Steven Passik, a New Yorker who spoke and entertained like Jerry Seinfeld, related the huge public health consequences of the liberalisation of opioid prescription in the US over the last decade. Oxycodone and hydromorphone abuse has become rampant, not so much by the patients for who it was prescribed, but among the friends, family and customers who get their hands on the dispensed drugs as well.
His suggestions were more for those who manage chronic pain patients, but his words made me think we should be even more cautious in the size of our postoperative opioid dispensations for discharged patients. Are 20 tablets of whatever really needed?
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