New opioid prescribing guidelines reverse course on strict restrictions

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New opioid prescribing guidelines reverse course on strict restrictions
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New opioid prescribing guidelines reverse course on strict restrictions.

The Department of Health and Human Services reversed course on its opioid guidelines this week and advised doctors that cutting off pain patients' prescriptions suddenly could do more harm than good.

"We need to treat people with compassion," Adm. Dr. Brett Giroir, assistant secretary for health at HHS, said in a statement. Giroir noted that clinicians were tasked with the dual goals: effective pain management and reducing addiction risk. Outside of life-threatening situations, HHS does not recommend that clinicians rapidly taper or suddenly discontinue patients' prescriptions.

"These actions have led many health care providers to perceive a significant category of vulnerable patients as institutional and professional liabilities to be contained or eliminated, rather than as people needing care," the doctors wrote. "What's good about this guidance is that it calls for care to be individualized and tailored for the patient," said Dr. Stefan Kertesz, lead author of the letter to the CDC and a professor of preventive medicine at the University of Alabama at Birmingham.

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