Discover and read the best of Twitter Threads about #opioid

Most recents (24)

In hoog opgeleide blanke (en bruine😉)kringen is het een ‘opinion chic’ om vóór legalisering van drugs te zijn. Een elitaire opvatting die van weinig empathie getuigt.

nrc.nl/nieuws/2020/02…
Big Oil & Their Bankers In The Persian Gulf
Four Horsemen, Eight Families & Their Global Intelligence, Narcotics & Terror Network
🤓 video
thirdworldtraveler.com/New_World_Orde…
Lockerbie links to Franklin, #Dutroux, #Mossad, McKee
A Pan Am investigation believed that the #lockerbie bomb was targeted to kill a small band of US Defence Intelligence Agency operatives who had uncovered a #drugsring run by a #CIA unit in Lebanon.
aangirfan.blogspot.com/2009/08/locker…
Read 21 tweets
Excited to share study ⁦@LarochelleMarc⁩ ⁦@darshaksanghavi⁩, others & I did comparing effectiveness of different #opioid use disorder treatments. Bottom line- only methadone or buprenoprhine associated w/ reduced #overdose at 3 and 12 months jamanetwork.com/journals/jaman…
We looked at claims data for nearly 41,000 individuals w/ OUD and compared outpatient counseling, IOP, detox/residential, naltrexone, or methadone/buprenorphine to no treatment on outcomes of overdose or opioid-related ED or hospitalization at 3 months.
1st takeaway: despite evidence supporting MOUD w/ opioid agonist therapy, in this insured population only 12.5% of cohort received methadone/buprenorphine and average treatment duration was shorter than would be recommended at ~150 days.
Read 9 tweets
Methadone—a key medication for treating #opioid use disorder—is one of the most heavily regulated drugs in the U.S. But there are several actions policymakers can take to increase access for people who need it. (1/5)
First: Issue new federal regulations regarding mobile methadone vans, which can deliver medication in different settings, such as jails and rural areas. (2/5)
Second: Make state regulatory changes to allow medication units—also known as dosing sites, which are affiliated with opioid treatment programs (OTPs)—to make treatment available in underserved areas. (3/5)
Read 5 tweets
THREAD 🌱

Cannabis is regulated (in part) for the sake of public health.

While it’s true that certain practices pose a threat to consumer safety, the ongoing criminalization of non-violent behaviour is concerning. IMHO it’s a waste of resources amid the deadly #OpioidCrisis.
“Illicit” cannabis = *same plant* as legal cannabis. The distinction is that it’s sold, produced, or distributed without legal authorization.

The Cannabis Act (+ related rules) establishes a framework that excludes some legacy market participants who self-regulated for years.
Legalization was supposed to “reduce the burden on the criminal justice system in relation to cannabis.”

Ironically, the federal government allocated hundreds of millions $$$ to train and equip police to investigate and prosecute cannabis crimes.

google.ca/amp/s/www.vice… @VICE
Read 10 tweets
1. The @CDCgov has just released a report showing that life expectancy rose in 2018, for the first time since 2014, inching up to 78.7 years. This followed three straight years of decline marking the tail-end of @BarackObama's presidency. cdc.gov/nchs/data/data…
2.The 3 leading causes of death, heart disease, cancer & 'unintentional injuries' all showed decreases, although the latter, which includes drug overdoses, showed the most proportional decrease. This was the first decline in 20 years of drug-related deaths healio.com/primary-care/a…
3. In fact drug overdoses had increased from 17,400 in 2000 to an astonishing 70,200 by 2017, disproportionately affecting poor communities as well as Americans living in rural areas. 47,600 were from #opioids & 78% of these, classified as White kff.org/other/state-in…
Read 14 tweets
The MEDICAL use of #fentanyl is different from the #Illegal use of #Chinese or #Mexican fentanyl, 4 grains of which the size of salt are deadly. Often found in HEROIN, illegal fentanyl is so deadly police officers are now required to wear gloves at traffic stops when drugs
2/ or white powder is found in the vehicle. Even INHALING near fentanyl can be deadly. Conflating the ethical medical use of fentanyl & the #Illegal use of heroin cut with fentanyl is deceptive. 96% of ALL #opioid overdoses are from heroin. That leaves 4% due to Rx, many of which
3/ are VALID uses for chronic pain which are not alleviated by other treatments. Encouraging #cannibis grown today to treat pain is a disaster in the making. The THC levels are 3x what it was in the 60’s. Colorado ER physicians are so well versed in the uniquely cannibis-
Read 7 tweets
“The jail is the largest mental health institution in any community,” Sheriff Daron Hall said.

