Pubdate: Sun, 27 Mar 2016 Source: New York Times (NY) Copyright: 2016 The New York Times Company Contact: http://www.nytimes.com/ref/membercenter/help/lettertoeditor.html Website: http://www.nytimes.com/ Details: http://www.mapinc.org/media/298 Author: Cyril H. Wecht Referenced: http://www.mapinc.org/drugnews/v16/n162/a06.html OPIOID USE AND ABUSE Patients and Doctors Discuss the Management of Drugs That Can Be Helpful or Harmful. To the Editor: The number of deaths directly attributable to opioids far exceeds the incidence of fatalities associated with several other epidemics that we have experienced in this country in past years. More than a half of 460 autopsies I performed last year for coroners in southwest Pennsylvania were drug related, and a substantial percentage were people who got started on powerful analgesics prescribed by their physicians. The recently promulgated guidelines from the Centers for Disease Control and Prevention for physicians regarding excessive, repeated opioid prescriptions are long overdue and need to be followed up in more stringent fashion with pharmacists as well as physicians. CYRIL H. WECHT Pittsburgh The writer is a forensic pathologist. - --- MAP posted-by: Jay Bergstrom