Here's another good reason to avoid initiating opioids in seniors: jamanetwork.com/journals/jamai…

While the #Purdue bankruptcy settlement is under review by the #SupremeCourt , there are other cases involving the company that have resolved. Our new collection, the NY v. Purdue Litigation Documents, is one of them. Check out the docs here: industrydocuments.ucsf.edu/opioids/collec…

Just a superb video from NEJM on treatment of opioid use disorder. Lifesaving information appropriate for a general audience. Everyone should watch this. nejm.org/doi/full/10.10…

New #opioiddocuments research guide reveals the ways #Insys used specialty pharmacies for Rxs of #Subsys , incl providing direct shipment 2 bypass a highly regulated distribution system that includes monitoring to ensure compliance with federal laws.
#OIDA
industrydocuments.ucsf.edu/wp-content/upl…

euronews.com/next/2024/01/0…
This also illustrates just how out of touch the U.S. media is when the current issue of Time Magazine lists the no. 1 'best' company for future 'leaders' as the NYC-based consulting firm, McKinsey & Co. These so-called 'consultants' of McKinsey, who knew…

Hope to see many friends there! #ALIS2024

💊 The OPAL Trial: Opioids for Acute Low Back Pain and Neck Pain
Published in The Lancet

Despite the risks, opioids are regularly prescribed for lower back and neck pain. Moreover, evidence supporting its effectiveness is limited and inconclusive.

Are opioids necessary? This…

Janssen’s contributions to various advocacy organizations are documented in this exhibit found in the Oklahoma #Opioid Litigation Documents. See the rest of the document here: industrydocuments.ucsf.edu/opioids/docs/#…

medpagetoday.com/psychiatry/opi…
This was a wake-up call about their patients' fatal opioid overdoses from LA County medical examiners to opioid prescribers. Providing 'guidance' on pain management from medical examiners is a separate issue in itself, but also helped reduce opioid…

uclahealth.org/news/about-22-…
The failure to adequately educate young people about the dangers of taking non-prescribed pills (extending from OxyContin starting over 25 years ago to counterfeit pills laced with fentanyl at present) has resulted in this rising unacceptable death rate.…

Do you struggle with pain? Are you a doctor who treats patients with pain? Please attend and participate in my interview with Dr. David Juurlink on “What Doctors and Patients Get Wrong about Pain Management.” There will be an opportunity to ask questions.
twitter.com/i/spaces/1OyKA…

I see the National Director of the U.S. Pain Foundation has joined the rally.

I'll just leave the U.S. Senate's Homeland Security & Govt. Affairs Committee — Dems report here:

hsgac.senate.gov/wp-content/upl…

I think Brandeis University should be proud to have on faculty someone like Andrew Kolodny, a person who for more than a decade has 'fought the good fight' despite unrelenting personal attacks.

Andrew, thank you. And please keep it up.

/ end

The story is paywalled but here are some snippets.

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Because of his advocacy, Andrew has been in the crosshairs of the “Pain Lobby” for a long time.

Here's a story on that from 2018 by Wendy Glauser newscientist.com/article/mg2373…

/7

'Trapped on opioids? Really?'

Yes, really. We have to stop creating legions of people who are just a few missed doses away from the misery of opioid withdrawal.

Consider Travis Rieder's experience tapering after just two months of opioids.

washingtonpost.com/national/healt…

/6

Now this won't magically 'solve the opioid crisis.' People already addicted need different interventions.

The goal of stewardship is to harm fewer people with the drugs.

- putting fewer excess tablets into circulation
- leaving fewer chronic pain patients trapped on opioids

/5

That means prescribing them more cautiously, including ...

- not using them first line
- not giving 30 tablets when 12 will do
- avoiding “dose creep” whenever possible
- starting them much less often for chronic pain

In other words, opioid stewardship.

/4

Andrew played a key role in promoting this difficult but much-needed change.

In 2010, he founded PROP (@SupportPROP) — Physicians for Responsible Opioid Prescribing.

What PROP would like is for opioids to be prescribed in line with the evidence.

supportprop.org

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The protesters are angry because over the last decade, doctors have curtailed opioid prescribing significantly.

We aren’t doling them out like candy as we did 10 or 15 years ago.

(And believe me, that is a good thing.)

/2