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1/? I’ve been getting questions/ concerns lately, including yesterday at @ClevelandClinic, about the @CDCgov pain guidelines, and unintended impact on patients they were never intended for. Providers and hospitals, PLEASE read this article!https://www.nejm.org/doi/full/10.1056/NEJMp1904190 …
2/? “Unfortunately, some policies and practices purportedly derived from the guideline have in fact been inconsistent with, and often go beyond, its recommendations.”
3/? A consensus panel highlighted these inconsistencies including inflexible application of recommended dosage/duration thresholds & policies encouraging hard limits & abrupt tapering of drug dosages, causing sudden opioid discontinuation or dismissal of patients from a practice.
3/? The panel also noted the potential for misapplication of the recommendations to populations outside the scope of the guideline, eg sickle cell crises, advanced cancer, & perioperative setting.
4/? Opioids are STILL being overprescribed and inappropriately prescribed to too many patients, and the @CDCgov guidelines are an important way to address this. BUT... we MUST NOT hurt some patients in the process by inappropriately applying the guidelines.
5/ Again, providers/ prescribers/ policy makers, PLEASE read the above article. We must 
inappropriate prescribing, but we CAN do this without hurting patients the guidelines were NEVER meant to apply to! 
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Truth ! I was put on anxiety Med 15 years ago. Because of the guidelines and the fact I’ve been on pain med for 4 yrs . I was made to get off the anxiety Med . I was safely on both for 4 yrs . My psychiatrist said if he thought it was dangerous he would of never put me on it.
I’ve been doing horrible since December when they stopped the anxiety Med but nothing my doctors can do
Was this a bad joke? Seriously
So why did it take 3 years for any government agency to speak up. Was the government in fact doing a nonconsensual large scale public study?
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