medscape article: Methadone-Related Fatalities Underscore Need for Careful Dosing

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FYI, and Alon, BTW, this from that bastion of progressive medicine: the FDA

 

http://www.medscape.com/viewarticle/548340?src=mp

 

Alon Marcus <alonmarcus wrote:

Yehuda

if you do give advise on the use of methadone or other analgesics make sure you

really know the clinical reality of these drugs. One cannot look at a PDR and

think that is a reflection of the real world. Narcotics are remarkably safe,

except for addiction which is not a problem with end of life care (overdose is a

different problem and usually not from medical intervention). The problem i see

every day is patients have not been managed with regard to the cause of their

pain so they end up addicted to narcotics. There are however many cases were the

only solution is to include narcotics if the patient is to become functional.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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