,
5 tweets,
5 min read
Read on Twitter
1/With 3% of overdose deaths (9 of 269) in Jefferson Cty, Alabama due to prescription opioids, there is a limit to how many lives are going to be saved by extending the 7 year decline in Rx, as underscored in a new study by @LarochelleMarc jamanetwork.com/journals/jaman… 
2/the new @JAMANetworkOpen paper properly asssumed a reduction in nonmedical use of Rx #opioids since that reduction is already happening. The first problem is that other factors such as what opioids people start with & lethality of the illicit market dominate death rates
3/we have found the “limits of prescription control” - my article with @AJ_Gordon in @AddictionJrnl is free online here onlinelibrary.wiley.com/doi/full/10.11… opioid Rx now 19% down from 2006. Time to embrace a better approach to addiction care and Rx risk mitigation.
4/It is not just that our Rx control regime has fallen short in saving lives, it has entailed tacit acceptance of neglect and harm to Americans who do receive opioids: now reported & condemned by many: @AmerMedicalAssn @hrw @FoxNews hrw.org/news/2018/12/1…
5/I am happy to have coauthored a brand new consensus article on challenges in the implementation of the 2016 @CDCgov Guideline on Prescribing #opioids, including many who are not always seen as being on the same “side”. academic.oup.com/painmedicine/a…
