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Physicians focus on stopping pain epidemic
Date:2/16/2008

Alliance.

Saturday, Feb. 16:

8 -9 a.m. State of Drug Diversion in the United States, David Joranson, MSSW

This presentation will define diversion and discuss various types of diversion and the nonmedical uses of opioid pain medications that create illicit demand. It also will address the important distinction between diversion of prescribed versus unprescribed prescription analgesics and diversion control methods that target sources of diversion without interfering in medical practice and patient care. Sources of information about diversion will also be provided.

9-10 a.m. The Dark Side of Addiction: Relevance to Pain Medicine, George Koob, MD

The conceptualization of drug addiction as a disorder that consists of neurobiological adaptive mechanisms involved in emotional processing may be relevant to pain management and addiction vulnerability.

Addiction has been conceptualized as a syndrome that moves from an impulse control disorder to a compulsive disorder to produce excessive drug intake and loss of control over drug intake. Impulsivity is driven by key neurochemical elements, says Koob.

Acute withdrawal from all major drugs of abuse produces increases in reward thresholds, increases in anxiety-like responses, and increases in CRF levels in the brain. CRF antagonists block excessive drug intake produced by dependence. This brain stress response system as hypothesized has a critical role in driving the compulsivity associated with the loss of control over drug seeking behavior and may be a potential site for overlap with the emotional component of chronic pain. These same neurochemical circuits may be a key component of the normal neurocircuity of emotional processing that is vulnerable to disruption in other psychopathology associated with reward function, Koob concludes.

10:30 11:30 a.m. The Nature and Nurture of Pain, Jeffery Mogil, PhD

Pain is associated with muc
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Contact: Amy Jenkins
amy@jenkinspr.com
312-836-0613
American Academy of Pain Medicine
Source:Eurekalert

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