You can add location information to your Tweets, such as your city or precise location, from the web and via third-party applications. You always have the option to delete your Tweet location history. Learn more
1/5: I usually wait to do a #SundaySpotlight, but on the heels of the #RxSummit2019 & given legitimate concerns of chronic pain patients, I felt this was article was just too important to delay sharing
No Shortcuts to Safer Opioid Prescribing | NEJMhttps://www.nejm.org/doi/full/10.1056/NEJMp1904190 …
2/5 The Guideline is intended for primary care clinicians treating chronic pain for those 18 and older. misapplication includes applying the Guideline to patients in active cancer treatment, experiencing acute sickle cell crises, or experiencing post-surgical pain.
3/5: The Guideline does not support abrupt tapering or sudden discontinuation of opioids. This can result in in severe opioid withdrawal symptoms including pain and psychological distress.
4/5: In addition, policies that mandate hard limits conflict with the Guideline’s emphasis on individualized assessment of benefits and risks considering the circumstances and unique needs of each patient.
5/5: The Guideline’s recommendation about dosage applies to use of opioids in the management of chronic pain, NOT to medication-assisted treatment for opioid use disorder. The Guideline recommends offering medication-assisted treatment for patients with opioid use disorder.
Please ensure @TheJusticeDept @DEAHQ @MedicareGov All state & Federal representatives & Medical boards are made aware of the @CDCgov Clarification of the Opoid Prescribing Guidelines.
Until Dr's no longer FEAR prescribing appropriately for each individual #CPP suffering cont
The harm already done to millions of chronic, cancer & surgical patients is continuing... Even veterinarians are afraid if the opioid hysteria! Instead of Twitter..please use proper forms of releasing official govt updates & clarifications to policies...please!!!!!
I cannot begin to tell you how much this matters. As a physician speaking up, my weeks are a continuous run of stories of death and disability like that of highly ill individuals forced to taper, often culminating in their death. This one is an examplehttps://twitter.com/tal7291/status/1100691822920126464?s=21 …
https://www.stripes.com/news/us/three-veterans-in-five-days-die-by-suicide-at-va-facilities-1.576761 … #RxSummit2019 veterans were taken off of pain meds in 2016 after CARA. These are the results. Just ask @RobertDRoseJr1. A disabled marine fighting 4 his rights to treatment 4 pain.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.
