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What an inflammatory headline when you dig into the numbers. Resistance to change in an opioid prescription or request for a specific opioid are not misuse. #Opioids #ChronicPain #CancerPain #HPM
https://medpagetoday.com/painmanagement/opioids/90586?xid=nl_mpt_DHE_2021-01-08&eun=g1423829d0r&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%20Top%20Cat%20HeC%20%202021-01-08&utm_term=NL_Daily_DHE_dual-gmail-definition…
https://medpagetoday.com/painmanagement/opioids/90586?xid=nl_mpt_DHE_2021-01-08&eun=g1423829d0r&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%20Top%20Cat%20HeC%20%202021-01-08&utm_term=NL_Daily_DHE_dual-gmail-definition…
2/ Misuse gets broader every day.
Non-medical use:
resistance to change in an opioid prescription (7%) (sometimes considered listening to a patient about her or his experience);
Non-medical use:
resistance to change in an opioid prescription (7%) (sometimes considered listening to a patient about her or his experience);
3/request for a specific opioid (6%)" - (might be a well informed patient who has had experience with it before or bad experience with another)
4/ early refill request, in 29% - could be a sign of worsening disease, a patient needing to travel for work, lag time in pharmacy order OR IT MAY INDEED be a reason to talk to a patient - but misuse?
5/ Even the controversial - self escalation of dose - 15%, which could be a reason for concern, needs further definition. My p/m doctor encouraged me to balance - take less when needed and allowed for me to take more to knock out a significant flare up.
Sometimes I think we need to teach people how to talk to their doctors--i.e., don't offer any information like what has worked for you in the past, wait for them to ask (kind of like we lawyers teach experts how to talk to lawyers)...not a good sign in a helping profession.
