The #Oregon #Opioid #Taper guidelines, as it stands now in final draft, state NOT to reverse a taper. Why? Do they instruct this explicitly? This should be at the discretion of the provider and based on the individual patient. Otherwise, that could imply agenda.
Not to mention the aftermath of possible hardship and care post taper. Not only for future and present provider(s) but judgement & care of complex patient conditions. These are people not things. Set in stone statements do not belong here.
If these are supposedly guidelines, a black and white rule does not belong. Such as “do not reverse taper”. What patient who wants to try a taper will want to do that? Not to mention providers hand are tied once taper begins.
If patients are supported and want to initiate a taper, they need to trust providers ability to act in the best interest of patient. If provider is instructed by taper guidelines NOT to reverse ever, that is setting stage for many to not try or “buy in”. Is that worth it? No
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