PPT-Tapering prescription opioids:

challenges risks and negotiations Mark Sullivan MD PhD University of Washington Psychiatry and Behavioral Sciences Anesthesiology and Pain Medicine Bioethics and Humanities CME grant from REMSRPC to disseminate COPEREMS training. Bob Twillman, Ph.D., FAPM. Executive . Director. American . Academy of Pain Management. Two Major Public Health Problems. Prescription . opioid abuse. :. 12.5 million non-medical users per year. $70-120 billion cost per year. . Paul Coelho. , . MD. David . Tauben. , MD. Melissa Weimer, DO, MCR. Objectives. Understand how to calculate morphine equivalents per day. Understand the steps necessary to plan a successful opioid taper. . Melissa B. Weimer, DO, MCR. Disclosures. Dr. Weimer is a consultant for . INFORMed. , IMPACT education, and the American Association of Addiction Psychiatry.. Dr. Weimer is the medical director of CODA, Inc. . in the United States. . Sixty-one percent of . those deaths are related to pharmaceutical opioids or heroin. .. About . 15 million people . indicated misusing prescription painkillers in 2014. .. Nearly . Presenter Organization. GenerationRx.org . 2. Prescription drug misuse is a . national epidemic. Misusing medication is:. Taking more than prescribed. Regardless of intentions…. Taking medication for a reason different than prescribed. Saturday April 14, 2018. Kelly . Bossenbroek Fedoriw, MD. Opioid Crisis?. Kral LA, Jackson K, Uritsky T. A practical guide to tapering opioids. Ment Health Clin [Internet]. 2015;5(3):102-8. DOI: 10.9740/mhc.2015.05.102.. Co-Director. E. Jennifer Edelman, MD, MHS. Co-Director . Members. : Kathleen Akgun, Declan Barry, Geetanjoli Banerjee, Stephen Crystal, Julie Gaither, Adam Gordon, Kirsha Gordon, Joseph Goulet, Robert Kerns, Kevin Kraemer, Brandon Marshall, Jessica Merlin, Brent Moore, Melissa Skanderson, Janet Tate, Amy Justice, and David Fiellin . Environment. Jeannie Huang, MD, MPH. Rady . Children’s Hospital . San Diego, California. Background. Opioid medications are highly addictive pain medications . Opioid overdose and abuse . reaching . unused opioids safelyHelp keep your family and community safe startingin your homeget rid of any unused or expiredprescription opioids that may be in cabinetsdrawers or anywhere else you store medicin First Fill Prescription FormEmployeeNameDateofInjurySSNNotice to Injured Worker and PharmacyThis temporary First Fill card is only valid if used within 30 days of the reported date of injury Temporary Types of Pain Acute pain usually occurs suddenly and has a known cause like an injury surgery or infection You may have experienced acute pain for example from a wisdom tooth extraction an outpatient in the Workplace. What You Need to Know. Signs of Opioid Abuse. What you should know. Physical Signs of Opioid Abuse. Unusual drowsiness/nodding off at random times. Dizziness. Constricted (small) pupils. Carol Ott, . PharmD. , BCPP. Clinical Professor of Pharmacy Practice. Clinical Pharmacy Specialist, Outpatient Psychiatry. Eskenazi. Health, Indianapolis. Disclosures. The speaker has no conflicts of interest to disclose.. Natalie Winter, MD. Pain Management CRMG. Disclosure. “Natalie Winter MD and all others in control of this CME activity, reported no relevant financial relationships that would create a conflict of interest for CME purposes.” .