The #OpioidCrisis has thrust the most pressing issue facing jails around the country to the forefront: #MentalIllness. (Thread👇) theepochtimes.com/ohio-jail-to-t…
On any given day, there are about 750,000 people in jails across America.

Drug addiction and mental health-related issues are often coexisting and it’s difficult to parse out which is driving which.
Hall said the deinstitutionalization of #MentalHealth hospitals that started in the 1960s hasn’t worked and instead has sparked today’s problem.

“The reality is we didn’t really deinstitutionalize it, we just re-institutionalized it into jails and prisons,” he said.
Read 18 tweets
#sackler #opioid #crisis
The Sackler Family 🕎🇮🇱 – A Secretive Billion Dollar #opioidcrisis Empire
With over 200,000 deaths caused by Opioids, are they in jail yet?
Nope, they sluiced their profits to taxhavens.
Lawyer = Rudy Guiliani. Great guy our Rudy!

Who are the Sacklers, the family at the center of the opioid crisis?
Jewish family, founder of Purdue Pharma and famous for philanthropy, has become notorious for causing mass-scale drug addiction. Will institutions reject their donations?

timesofisrael.com/who-are-the-sa…
Did Rudy Giuliani Help Purdue Continue Selling OxyContin?😨
No Purdue executives were jailed in connection with the criminal charge.
Rudy is Trumps lawyer 😉
#LockHimUp
👇👇😈
thefix.com/did-rudy-giuli…
Read 6 tweets
It's still **CODE RED** for Americans' health care. Pres. Trump's zeal to strip critical protections from millions of Americans through the courts--WITH ABSOLUTELY NO BACKUP PLAN IN PLACE--is among his most harmful, reckless, and shameful policy priorities.
The #ACA is the law of the land and it needs to stay that way. The fight must go on. This Republican lawsuit, fully supported by the Trump Adm., also imperils all those who depend on Medicaid expansion for #opioid treatment.
More than 135 million Americans with #PreExistingConditions remain at risk of losing vital protections, and millions could be uninsured. Hardworking Americans’ premiums and prescription drug prices could rise even higher than they are now. We must not go backward.
Read 3 tweets
1/Infants affected by the #OpioidCrisis are commonly used as a justification to sue #opioid manufacturers & distributors. Will settlement funds be used for their unique needs?

We (@BradleyDStein @coreysdavis) address today in @JAMAPediatrics
jamanetwork.com/journals/jamap…
2/Here's an example of how lawsuits are framed tnbabydoe.com/index.php/abou…

