Melanie Rosenblatt, M.D. - Stop the Pain
Dr. Melanie Rosenblatt, is a graduate of SUNY at Stony Brook School of Medicine. She completed her anesthesia residency and pain training at St Joseph’s Hospital Health Center in Syracuse, NY. She is board certified in Anesthesiology, Pain Management and Addiction Medicine. She has been practicing in South Florida since 1995 and maintains her private practice in Boca Raton and Pompano Beach, Fla. She is the Medical Director of Pain Management for Broward Health North, a level II trauma center where she is the chairperson of the Credentials and Qualifications Committee and sits on the Medical Executive Board, and also Medical Director of Acute Pain Management at Holy Cross Hospital. She has worked with the DEA and local law enforcement to crack down on pill mills in South Florida. She is on the advisory board of several pharmaceutical companies in developing abuse deterrent formulations of opioid medications. She does expert medico-legal review for both plaintiff’s and defense cases. She treats many celebrities and retired athletes in her private practice. She lectures nationally about safety and risk assessment in the treatment of chronic pain in these challenging times. She was featured in the 1 hour documentary Pain Matters. She is a recognized leader and national expert in her field.
Tags: pain | rosenblatt | opioids | addiction

Prescription for Abuse

Melanie Rosenblatt, M.D. By Wednesday, 10 June 2015 10:22 AM EDT Current | Bio | Archive

The U.S. Drug Enforcement Administration announced a four-state crackdown on illegal pill mills, dubbed "Operation Pilluted" last month

This sweep resulted in the arrest of 22 doctors and pharmacists in Louisiana, Arkansas, Alabama, and Mississippi.

Abuse of prescription drugs has become a growing epidemic in the United States. In 2013, about 44,000 unintentional drug overdose deaths occurred, more than half attributed to prescription drugs. Seventy-one percent of those were opioid overdoses.

While the DEA and other law enforcement agencies work tirelessly to curtail the trafficking of prescription drugs through high volume "pill mills" and cash-only pharmacies, much of the abuse occurs in less obvious ways.

It is all around us.

Many physicians prescribe medical regimens of very high doses of opioids in high risk populations.

For example, a known intravenous drug user prescribed hydromorphone for chronic back pain may be crushing and injecting the pills to get a quicker and stronger effect.

An alcoholic with chronic pain may be prescribed high doses of pain medication and chase it with "a shot" because it works better that way.

An elderly woman may take eight-10 pain pills a day because it helps with her chronic arthritis while simultaneously using benzodiazepines and sleeping pills to manage her anxiety and depression.

These patients all have legitimate pain and obtain legal prescriptions for their treatment regimen, but this fails to address the underlying problem.

Doctors have limited time and patients often want what they know works.

The solution?

Make the patient happy and give them what they want.

It’s much easier than having "the conversation" during a 10 minute interview and exam.

We can and should do better. We have newer approaches to managing pain, and, when pain medication is needed, we have newer tamper-resistant medications that deter abuse.

Responsible physicians treat the whole patient and do not just prescribe high doses and quantities of powerful opioids with no other treatments.

As patients, we must educate ourselves to see the difference.

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The U.S. Drug Enforcement Administration announced a four-state crackdown on illegal pill mills, dubbed Operation Pilluted last month This sweep resulted in the arrest of 22 doctors and pharmacists in Louisiana, Arkansas, Alabama, and Mississippi. Abuse of prescription...
pain, rosenblatt, opioids, addiction
Wednesday, 10 June 2015 10:22 AM
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