This DEA case against a pharmacist lists three “red flags” that are laughable. Ready #TwitteRx? Let’s go!!
1. As Bev notes - DEA claims pharmacist should have seen a patient’s naloxone Rx as a red flag. Naloxone is the standard of care for most patients who receive and use opioids. In many, many states, it is now mandated to be co-prescribed with opioids.
2. DEA complaint identifies use of “immediate release opioids” as a red flag. Sure. Ok. They’re also explicitly preferred in the only part of the abominable 2016 CDC Opioid Guidelines that reference dosage formulations. Weird!
3. DEA: patients receiving the same dose and same # of medications monthly as a red flag. 🤦‍♀️ Actually, stabilization of therapy for patients is probably a good thing? IDK. Maybe my Lexapro should be varying wildly month to month to demonstrate that a pro is actively managing it.
It is LUDICROUS that we allow this level of interference in healthcare from people who are. not. clinicians. Honestly, no wonder every pharmacist in America gets nervous about filling scripts for my patients. #burnitalldown

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Jessica Johnson PharmD

Jessica Johnson PharmD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @Jessnimm

Mar 23
I work in KY as an SUD provider. Generally I have very few issues with Kratom - anecdotally for a few of my patients, it seemed to generate tolerance really quickly, so it got very expensive very fast, but I haven’t seen data to support. 1/5
The bigger issue some of my patients have had is that they don’t always know that they’re using it - it has a bunch of different names and is even in some workout supplements, etc. I’ve had a couple of people referred to me for naltrexone “allergies” when they 2/5
Tried oral or IM naltrexone for alcohol use. Turns out it was actually precipitated opioid withdrawal, which was a really crummy way for them to learn what’s in their supplements. :/ 3/5
Read 5 tweets
Mar 17
I think a lot about the time that a former colleague said to me about patient care (this was with respect to urine drug screens) - “trust is a two-way street.” Which, like many platitudes, has a nugget of truth. But, to me, it’s a huge part of what is wrong in SUD treatment. 1/
Because here’s the deal: I absolutely have to earn my patients’ trust. They have to trust that I have the training, background, and ongoing interest in updating my knowledge base to help them reach *their* goals. 2/
They need time to build a relationship with me - to learn how to share vulnerabilities with me and overcome the exceedingly rational worry about whether or not I am going to care for them as a whole person who matters. 3/
Read 10 tweets
Sep 24, 2021
🚮 tweet alert! Let’s talk why. #TwitteRx #MedTwitter
Pharmacists are highly trained HCPs who are the subject matter experts in medications and treatment. *However* because of really effective MD lobbying, many of us are unable to practice independently, particularly re: decision making on therapeutics 2/
Because of that, when pharmacists practice - especially in the community - they’re doing so under INCREDIBLY strict protocols and standing orders. Literally not allowed to make decisions outside of those - even if those decisions are correct, medically 3/
Read 9 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(