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Here’s a full report from @NSCsafety that shows an even bigger effect.
They reviews multiple studies and found, “that an injection of 10 mg of morphine is roughly equivalent to an oral dose of OTC ibuprofen.”
https://www.nsc.org/Portals/0/Documents/RxDrugOverdoseDocuments/Evidence-Efficacy-Pain-Medications.pdf …
And there’s this- where they showed not even prescription strength but over the counter Tylenol plus ibuprofen was superior to opioids.pic.twitter.com/pykZ7gzl5l
@JoshBloomACSH @DanLairdMD @ChadDKollas @LeahHoustonMD @JeffreyFudin @Pharmaciststeve PLEASE read what our @Surgeon_General is tweeting today. As a former ICU RN I find these tweets reckless, they will be taken as fact, misapplied, used to stigmatize CPP’s more.
2) @Pharmaciststeve @JeffreyFudin could you two dissect the claims our @Surgeon_General made regarding 1000mg Tylenol equals 6mg morphine, 10mg of morphine is equal to an OTC ibuprofen. @JoshBloomACSH I know you’ve dissected the Tylenol plus Motrin one but if you could address it
I get really tired of posts like this that ignore cardiovascular and renal complications of NSAID use or interactions between NSAIDs and medications like ACEis and ARBs that a high percentage of patients with chronic pain are also taking.
I’m not an opiate advocate, but I practice in the real world where we don’t always have a ton of options. Sure, there are reasons to avoid opiates. Good ones, but can we please stop acting like giving everyone ibuprofen is an option?
Opiate medication round thousands of years, it's only THIS 21st Century generation that uses #pyscops on the public for greed.
LIE-A-NOL & Advil do not take away pain of plastic razor blades permanently in the groin. #herniamesh #pelvicmesh #implantfileshttps://www.acsh.org/news/2017/11/07/advil-works-well-opioids-acute-pain-not-so-fast-12089 …
Unreal that you are the Surgeon General. You should resign immediately. These tweets Re reckless and dangerous
Where’s the evidence? If they were treating very mild pain, for which opioids are not indicated, it’s possible but certainly not a fair or appropriate comparison. It would be like comparing IV gentamicin to a topical antibiotic for a scratch or splinter.
Where is this from? We need a reference
3) Tylenol and ibuprofen to a patient rather than bother 4.6 people to get oxycodone is disturbing to say the least! Why should it matter how many people are needed to get a patient relief?! The % of people that Tylenol + ibuprofen works on is small! Don't bother, pun intended!!
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