Leading an Academic Medical Practice by Lee Bach Lu Ernie-Paul Barrette Craig Noronha Halle G. Sobel & Daniel G. Tobin

Author:Lee Bach Lu, Ernie-Paul Barrette, Craig Noronha, Halle G. Sobel & Daniel G. Tobin
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

2. Use of lower-risk illicit drugs (i.e., marijuana): Your clinic should decide on a policy regarding how to handle patients who test positive for lower-risk illicit drugs such as marijuana. You will need to decide on your threshold for allowing a second chance, but this should be standardized across the practice and applied uniformly. Remember too that former heavy marijuana users may have a UDS positive for cannabinoids weeks to months after they no longer use as previously described. When discontinuing opioids because of lower-risk illicit drug use, we recommend a slow taper of approximately 10% per week as described above. Non-opioid pain medications should be optimized.

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