![]() The doctor who telephoned must be new at my local practice which means she has taken over from the world’s worst doctor in human history. Well that date has been and gone, and the consultation didn’t go well. A few days later I received a phone call from one of their receptionists notifying me that a doctor would be telephoning me at a later date to go over this very important subject. The blurb described how over the past 10 – 15 years, research has proven that opioids are no good at easing chronic pain for more than 4 months and that my practice is in the process of contacting such patients to talk about the alternatives. In late November 2021, I received a letter from my doctors practice, containing a questionnaire which is for all patients who they are prescribing opioids to for pain relief. It now appears that this has started in my country (Britain) THE FLOODGATES ARE OPEN! You may comment below… PROMPT Post navigation Visit our new In the News page with links to updates.įlorida pain patients, please be sure to view Living with Pain: Patients Fight Back in Florida, September 2, 2012. We Intend to be PROMPT with a Challenge to PROP FDA Letter Label Changes for Opioids, For or Against government site, where they are accepting public commentary. ![]() We encourage patients also to comment on the FDA U.S. Please feel free to use an anonymous name (or not) in the spirit of confidentiality, as this site is public. We would like you to tell your story here by making a comment on this blog. We advocate for clinician education, proactive risk stratification, and appropriate therapeutic monitoring. PROMPT has serious concerns about the safety of chronic opioid use we are therefore in favor of mitigating these risks by encouraging careful and reasonable patient monitoring to maximize patient care and public safety. PROMPT members include healthcare providers that have direct patient care responsibilities specific to pain management. Professionals for Rational Opioid Monitoring & PharmacoTherapy (PROMPT) is a multidisciplinary group comprised of many pain clinicians nationwide. Some couldn’t receive non-opioid analgesics because of certain chronic medical disorders that made non-opioid analgesics far more dangerous than opioids. To be clear, some of them probably didn’t belong on opioids, some were on the incorrect opioids, others perhaps were drug-seeking, but many seemed to be legitimate patients that honestly were completely dysfunctional without long term chronic opioids. As you might imagine, it frequently involved opioids. History & Background: Over the course of many years, numerous pain patients nationwide have contacted me seeking advice on what to do, often in a panicked state because their long-term physician caregiver was relocating or retiring. PROMPT believes that many legitimate patients fall outside of these parameters and would suffer as a result! Summary: PROP’s proposal, if approved, would limit opioid therapy to non-cancer patients beyond 12 weeks, a maximum daily dose of oral morphine 100mg (or its equivalent in another opioid narcotic), and the diagnosis must be for severe pain only (compared to current FDA approved labeling of moderate to severe pain). Please note the blog policy when submitting comments. Our PROMPT response to that proposal is HERE. The full PROP proposal to the FDA is available HERE. Food & Drug Administration (FDA) which requests significant label changes for prescription opioids that could prevent honest non-cancer opioid-requiring patients to live in agony. PROMPT is doing this for patients specifically because of the July 25 2012, Physicians for Responsible Opioid Prescribing (PROP) petition to the U.S. ![]() Share your stories of how chronic opioid use changed your life in a positive or negative way.
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