Prescribe Opioids? | 2/24/2010 | See Source »

Conor even went to high school in Lake Placid, N.Y., where the most venerated hockey game in United States history–the 1980 “Miracle on Ice”–took place...

Author: By Scott A. Sherman, CONTRIBUTING WRITER | Title: Frosh Follows Family Trade | 2/24/2010 | See Source »

Conor took these pointers to heart, and his game began to show it. In high school, he played two seasons for the Salmon Arm SilverBacks of the British Columbia Hockey League, where he tied for the league-lead in points per game, finishing with 84 points and 39 goals...

Author: By Scott A. Sherman, CONTRIBUTING WRITER | Title: Frosh Follows Family Trade | 2/24/2010 | See Source »

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