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# Basic Painkillers Are Just As Effective as Opioids, Study Finds

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<!-- video src="https://cdn.jwplayer.com/manifests/vlPhWRGH.m3u8" -->
## Video: Donald Trump Declares Opioid Crisis a Public Health Emergency

[Watch (HLS stream): Donald Trump Declares Opioid Crisis a Public Health Emergency](https://cdn.jwplayer.com/manifests/vlPhWRGH.m3u8) (2:07)

![Donald Trump Declares Opioid Crisis a Public Health Emergency](https://cdn.jwplayer.com/v2/media/vlPhWRGH/poster.jpg?width=720)

_Published 2017-10-26. In an address at the White House, President Trump directed the Department of Health and Human Services to declare the national opioid crisis a public health emergency._


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Alice Park](https://time.com/author/alice-park/)


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=96&quality=75&auto=webp)

## Alice Park


Senior Correspondent

Nov 7, 2017 4:41 PM UTC

In an address at the White House, President Trump directed the Department of Health and Human Services to declare the national opioid crisis a public health emergency. 

![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Alice Park](https://time.com/author/alice-park/)


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=96&quality=75&auto=webp)

## Alice Park


Senior Correspondent

Nov 7, 2017 4:41 PM UTC

With the [opioid epidemic](http://time.com/4881191/mmost-people-who-misuse-opioids-dont-have-a-prescription/) only continuing to grow — more than 500,000 people have died from drug overdoses since 2000, many from opioid overdoses — doctors are struggling to find better [ways to manage pain](http://time.com/4936193/pain-relief-opioids/?iid=sr-link5). And now, a new study confirms what doctors and policymakers have been saying for some time: that opioids are overprescribed, and that for some types of pain, simple, non-opioid alternatives may work just as well.

“The results did surprise me,” says study author Dr. Andrew Chang, professor of emergency medicine at Albany Medical Center. “Most physicians reflexively give opioids to patients with fractures or broken bones. This study lends evidence that opioids aren’t always necessary even in the presence of fractures.”

In the new [paper published in _JAMA_](http://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2017.16190), scientists investigated whether alternative pain killers could be effective in treating pain in emergency departments. The group studied more than 400 people who came to two emergency rooms in the Bronx, New York, for arm or leg strains, sprains of fractures. They were randomly assigned to receive either non opioid pain killers — a combination of ibuprofen and acetaminophen (Tylenol) — or one of three variations of opioid-based pain killers. After two hours, the doctors asked the people to rate their pain on an 11-point scale and compared their responses.

**Read more:** [What Doctors Facing the Opioid Crisis Need Next](http://time.com/5006944/what-doctors-facing-the-opioid-crisis-need-next/)

Chang did not find much difference between the pain ratings among those who were given the non-opioid pain relievers and the opioid-based ones. That’s a revelation, especially given that studies have shown that even short term use of opioids can lead to long term addiction, and that nearly 19% of people leave emergency rooms with an opioid prescription.


Chang stresses that the study only looked at one type of pain — that caused by arm or leg injuries, but that it highlights possible ways that opioid prescriptions can be reduced.

The study only assessed people’s pain after two hours, but that’s when pain from sprains or fractures can be acute. Still, he plans to extend the study to see if people who leave the emergency department with non-opioid pain relievers continue to report similar pain relief compared to those who use opioids.

**Read more:** [The Story Behind the Viral Photo of an Opioid Overdose](http://time.com/4634809/photo-opioid-addiction/)

Chang says the results have already changed the way he prescribes painkillers. Now, when he sees people with bone fractures, he has a discussion with them about starting with non opioid options and then moving to opioids only if the pain is too severe and doesn’t respond to the other medications. “I also have a discussion with them about the risks of addiction because we know that a certain percentage of patients exposed to opioids are going to become addicted,” he says. “One way to help decrease the epidemic is to decrease the number of people exposed. And changing physician prescribing practices is also an important way to control the epidemic.”


## Transcript

Effective today, my administration, is officially declaring the opioid crisis a national public health emergency under federal law. And why I am directing all executive agencies to use every appropriate emergency authority to fight the opioid crisis. I learnt myself I had a brother Fred, great guy, best looking guy, best personality, much better than mine. [ LAUGH ] But he had a problem, he had a problem with alcohol, and he would tell me, don't drink. Don't drink. He was substantially older and I listened to him and I respect it, but he would constantly tell me, don't drink. He'd also add, don't smoke.

But he would say it over and over and over again. And to this day I've never had a drink. And I have no longing for it. I have no interest in it. To this day I've never had a cigarette. Don't worry those are only two of my good things. I don't want to tell you about the bad things. [ LAUGH ] There's plenty of bad things, too. But he really helped me, I had somebody that guided me. And he had a very, very, very tough life because of alcohol, believe me. Very very, tough tough life. He was a strong guy, but it was a tough, tough thing that he was going through, but I learned because of Fred, I learned And that's what I think is so important.

This was an idea that I had where if we can teach young people not to take drugs, just not to take them, when I see friends of mine that are having difficulty with not having that drink at dinner, where it's literally almost impossible for them to stop I say to myself, I can't even understand it. Why would that be difficult? But we understand why it is difficult. The fact is, if we can teach young people and people generally not to start, it's really, really easy not to take them. And I think that's going to end up being a most important thing.

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