Activity Date: 04/27/2020
In the US, deaths due to suicide and unintentional overdose are on the rise and pose an urgent public health concern. In 2017, over 40% of suicide and overdose deaths, so-called “Deaths of Despair”, were due to opioids. This represents a 2-1/2 fold increase from 17% in 2000.1 Pain alters neurocircuitry and increases the risk of suicide, which may be unknown to many psychiatric pharmacists. There are several key shared risk factors and prevention approaches that should be known by psychiatric pharmacists. By understanding these key risk factors, pharmacists can better identify patients at greatest risk. By learning key prevention approaches, pharmacists can intervene and save the lives of patients in their care by preventing unintentional overdoses and deaths by suicide.
As a response to legislation and other pressures, many patients are having opioid therapy rapidly tapered or abruptly terminated by their providers. Many psychiatric pharmacists may be unfamiliar with various opioid tapering strategies and which is best for a given patient. Knowledge of the principles of compassionate opioid tapering can help pharmacists treat patients and educate other providers about best opioid practices.
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Noah Nesin, MD, FAAFP
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2020 CPNP Recertification Editorial Board Disclosures
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Mary C. Borovicka, PharmD, BCPP, BCPS Associate Professor University of Toledo College of Pharmacy and Pharmaceutical Sciences Cleveland, OH External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Ohio Pharmacists Association - LAI and naltrexone training inj |
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Beth DeJongh, PharmD, BCPP, BCPS Recertification Editorial Board Vice Chair Pharmacist Concordia University Wisconsin Mequon, WI No Relevant Financial Relationships to Disclose |
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Sara E. Dugan, PharmD, BCPP, BCPS Associate Professor Northeast Ohio Medical University College of Pharmacy and Medicine Rootstown, OH Educational Grants, Research Grants or Contracts: Ohio Colleges of Medicine Government Research Center, Northeast Ohio Medical University College of Medicine Department of Psychiatry |
Clayton D. English, PharmD, BCPS, BCPP, BCGP |
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Michelle L. Geier, PharmD, BCPP Psychiatric Clinical Pharmacist Supervisor San Francisco Department of Public Health San Francisco, CA No Relevant Financial Relationships to Disclose |
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Rebecca Graham, PharmD, BCPP Clinical Pharmacy Specialist - Mental Health Corporal Michael J. Crescenz VA Medical Center in Philadelphia Philadelphia, PA No Relevant Financial Relationships to Disclose |
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Courtney A. Iuppa, PharmD, BCPP Clinical Pharmacy Manager & Residency Program Director Center for Behavioral Medicine Kansas City, MO No Relevant Financial Relationships to Disclose |
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Rex S. Lott, PharmD, BCPP BCPP Program Director Professor Emeritus of Pharmacy Practice Idaho State University - College of Pharmacy Meridian, ID No Relevant Financial Relationships to Disclose |
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Monica Mathys, PharmD, BCPP, BCGP Associate Professor Texas Tech University School of Pharmacy Dallas, TX Non-Financial Interests: CPNP Foundation Board member |
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Sarah T. Melton, PharmD, BCPP, BCACP, FASCP Recertification Editorial Board Chair Professor of Pharmacy Practice Gatton College of Pharmacy Johnson City, TN Non-Financial Interests: One Care of Southwest Virginia |
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Thea R. Moore, PharmD, BCPP Associate Professor University of South Florida Tampa, FL Educational Grants, Research Grants or Contracts: Agency for Health Care Administration |
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Jessica L. Mulhollan, PharmD, BCPP Psychiatric Clinical Pharmacy Specialist Cleveland Clinic Marymount Hospital Garfield Heights, OH No Relevant Financial Relationships to Disclose |
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Sandra Mullen, PharmD, BCPP Clinical Pharmacy Specialist - Psychiatry VCU Health Systems Richmond, VA Non-Financial Interests: Lambda Kappa Sigma Grand Council (Executive Board) |
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Stephanie Nichols, PharmD, BCPP, BCPS, FCCP Associate Professor of Pharmacy Practice Husson University Saco, ME Non-Financial Interests: Member of the New England Comparative Effectiveness Public Advisory Committee of the Institute for Clinical and Economic Review, Maine Independent Clinical Information Service Academic Detailing Advisory Committee |
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Sarah J. Popish, PharmD, BCPP Academic Educator Department of Veterans Affairs Vallejo, CA No Relevant Financial Relationships to Disclose |
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Megan M. Sarashinsky, PharmD, BCPP Clinical Pharmacy Specialist CJW Medical Center Richmond, VA No Relevant Financial Relationships to Disclose |
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Andrea Winterswyk, PharmD, BCPS, BCPP Mental Health Clinical Pharmacy Specialist Boise Veterans Affairs Medical Center Boise, ID No Relevant Financial Relationships to Disclose |
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Kara R. Wong, PharmD, BCPP Clinical Pharmacy Specialist, Mental Health; PGY2 Psychiatric Pharmacy Residency Program Director Minneapolis VA Health Care System Minneapolis, MN No Relevant Financial Relationships to Disclose |
All relevant relationships have been mitigated.
Off-Label Use: This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA (see faculty information and disclosures). The opinions expressed in the educational activity do not necessarily represent the views of AAPP and any educational partners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
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