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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.
Pain management only treat joint spine issues. Iif they can't inject they won't take a patient. PCP have treated chronic painful disease patient for over 300 years. My rare diseases qualify me for palative care yet i was forced stopped opioid pain therapy. Now home bound.
I’m so sorry u are suffering. It is horrible that our government in this day & age would allow doctors 2 abandon patients with chronic diseases. My heart breaks for you and countless others who are also suffering from unnecessary forced tapers. Please HELP US 
@Surgeon_General
Can you address the fact that bcbs is offering surgeons money to not prescribe pain meds post op for some surgeries
Yes, what about University of Michigan offering kickbacks to surgeons to keep their patients barely medicated? Sounds SLIMY.
I beg u PLEASE, STOP the DEA frm weaponizing these GL’s tying the hands of our DRS. I’ve same PM Dr 4 10yrs DEA pressure forced hm 2taper me. After a yr of bedridden contemplating suicide. I cried/begged hm. He ordered new MRI- took 1 look at it & put me bk! #UnecessarySuffering
Thts for new pts,not legacy. But as im cutoff,where do i fall in the category? My dr says he wont rx bcuz his boss scared of dea raid.where do i go,street corner?
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