**Thread**

There has been a disturbing trend of some healthcare providers discussing how racial disparities and socioeconomic disparities have been a protective role for African Americans in order to prevent them from getting opioid therapy and getting “addicted” below documents
some of this.. Thanks @life_is_art___ for sharing this video below. This is a video by Dr. Tauben from the University of Washington School of medicine giving a lecture in 2018 regarding the opioid epidemic.. Quote listed below:
Quote:

“Like all things socioeconomic disparities abound which is good for people of color because their less likely to be exposed to opioids because we dont prescribe them opioids because we dont trust them based on the color of their skin
So thats why white americans are much more likely to be sucked up into opioid epidemic than people of color. Not the right way to be able to accomplish that but it changes our views of how health care is being delivered”
Dr. Andrew Kolodny has also stated something similar as well as seen below..
heller.brandeis.edu/news/items/rel…
This is very disturbing, and to evoke the idea that racism is a protective factor in protecting blacks from addiction by physicians not prescribing it to them is a horrible take.. @shoshiaronowitz and colleagues wrote a great piece discussing this

inquirer.com/health/expert-…
Why are we allowing these so called “experts” dictate the narrative surrounding the opioid crisis.. everyday we are seeing the effects of under treatment of pain in minority communities and how racism has affected that.. #TwitteRx #treatpain

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More from @GhanaboyPharmd

23 May
Interesting article from pharmacy times.. Once again i think it greatly misses the mark.. Their answer to slowing the opioid crisis is to reduce opioid prescribing in the hospital.. Once again this obsession with focusing on Rx opioids is misguided

pharmacytimes.com/view/slowing-t…
For almost the past 10 years this crisis has been dominated by illicit fentanyl, and polysubstance abuse.. Stimulants are also on the rise, and some experts are saying we could see a 4th wave involving stimulants.. This crisis is being dominated by an adulterated supply
The way to solve this is to have safe consumption sites, drug testing strips, expanding MAT, etc.. If we know what drugs are causing overdose deaths we can understand how to solve this problem.. Truth is rx opioid deaths alone have been decreasing for some time now as well as
Read 4 tweets
28 Mar
Kolodny frequently states that just because Rx opioids have declined around the same time as increases in overdose deaths climbed up doesn’t mean A caused B.. It’s ironic in his lecture below he states that around the same time opioid sales went up as well as opioid death and
addiction and one caused the other. These all happened around the same time but does that mean one caused the other? Correlation doesn’t equate to causation right? it’s interesting he says that regarding decrease in Rx opioids and increase in ODs, but doesn’t apply the same logic
in his lecture above.. Why is that? It’s because his worldview is so focused on Rx opioids being the cause of everything in this crisis that he doesn’t stay consistent in his reasoning.

#TwitteRx
Read 4 tweets
25 Mar
Looks like more people are asking all the right questions..
👀 👀
Read 4 tweets
24 Mar
Another crazy aspect of kolodny lecture with @Pharmed_Out yesterday was when he stated in the beginning of his lecture that one of the wrong ways to frame the opioid crisis is to focus mainly on overdose deaths and the drugs involved. As a pharmacist who works in the hospital I
Cringed so hard at that statement.. When a patient comes in the ER with an OD situation its kind of important to know what drug is involved so we can give proper treatment (opioids, beta blockers, Tylenol etc).. Also its very important to know what drugs are involved because
Its important to understand what source, and the nature of the overdose.. Is it from an illicit or an Rx source? Also how many drugs were involved.. A person may have uses an Rx but also combined many other illicit drugs that ultimately caused the death.. Also
Read 5 tweets
12 Mar
***Thread***

I don’t know how folks continue to take her seriously but George Floyd DID NOT die from a drug overdose.. The autopsy said he had 11ng/ml in his system based on the postmortem reports.. First of all you can’t properly determine antemortem drug concentrations
based solely on postmortem drug concentrations.. It is highly variable and many factors need to be understood as shown below.. Utilizing the postmortem data alone to characterize Floyd as a drug addict does not correlate. Image
So let’s discuss the level of fentanyl he had in his system which was 11ng/ml. Is this a fatal level? As was mentioned above to base this postmortem level as if this accurately describes his antemortem level is not correct. As I mentioned the postmortem data is highly variable
Read 11 tweets
1 Mar
***Thread***

Are medications like oxycodone and hydrocodone essentially heroin pills??

Kolodny recently did a townhall discussion last year on the opioid crisis and COVID... and he made some interesting assertions regarding the semi synthetic medications like oxycodone
He stated when you make molecules like oxycodone, hydrocodone you’re essentially making drugs that cross the BBB easier and are more lipophilic. He continued in the video clip above and stated that they are like heroin in creating a rewarding effect due to it crossing the BBB
His assertion that semi synthetic pain medications such as hydrocodone, and oxycodone are essentially “heroin pills” I think is somewhat hyperbolic and I will try to explain why below...

Molecules like heroin, hydromorphone, oxycodone, etc even though they are made to target
Read 10 tweets

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