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Lewis Nelson

@LNelsonMD

Emergency Medicine, Medical Toxicology, Addiction Medicine. Pain Medicine. The dose makes the poison.
Joined March 2014
49 Following 2.9K Followers 1.3K Posts

Latest posts 5

Lewis Nelson @LNelsonMD
An impassioned story of a tragic loss compounded by misinformation and contempt. This commentary could not have been more spot on. Opinion | The Nonsense Over Secondhand Fentanyl Overdoses Must End - nytimes.com/2024/08/04/opi… @acmtmedtox @toxicologist12 @JMPerroneMD
www.nytimes.com Opinion | After My Brother’s Overdose Death, Misinformed People Added to Our Grief (Published 2024) You cannot overdose on fentanyl by touching a person who overdosed.
Lewis Nelson @LNelsonMD
Amazing insight from @JMPerroneMD highlighting misconceptions of xylazine risk and the damage caused by stigmatization of substance use. @ASAMorg @acmtmedtox @JLoveMD @RutgersTox @JDOrazioMD #xylazine inquirer.com/opinion/commen…
www.inquirer.com We’re talking about fentanyl and xylazine all wrong Rather than stigmatizing people living with addiction, the most important thing we can do is encourage and support people in their journey to recovery.
Lewis Nelson @LNelsonMD
Even though we like their product, they are still just a business. Trying to convince regulators that bup tablets were not safe but their new strips were so as to prevent generic tablets from staying on the market is anticompetitive.
npr.org/2023/06/02/117…
www.npr.org Addiction drug maker will pay more than $102 million fine for stifling competition Indivior was accused of using illegal strategies to keep generic versions of the opioid-treatment medication Suboxone off the market. The company denies wrongdoing.
Lewis Nelson @LNelsonMD
Agree. In fact, I've generally thought it's great that the precipitated withdrawal from naloxone is so short lived...
Andrew Stolbach, MD, MPH @toxicologist12 May 25, 2023
Naloxone is short acting. That’s a good thing. Withdrawal will pass quickly.

When naloxone wears off, we can give more if we need to.

I have been treating opioid overdoses for nearly two decades, and I have never, ever thought we needed a long-acting reversal agent.
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