The local opioid count is too high, Doc says



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In the Sarnia-Lambton area, there is still one of the highest nets in Ontario for pain in the opioid receptors.

It's the new Erie St. Clair's Local Health Integration Network (LHIN) doctor to lead to opiate reductions that he wants to see change.

"Despite the opiate crisis and public awareness, we do not see opiate prescribing going as it is," said Dr. Blake Pearson.

"So my whole goal is to train alternatives and create programs so we can reduce opiate prescribing in our LHIN system," he said.

According to the Ontario Narcotics Research Network, the number of opioids prescribed by 2017 (per 1000 people) varied from 85.7 to almost double to 168.4.

Erie St. Clair, which includes Sarnia-Lambton, Chatham-Kent and Windsor-Essex, was 157.2.

It will cut about seven points from the 2016 level – according to the Ontario trend – but still the top in the province.

Pearson, a physician specializing in medical cannabis in home care for patients with epilepsy and chronic pain, says he waits until he officially started this role as a doctor during this month in detail about the details of his strategy.

"However, I expect that we can work closely with doctors, healthcare professionals and other experts in all areas of the ESC to develop a gradual strategy that can really influence opioid and other addiction problems in society," he wrote. e-mail.

Pearson also recently returned from several conferences in Israel, the United States and Canada, where he presented his research on cannabinoid medicine.

"People, but researchers in Israel," he said cannabis use could reduce the use of antipsychotic drugs and opioids in the elderly, including in demented patients who need sedation.

"I think we are still a little bit absent from doctors because they accept this because of the lack of randomized, controlled double-blind studies that we are accustomed to the gold standard," he said, but noted that the study is ongoing.

At the same time, much of the disadvantage caused by the opioid crisis is caused by street drugs, but it reduces recipes where reasonable can also be good, says vice president Irfan Dhalla of Health Quality Ontario.

"Opioids are far more than doctors in many other countries, so it's probably a good thing if the opioids start less frequently," he said.

In Canada in 2017, about 4,000 people in six Sarnia-Lambton died of reported opioid overdoses.

Health Quality In Ontario, there is no official position to prescribe drug cannabis as an alternative, Dhalla said.

"But I know that many doctors feel that it is very sensible to prescribe medical marijuana especially if it leads to someone who is at high doses of opioids coming from these medicines."

Generally, non-opioids are the first step in patients with chronic pain, he said.

Massage, physiotherapy and drugs such as acetaminophen and ibuprofen are other options, he said.

It is important not to suddenly stop opioids for people who are them and stable, he said.

"It's not just unpleasant, there is a risk that somebody through the removal of opiates turns through friends or illicit sources to find opioids and thus (polluting) contaminated opioids, overdose and death."

Contact your doctor before you decide to start cannabinoid medicine, Pearson said because it may interact with other medicines.

"Just because it's legal, does not mean it's safe for sure."

[email protected]


number

Individual opiate scours pain (2017):

– Erie in St. Clair

100889

157.2 – price per 1000 people

– In Sarnia-Lambton

19905

153.9 – price per 1000 people

– In Ontario

1557073

110.2 – price per 1000 people

Source: Ontario Drug Policy Research Network

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