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2/7 With as many as 10 percent of patients still using opioids a year after surgery, chronic opioid use has become one of the most common and serious long-term risks of undergoing an operation. @ASALifeline @AmerMedicalAssn @AmCollSurgeons
3/7 By early 2000s clinical teaching suggested the risks of addiction or misuse from opioids had been overblown. The best case for enthusiastic use of opioids was often surgery. Clinicians were eager to take away the “organic” pain they had just created in the operating room.
4/7 It would be one thing if such patients fared well, and if the scientific evidence supported such use. But in fact, there is scant evidence for the safety or effectiveness of opioid use for chronic post-operative pain.
5/7 This reservoir of opioids creates challenges, including difficulties around safe storage, disposal and potential diversion to family and friends. Note-> To locate a drug take back site near you, go to https://takebackday.dea.gov/#collection-locator …
6/7 The good news is that reducing surgical opioid use need not compromise patients’ quality of care. Patients and surgeons have many tools to choose from, and the time for such discussions is before an operation.
7/7 A comprehensive response to the opioid epidemic must consider all of the settings in which these drugs are overused. For many patients, the most important setting is after (or before) they have an operation.
80% of opioid addicts never got a prescription for opioids. Therefore prescribing has little to do with addiction. Drug safety is important to prevent unauthorized access to pain meds. You need to focus on fentanyl and heroin BTW.
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