Founder - Doctor Patient Forum/Don’t Punish Pain (opinions are my own)

Providence, RI
Joined December 2017
Suboxone shareholders lobbied for this
Replying to @CMerandi
How about how Medicaid requires that a NC pharmacy can only fill Suboxone with Naltrexone with a name brand or they won't reimburse for generic? So tax dollars are paying over $ 800 for 30 day supply versus generic costing around 60.00. Like what the hell!!
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Claudia A. Merandi retweeted
Replying to @CMerandi
It's kinda obvious why they only go after the known distribtors of certain substances. There's no MAT, rescue, or big litigation money in the bigger issues seen with the illicit stimulants. Can't get the $$$ out of the small, numerous street dealers. It's 🙊🙈🙉 about these:
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Look at the clowns holding signs. Interesting that some of the same individuals who vilified the Sackler family and OxyContin are now fighting over how the opioid settlement money should be spent. Most of their loved ones were never legally prescribed OxyContin or any other prescription opioid yet prescription pain medication became the scapegoat and millions of chronic pain patients have been forced to suffer because of it. I find it rather delicious to watch these groups fight over blood money. May you all receive what you have done to many. insidernj.com/press-release/…
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These are riots, not protests The animals are burning down the world
Large protests continued in many European countries this weekend, including Italy, France, Spain, Portugal and Albania. wpri.com/news/international/…
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The government is creating the narrative they want you to believe about a plant called kratom. Right now, kratom is losing in the court of public opinion and that’s exactly what the government wants. Same narrative was used with OxyContin/Sackler family even though Purdue had 3% of the overall opioid market. The war on kratom is about 3 things: lawsuits against kratom manufacturers & distributors, getting kratom users hooked on the highly addictive opioid Suboxone, and securing opioid settlement dollars to further fund the anti-kratom narrative. And Andrew Kolodny of @BrandeisU is at the root of this evil
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As a vocal patient advocate, I will continue to warn patients to stay away from interventional pain clinics. There’s mounting data to support these procedures are ineffective for pain but have WORSENED pain. Say no to all forms of oral buprenorphine. It all rots the teeth and many have reported oral cancer Cancel all elective procedures unless medication is sent over prior. Chances are the pharmacist will not dispense pain medication or will not have it in stock. thedoctorpatientforum.com/
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The opiate is the only tried and true pain reliever we have Saying opiates are not effective for pain is a form of mental illness
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Today’s harm reduction is nothing more than a scheme “Try to poop before. This is so your drugs are absorbed better” This is disturbing to say the least Meanwhile, mastectomy patients are being denied pain medication
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Absolutely ridiculous. What a waste of taxpayer dollars If there was an opioid crisis, why would there be unused opioids to return? Rep Bonamici (Oregon) wants chronic pain patients to fund these ridiculous drug take back days. The world has gone mad
Today! National Prescription Drug #TakeBackDay collection sites are open from 10 a.m. to 2 p.m. at 50+ locations across RI, where you can safely dispose of expired or unused prescription and over-the-counter drugs. Find a collection site near you tinyurl.com/v4etdvxn @RIBHDDH @RIEOHHS
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Over 60 million gabapentin prescriptions were dispensed in 2024 Gabapentin is linked to dementia, weight gain, blurry vision Lawsuits are being filed against manufacturers of gabapentin (such as Neurontin) and pregabalin (Lyrica) alleging that prolonged, off-label use increases the risk of early-onset dementia and mild cognitive impairment without adequate safety warnings
Replying to @CMerandi
Was prescribed gabapentin my Stanford pain for my “marijuana addiction” as a teen. They’re criminals
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Suboxone prescriptions are at their highest Suboxone, a highly addictive opioid, is linked to catastrophic dental decay and oral cancer
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Taxpayer dollars are being used to fund “harm reduction” programs. This is harm encouraging. My God, what is going on in this country? Drug addicts are being taught how to inject illicit drugs while hospice patients are being denied pain medication. The harm reduction scheme continues  freebeacon.com/democrats/peg…
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What Americans don’t realize is that the government is manufacturing the narrative it wants you to believe about kratom. They did the same with OxyContin and the Sackler family.
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Seven things I would tell these physicians who treat chronic pain patients 1. Retain an attorney experienced in DEA investigations and healthcare law. Not a malpractice attorney. The attorney should understand controlled-substance prescribing and DEA administrative proceedings. 2. Document medical necessity thoroughly. Records should explain the diagnosis, previous treatments, functional improvements, benefits, risks, and clinical reasoning behind each prescription. 3. Understand the actual law not just the CDC guidelines. DEA regulations require prescriptions to be issued for a legitimate medical purpose in the usual course of professional practice. The CDC guidelines are recommendations, not federal prescribing laws. 4. Establish appropriate monitoring. Follow applicable state PDMP requirements, use individualized risk assessments, and document clinical responses to concerning findings. Urine drug testing should be clinically justified and interpreted appropriately. 5. Conduct an independent compliance review. Have a qualified healthcare attorney and independent physician reviewer evaluate the practice's policies, documentation, and prescribing patterns before problems arise. 6. Maintain appropriate professional liability coverage. Ask specifically whether the policy covers medical board investigations, DEA administrative proceedings, and legal defense costs. These are not always included. 7. Have a patient continuity plan. If the physician unexpectedly loses prescribing authority or closes the practice, there should be a lawful process for notifying patients, transferring records, and coordinating continued care. One important protection physicians should know about The CDC's 2022 guideline specifically states that healthcare systems and payers should not penalize clinicians for accepting patients already receiving opioid medications, including patients on higher doses. It also warns against abrupt discontinuation and involuntary rapid tapering thedoctorpatientforum.com/
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They’re taking patients off everything other than the dental decaying opioid, Suboxone
Replying to @CMerandi
They are also taking documented ADD patients off of Adderol. My psychiatrist tried last month after 7 years on same dose.
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“Claudia, you are defensive because you are on them” Wrong again. I don’t advocate for benzodiazepines because I’m prescribed them, I advocate because muscular dystrophy/ALS/Lewy Body are being ripped off them because of the benzo haters
Replying to @CMerandi @DrJosefWD
Claudia you are defensive because you are on them. So you’re a hater of the ones who have been harmed which I find hilarious since you say you’re an advocate for pain patients to not be harmed. I wonder the amount of mental gymnastics it takes to be so dis-compassionate.
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Why aren’t doctors taking the opioid Suboxone away?
Replying to @CMerandi
Yes, they helped my anxiety and back spasms. My Dr. took my lorazepam away first, and now I’m being force tapered off of opiates I’ve been on for 15 years. I’m permanently disabled, and now I will spend the rest of my life in bed. It’s a nightmare.
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“Melatonin and Ambien before surgery slashes opioid use” is akin to the opioid-free anesthesia study that needed to be halted due to cardiovascular complications. Opioid derangement syndrome continues throughout the country And Australia/Canada are following the US Tylenol only model
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The Harm Reduction Scheme continues but for how long?
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