@aander1987 1/
Ferreira & colleagues (2023) found that antidepressants aren’t the panacea for pain many of us hoped for. 11 /42 studies showed benefit. 31/42 studies failed to find benefit or results were inconclusive. (cont’d)
bmj.com/content/bmj/38… @aander1987 2/ From their research, SNRI’s seem the most likely to be beneficial, but prescribers need to select pts with diagnoses likely to be responsive:
back pain
post-op pain (this one surprised me)
neuropathic pain
fibromyalgia
bmj.com/content/bmj/38…

1/ @WKRG used a stock image of transdermal fentanyl for their Facebook posting of their report on the tragic death of 15 yo Adrianna Taylor & the arrest of a 17yo who alleged supplied her w/ the IMF that led to her death from illicit fentanyl poisoning.
m.facebook.com/story.php?stor… 2/ Illicitly manufactured fentanyl is driving the current overdose crisis - not strictly regulated pharmaceutical fentanyl which is used during anesthesia, pain, & as a transdermal patch for patients w/ severe chronic pain that's refractory to other treatment. @WKRG

So thanks to pain med shortages, I've had crazy high BP at times (think 180-200+/100+) even though mine is usually ~ 100/70.
I'm only 41, have really healthy cholesterol levels, and no atherosclerosis. This is causing a-fib. At 1st, this was only happening if had to cut back to avoid running out, but now it's a daily thing. Rx'd beta blockers, but they aren't doing enough so now on blood thinners too (really NOT a good thing for someone that's constantly bumps in to stuff).

@jnicky63 Oh yeah, you know our healthcare system has burned its moral compass when it alllows CHILDREN to suffer. @jnicky63 I received an email last week from the mom of a child who has cerebral palsy, is non-verbal, has an intellectual disability, and a congenital heart defect (she can cry and make other sounds, but not speak) recounting her daughter's nightmarish surgical experience.

1/ Thrilled that the Opioid Work Group's report, which expressed grave concerns re: the CDC's non yet public draft, was adopted by the Board of Scientific Counselors of @cdcgov's @CDCInjury

drive.google.com/file/d/1OHndXm… 2/ I was very much encouraged by the tone and text of this OWG report's vs the one issued by the OWG convened for the original Guideline. There really is no comparison.

@lisaling

For the most part, I love your show, but there are some issues with the way that you cover the opioid crisis that I would like to bring to your attention I’m proud to be part of #ChangingTheNarrative is an effort organized by @maisz, a journalist, @LeoBeletsky, an attorney, and @DrSarahWakeman, an addiction medicine physician.

changingthenarrative.news

I can’t remember who asked for this, but I found my pdf of the abstract w/ notes on it that you had wanted for:
“Assoc of Opioid Prescribing Patterns w/ Rx Opioid OD in Adolescents and Young Adults.”

Abstract w/ notes:
drive.google.com/file/d/1NfZAOq…

Study:
jamanetwork.com/journals/jamap… This is from last year so not new but still good to bookmark.
Of 2,752,612 pts ages 12-21 who weren’t being treated for cancer & filed at least 1 opioid Rx from 7/1/2009 to 10/1/2017, there were:

-4,686,355 ins claims for opioid meds (aka prescriptions)