Dramatic stories, strong language, intended to evoke emotion.
3/But when it comes to addressing the needs of women & infants affected by the #opioid crisis with settlement $ what is our track record? ... it's not good. See this article from @washingtonpost a few months ago washingtonpost.com/graphics/2019/…
Read 5 tweets
This opinion article by Douglas Makinnon is both troubling and groundbreaking. First, no one should ever condone #fatshaming - as it has been proven to be detrimental to individual struggles with #obesity and does not lead to resolution. 1/
The publication of this opinion, which “calls out” the #US government for a “waste of energy” during an #obesity crisis - #obesityepidemic is one of the few times a political publication has addressed the lack of action on resolution of this chronic diesease. @ObesityAction 2/
Despite the accusations in the article that #Physcians are NOT addressing the issue, there is a strong effort from #baraitric #surgeons and #medical #baritricians as well as advocates #RD #nurses @ObesityAction @obsmchat @ObesitySociety @OMAsocial among scores of others 3/
Read 8 tweets
.@AndrewYang's #opioid policy is completely divorced from fact. It would do nothing to reduce ODs, which are driven by illegal drugs, & would exacerbate harm to #pain patients already slammed by unnecessary disability & rising rates of #suicide.
For a #math guy, @AndrewYang has failed to plot reductions in #opioid scripts & rising rates of OD. If he had, he would've found that reducing scripts has done nothing to slow ODs which are driven by illegal drugs.
#AndrewYang's #opioid policy would have "a modest effect, at best, on the number of #opioid overdose deaths in the near future," according to complex mathematical modeling. Yang's campaign is centered on his claim that he'd base policies on statistical evidence.
Read 10 tweets
.@nytimes Ginia Bellafante wrote an essay to say she didn't need post-surgery #opioids, so she didn't take them. That's not news. #Pain patients are being forced off effective, FDA-approved meds, causing #suicide & unnecessary #disability, & OD rates still climb. That's the news.
CDC, FDA, HHS say no one should be forced off #opioids, yet rising # of doctors have practice-wide bans & @nytimes has 1st pg piece by someone who wasn't affected in the LEAST by any of this? People are DYING from untreated #pain & ODs because restricting Rx meds helps no one.
.@nytimes: Bellafante had a CHOICE. She didn't need #opioids, so she didn't take them. I know people who are DEAD & DISABLED because their doctors dumped them off meds they were taking safely for years on the grounds that the same med might harm someone else. That's unacceptable.
Read 8 tweets
Purdue Pharma returns to the news. If you are not aware, they developed the opioid pain killer Oxycontin & through various misdeeds made it extremely popular. Fueling the #opioidepidemic
Now we get a look at how they used the media to protect themselves from criminal charges...
For a background on some of the crimes they used to get rich selling dangerous opioids, you can see this thread.
threadreaderapp.com/thread/1166843…
The Sackler family that runs Purdue Pharma was busted for tax evasion when HSBC was forced to flip on them by DOJ...
The family donated heavily to Democrats while the company donated to the Republican half of the Swamp.

Read 31 tweets
🚨 This thread provides info about the largest #opioid indictment & settlement in U.S. history whereby Indivior was charged w/ marketing #fraud of #Suboxone. The docs are lengthy but essential reading for all #CPP who have & are being tapered or terminated from their #RxOpioid.
The following is the DOJ announcement of the indictment in April 2019 and had Indivior been found guilty they would have been required to pay $3 BILLION in fines, fees, etc.

justice.gov/opa/pr/indivio…
In July 2019 a settlement agreement of $1.4 BILLION was reached that allowed the parent company of Indivior... manufacturer of #Suboxone (an #RxOpioid used to treat #Addiction and #ChronicPain) to resolve its potential #criminal & #civil liabilities.

justice.gov/opa/pr/justice…
Read 7 tweets
#WAACP today and tomorrow and time for another string of #clinicalpearls! 1/
@WashACP @WashACP @HollonMD
First up: The Microbiome. The microbiome is all viruses, fungi, bacteria, and their products. No two microbiomes are the same. And for every 1 gene of ours, there are 250 bacteria genes. 2/
Dysbiosis is a maladaptive change in our microbiome. Even a few days of constant pressure (like poor sleep and diet) can change the microbiome. 3/
Read 60 tweets
1/ #Cannsolve summit with Dr. Ian Mitchell, talking on “a tale of two drugs” aka #THC & #gabapentin
2/ #Gabapentin was made by Park Davis who also made #ketamine and #cocaine
3/ #NIDA only studies drug abuse. In the US #cannabis must come from NIDA. Therefore, we can see challenges in researching the #benefits of #cannabis in US
Read 11 tweets
#Analysis: #NASDAQ: #ENDP

Thread 👇👇👇
Case #2. Analysis #Endo International PLC (ENDP)

This company has had a very good 15 years but the last 4 years have proved miserable for buyers. The charts say it all - in 2019 we've seen all new time lows and the future does not look bright. ENDP shares the same fate as ...
... other #opioid companies. I personally wouldn't touch this stock unless it broke the upside substantially. Healthcare stocks have been performing badly for most of 2019 - there are much more attractive stocks in other sectors. ...
Read 13 tweets
My name is Dawn Anderson, & today I should be celebrating my 54th brithday.

I was a grandmother, mother, aunt, & dear friend.

I was also a #ChronicPain patient.

I used #opioid medication to maintain a decent #QualityOfLife.

I was forcibly tapered from my pain meds in 2016.
I found other patients who were suffering because of the #WarOnDrugs, & I cried out for help.

I shared my story with journalists.

I wrote my PCP a letter.

