Benzodiazepine Use Among Low Back Pain Patients Concurrently Prescribed Opioids in the Military Health System
59th Medical Wing San Antonio United States
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Pain is a common complaint among returning deployed service members, with 25 reporting at least one pain-related injury during Basic Combat Training. Opioids are commonly prescribed to patients with low back pain LBP in the military health system. Concurrently prescribed opioids and benzodiazepines benzos pose safety risks for patients, including over-sedation and overdose. Despite abuse liability and long-term safety concerns of opioids for chronic pain, there are high rates 18-38 of concurrent opioid and benzo prescribing. These high-risk prescribing patterns have contributed to the fatal opioid overdose epidemic. There is scant evidence regarding opioid and benzos prescribing practices among Active Duty Service MemberADSM with LBP. It is important to understand factors associated with benzos use in this population to identify those most vulnerable to safety issues. Objective To investigate factors associated with benzos concurrently prescribed with opioids among ADSM with LBP, who started their first opioid episode in 2012 or 2013.
- Anatomy and Physiology
- Medicine and Medical Research