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<p>Medication take-back is one of many ways to help stop the opioid epidemic.  Unlike other approaches, it also addresses accidental poisonings and environmental contamination. 
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<p>When asked about take-back, I say it is one of the easiest, and low cost, solutions to implement.  There are many other approaches that also need to be pursued, including:</p>
<p>Less over prescribing [see story below], alternatives to opioids, expanding t<a style="CURSOR: pointer; FONT-SIZE: small; TEXT-DECORATION: none; FONT-FAMILY: Roboto, arial, sans-serif; WHITE-SPACE: normal; WORD-SPACING: 0px; TEXT-TRANSFORM: none; FONT-WEIGHT: normal; COLOR: rgb(102,0,153); FONT-STYLE: normal; ORPHANS: 2; WIDOWS: 2; LETTER-SPACING: normal; BACKGROUND-COLOR: rgb(255,255,255); TEXT-INDENT: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px" href="http://scholar.google.com/scholar_url?url=https://cloudfront.escholarship.org/dist/prd/content/qt0kg4v8c8/qt0kg4v8c8.pdf&hl=en&sa=X&scisig=AAGBfm2aTKZwDfxS1GYDv_qLecSeoTHhHQ&nossl=1&oi=scholarr" ping="/url?sa=t&source=web&rct=j&url=http://scholar.google.com/scholar_url%3Furl%3Dhttps://cloudfront.escholarship.org/dist/prd/content/qt0kg4v8c8/qt0kg4v8c8.pdf%26hl%3Den%26sa%3DX%26scisig%3DAAGBfm2aTKZwDfxS1GYDv_qLecSeoTHhHQ%26nossl%3D1%26oi%3Dscholarr&ved=0ahUKEwj6jMm598TeAhWxt1kKHUbgDKgQgAMIMigA"><font color="#000000" size="2" face="Tahoma">reatment<span class="Apple-converted-space"> </span>of<span class="Apple-converted-space"> </span>opioid-use
 disorders</font></a>, alternatives to incarceration, stricter enforcement (and more sever penalties) for deceptive marketing by drug makers, & ???  What would you add to this list?  Thanks!</p>
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<p><a href="https://jamanetwork.com/journals/jamasurgery/article-abstract/2712855?utm_source=STAT+Newsletters&utm_campaign=52db5b192a-MR_COPY_08&utm_medium=email&utm_term=0_8cab1d7961-52db5b192a-149620549">https://jamanetwork.com/journals/jamasurgery/article-abstract/2712855?utm_source=STAT+Newsletters&utm_campaign=52db5b192a-MR_COPY_08&utm_medium=email&utm_term=0_8cab1d7961-52db5b192a-149620549</a></p>
<p><strong>Question</strong>  <span>What factors are associated with opioid consumption after surgery?</span></p>
<p><strong>Findings</strong>  <span>In this population-based study of patients undergoing surgery in Michigan, 2392 patients used only 27% of the opioids prescribed to them. Prescription size had the strongest association with opioid consumption after surgery,
 with patients using an additional 5 pills for every 10 extra pills prescribed.</span></p>
<p><strong>Meaning</strong>  <span>Excessive opioid prescribing is associated with higher opioid consumption after surgery. Using patient-reported opioid consumption will improve postoperative opioid prescribing to better match patient opioid requirements.</span></p>
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<div><font size="2"><span style="FONT-SIZE: 10pt; FONT-FAMILY: "Tahoma","sans-serif"; COLOR: black">Ed Gottlieb
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Chair, Tompkins County Coalition for Safe Medication Disposal<br>
Industrial Pretreatment Coordinator<br>
Ithaca Area Wastewater Treatment Facility<br>
525 3<sup>rd</sup> Street<br>
Ithaca, NY  14850<br>
</span><span style="FONT-SIZE: 10pt; FONT-FAMILY: "Tahoma","sans-serif"; COLOR: blue"><a href="tel:(607)%20273-8381" target="_blank"><font color="#0000ff">(607) 273-8381</font></a><br>
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