ArticleJournal of pharmaceutical policy and practice2020
Prescription opioid dispensing in Canada: an update on recent developments to 2018.
Article in Journal of pharmaceutical policy and practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 26 citations in OpenAlex.
- Trends in prescription opioid use for pain in Canada: a population-based repeated cross-sectional study of 6 provinces.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025Article
- Cross-sectional study of rapid tapering of opioid prescriptions following medical regulatory intervention in Alberta from 2013 to 2020.BMJ open · 2023Article
- Interdisciplinary strategies to prevent long-term and detrimental opioid use following trauma: a stakeholder consensus study.Pain medicine (Malden, Mass.) · 2023Article
- Prevalence of pain and use of prescription opioids among older adults: results from the Brazilian Longitudinal Study of Aging (ELSI-Brazil).Lancet regional health. Americas · 2023Article
- Strategies to prevent long-term opioid use following trauma: a Canadian practice survey.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- Opioid prescription patterns in the province of Las Palmas, Canary Islands, Spain (2016-2020): differences between urban and rural areas.Frontiers in pharmacology · 2023Article
- Development and pilot evaluation of an educational session to support sparing opioid prescriptions to opioid naïve patients in a Canadian primary care setting.Family practice · 2022Article
- Trends in dispensing of individual prescription opioid formulations, Canada 2005-2020.Journal of pharmaceutical policy and practice · 2022Article
- Strategies aimed at preventing long-term opioid use in trauma and orthopaedic surgery: a scoping review.BMC musculoskeletal disorders · 2022Article
- Chronic Pain and Opioid Prescribing: Three Ways for Navigating Complexity at the Clinical‒Population Health Interface.American journal of public health · 2022Article
- Opioid use trends in Spain: the case of the island of La Gomera (2016-2019).Naunyn-Schmiedeberg's archives of pharmacology · 2022Article
- Changing patterns of opioid initiation for pain management in Ontario, Canada: A population-based cross-sectional study.PloS one · 2022Article
- The Opioid Awareness and Support Team: an innovative example of medical education and community partnership.Canadian medical education journal · 2021Article
- Patterns, trends and determinants of medical opioid utilization in Canada 2005-2020: characterizing an era of intensive rise and fall.Substance abuse treatment, prevention, and policy · 2021Article
- Correlations between Changes in Medical Opioid Dispensing and Contributions of Fentanyl to Opioid-Related Overdose Fatalities: Exploratory Analyses from Canada.International journal of environmental research and public health · 2021Article
- Food insecurity, chronic pain, and use of prescription opioids.SSM - population health · 2021Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Canada has been home to comparatively extreme developments in prescription opioid (PO) availability and related harms (e.g. morbidity, mortality) post-2000. Following persistent pan-Canadian increases in PO use, select control measures were implemented and PO dispensing levels-while only inconsistently by province-inverted, and began to plateau or decrease post-2012. We examined annual PO dispensing levels in Canada up until 2018, based on representative prescription sample data from community-based retail pharmacies. Annual prescription-based dispensing data were converted into defined daily doses/1000 population/day by province, and mainly categorized into 'weak' and 'strong' opioids. All provinces indicated decreasing trends in strong PO levels in most recent years, yet with inter-provincial differences of up to one magnitude in 2018; in about half the provinces, dispensing fell to below-2005 levels. British Columbia had the largest decline in strong PO dispensing from its peak rate (- 48.5%) in 2011. Weak opioid dispensing trends remained more inconsistent and bifurcated across Canada. The distinct effects of individual-including many provincially initiated and governed-PO control measures urgently need to be evaluated. In the meantime, recent reductions in general PO availability across Canada appear to have contributed to shortages in opioid supply for existent, sizable (including non-medical) user populations and may have contributed to recent marked increases in illicit opioid use and harms (including rising deaths).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.