Dr. Srinivasa N. Raja

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  www.pslgroup.com/news/content.nsf/MedicalNews/852571020 - [Cached Version]
  Published on: 5/9/2008    Last Visited: 5/12/2008  

  In a plenary session address, Srinivasa Raja, MD, Professor of Anesthesiology, Johns Hopkins University Medical School, Baltimore, Maryland, urged clinicians and policy makers not to allow the small percentage of abused pain prescriptions to prevent legitimate pain patients from getting the care they need.
  
  "Physicians today face a dilemma in trying to balance the needs of their patients with demands from society for better control of opioid medications.We also are dealing with unfounded accusations in the media that increased prescribing of opioids for severe chronic pain is responsible in large part for reported upswings in the abuse of pain medications," said Dr. Raja.
  
  "We do need stronger evidence about which patients will benefit most from these medications to help make better prescribing decisions," he added."But for most chronic pain patients, drugs are not the sole solution.More and more studies are showing that multifaceted treatment involving physical and cognitive-behavioural therapies and appropriate interventional strategies lead to the most favourable outcomes."
  
  According to Dr. Raja, the problem of prescription drug abuse can best be attacked and hopefully solved through collaborations involving caregivers, regulatory and law enforcement agencies, and the pharmaceutical industry.
  
  "First, I believe physicians should be diligent is communicating with their patients about the benefits and risks of opioids and also screen them for drug-seeking behaviour and other warning signs of potential abuse," said Dr. Raja."Also, we must monitor patients carefully to determine when doses can be lowered over time as they improve their pain control and overall functioning."
  
  The message for law enforcement and federal and state regulatory agencies, first and foremost, is to strive for state-to-state consistency in regulating controlled substances and to crack down on illegal internet pharmacies and prescription thefts and forgeries.
  
  "Progress is being made as there is increased awareness of the source of prescription opioids being diverted into the illicit market," said Dr. Raja, "and states and municipalities are stepping up their teen drug awareness education programs."
  
  For pharmaceutical manufacturers, Dr. Raja said the key challenge is to match clinical needs for less addicting pain medication with drug development priorities."There are novel analgesic formulations in various stages of development that we hope can be prioritised and expedited for clinical use," he said.
  
  Dr. Raja noted that 50 years ago, a commentary published in the Journal of the American Medical Association recommended that opioids should be avoided in treating cancer pain because of possible addiction, and 20 years ago it was believed infants didn't feel pain and shouldn't receive anaesthesia.
  
  "We abandoned such faulty beliefs as scientific evidence proved otherwise," he said.

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  www.sentinelandenterprise.com/local/ci_9309911 - [Cached Version]
  Published on: 5/19/2008    Last Visited: 5/20/2008  

  Srinivasa Raja, professor of anesthesiology at Johns Hopkins University Medical School, acknowledged that doctors need to make better decisions about prescriptions and be more alert to drug-seeking behavior but added that they must feel free to strike a middle ground between protecting society from drug abuse and protecting their patients' right to privacy and to treatment.

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  swhr.convio.net/site/News2?page=NewsArticle&id=5781&pri - [Cached Version]
  Published on: 5/18/2006    Last Visited: 8/1/2007  

  "Epidemiological studies, and a recent web-based survey that we conducted, indicate that CRPS is more common in women than men," said Srinivasa Raja, M.D., director of the pain medicine division and director of pain research at Johns Hopkins University in Baltimore, Md. "The reason for this gender difference in the prevalence of CRPS is not clear.
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  Echoing Zuckerman's sentiments, Raja said "optimal treatment of this condition often requires a multi-disciplinary approach that includes physical therapy, diagnostic and or therapeutic nerve blocks and psychological consultations."
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  "In recent years, spinal cord stimulation has shown promise as a treatment modality for cases that have not been treated successfully with conservative measures," Raja said.

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  www.neuropathicpain.org/programs.cfm - [Cached Version]
  Published on: 3/27/2008    Last Visited: 8/30/2008  

  , Srinivasa N. Raja, MD (Johns Hopkins University)
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  Moderator: Srinivasa N. Raja, MD (Johns Hopkins University)
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  , Srinivasa N. Raja, MD (Johns Hopkins University)

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  www.fmaware.org/site/News2?JServSessionIdr011=j7ug2mtaq - [Cached Version]
  Published on: 6/21/2007    Last Visited: 8/8/2008  

  Srinivasa N. Raja, MD, Director of Pain Research at Johns Hopkins University has created a PowerPoint® presentation On Diagnosis and Treatment Options of RSD/CRPS.

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  www.hopkinsmedicine.org/anesthesiology/Team/faculty.cfm - [Cached Version]
  Published on: 6/30/2008    Last Visited: 6/30/2008  

  Srinivasa RajaProfessor sraja@jhmi.edu

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  www.baltimoremagazine.net/default.asp?t=1&m=1&c=30&s=27 - [Cached Version]
  Published on: 11/6/2007    Last Visited: 11/6/2007  

  Srinivasa RajaJohns Hopkins Hospital

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  chronicfatigue.about.com/b/ - [Cached Version]
  Last Visited: 6/7/2008  

  The man we have to thank for this information is Srinivasa Raja, MD, who's a professor of anesthesiology at Johns Hopkins.He's calling on the healthcare community, law enforcement and the pharmaceutical industry to ensure that those of us who need these drugs will still be able to get them, saying that the benefit usually far exceeds the risk of dependency.
  
  Thank you, Dr. Raja.I hope a lot of people hear your message.
  
  Suggested Reading
  
  Read more from Dr. Raja's report (you might want to print this out for your doctor!)

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  www.druglib.com/trial/90/NCT00004390.html - [Cached Version]
  Published on: 6/23/2005    Last Visited: 12/10/2008  

  Srinivasa N. Raja, Study Chair, Affiliation: Johns Hopkins University

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  www.painfoundation.org/eNews2003/0203/newsbriefs.htm - [Cached Version]
  Published on: 11/22/2002    Last Visited: 3/14/2007  

  According to Dr. Srinivasa Raja, professor of anesthesiology in the division of pain medicine at Johns Hopkins University, it is important to restore function and mobility to affected limbs, because limbs become useless without movement.

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