When Anger Is Destructive


People can be forgiven for getting angry in the moment. If they have experienced a personal loss from prescription opioids, it’s reasonable for them, in their grief, to blame opioids or the doctor who prescribed them. But it’s harder to accept their vengeances when they draw a false equivalency between prescription opioids and illicit drugs.

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Alternatives to Conventional Opioids


My colleague, Richard Rauck, M.D., Pain Fellowship Director at the Wake Forest University of Medicine, and I presented a Continuing Medical Education (CME) symposium at the meeting on atypical opioid options. We discussed the strengths and weakness of three atypical opioids—tramadol, tapentadol, and buprenorphine—that clinicians may consider for the appropriate patients.

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