I attended a #DPPRally with my daughter @AmandaLatronica. I'm so proud of her. She's a #warrior!

painnewsnetwork.org/stories/2019/3…
In March 2019, my kidneys failed me, & I ended up at the hospital.

I was strapped to a hospital bed & injected with thorazine because I was confused.

The pain was horrific & STILL-no one listened. #PainStigma

I decided to let go on March 11, 2019.

I refused dialysis, & died.
Read 6 tweets
Tomm we start a journey at @ZuckerSoM w/ 3rd yr #MedicalStudents to enhance #Awareness #Education #Skills #Comfort #Hope re: #OpioidCrisis

13.5 hours - "#OpioidEpidemic" themed week (3rd iteration)

Follow/RT as Students, Colleagues, & I tweet - #OURcrisis

#MEDeD #RecoveryMonth
1️⃣0️⃣0️⃣ MS3 #Students

6️⃣0️⃣ Faculty/Facilitators

3️⃣0️⃣ Clinical/Non-Clinical Depts

#OURcrisis @ZuckerSoM

@GIMaPreceptor @DrYili @MartinsWelchMD @JoeCMD @medicmin911 @ektrenchard @ethanfried @ginofarina @LindaWDeMasi @AFornari1 @joemd @DrAhuja @santhoshpaulus6 @TomMcGinn4
#Strategic Full Circle
1. from Health System (need)
2. to School of #Medicine (access)
3. to Health System (access/mission)

Our #OpioidEpidemic themed week is part of a 30+hour 4-yr longitudinal 'Addressing #SubstanceUse' curriculum
#OURcrisis #MEDeD
🔗: sgim.org/File%20Library…
Read 28 tweets
Hi, I’ll be live-tweeting today’s Chicago Board of Health public meeting. #ChiDocumenters
@ChiDocumenters #publichealth #chicagopublichealth
@CHIdocumenters Dr. Arwady reviews high-level updates from the dept, including an anti-#syphillis campaign, a research study on Chicago maternal mortality (#maternitymatters) that will be released soon, and a new program that will provide assistance to #newmom s at 3 Chicago hospitals.
Dr. Arwady shares info about the new training video aimed at Chicago employees who work with youth, centers a #traumainformed approach to working with them.
Read 57 tweets
Sharing again because there's a huge population I ignored in writing this: Pharmacists. A recent interaction left me in tears- not for the reason you'd think- when yet another pharmacist refused to fill pain meds. We both yelled but it ended with a hug. 1/
chicagotribune.com/columns/ct-liv…
I was out of state when my Rx was due. the VERY pharmacist I quote in my column who invoked her right not to fill for me was working while I visited family in GA. She again told me no, again came with attitude. Knowing I would have to book a last-minute flight home and miss my 2/
twins' b-day party, I confronted her. I said look, I know nothing is changing today and you're not filling this. But this is out of control. I go between these two states often, I work as a reporter in Chicago, I actually just wrote a column about this. And 300 people wrote me 3/
Read 25 tweets
@NitaGhei @DanLairdMD 1/Just to be super clear: there is a strong relationship between prescribed #opioid dose & risk of overdose : the magnitude of that association & degree to which it is causal is not entirely clear. But I agree we should avoid escalating doses unless back is against a wall
@NitaGhei @DanLairdMD 2/However, if a person is stable at a given dose, even if we now say “gosh, wish it were not that high” there is no trial evidence that a reduction dose does improve safety. It is plausible (I offer the idea to my patients!) but no trial evidence .. & there is something key here:
@NitaGhei @DanLairdMD 3/The best advocates for taper are the ones who show great skill and sensitivity and patience in how they carry it out. Including a willingness to stop or reverse the taper (as Canadian Guideline supports) based on how patient does
Read 9 tweets
Colorado AG @pweiser about to give an update on the #opioid lawsuit the state filed against #PurduePharma. Here is a look at opioid deaths in CO since 2000 — up 5x in 20 years
As of June, nearly every state in the US had filed a suit against Purdue Phrama, the pharmaceutical company giant and maker of OxyContin cnbc.com/amp/2019/06/04…
The state argues that Purdue and its owners, the Sackler family, downplayed risks of the drug, while heavily marketing its benefits to doctors
Read 7 tweets

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