In Reply We would like to thank Dr Geller for his insightful letter concerning our Teachable Moment1 and the additional literature regarding the established safety of rapid-dose tapering or discontinuation of opioids. We agree that the best course for our patient was abrupt discontinuation in contrast to a lengthy taper. We would like to emphasize, however, that it was just as essential to offer our patient long-term treatment of opioid dependence immediately following discontinuation to minimize the risk of initiating illicit use of opioids or experiencing an opioid overdose following the loss in tolerance.
Guillod P, Edens EL, Becker WC. Patient and Public Safety Maximized by Rapid Opioid Taper—Reply. JAMA Intern Med. 2017;177(6):896. doi:10.1001/jamainternmed.2017.1454
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