Mary Lynn McPherson
speaker
498 appearances
2 recordings
1 series
first heard Oct 2018
last heard Dec 2021
Mary Lynn McPherson’s voice in public audio — every appearance, attributed to the second.
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Appearances
sixty seven and the nurses, boy, they are all over that.
They completely get it and give me an accurate answer.
Um so I do think this is an approach that we have used very I've used this for a long time.
Um it's it's a very safe way to go and then we're crazy generous with breakthrough and we don't use methadone for breakthrough.
That's the important thing to do.
No methadone for breakthrough. 'Cause I've
Me too.
So I would much rather use a linear drug like morphine, for example.
Um I'm not at all a fan of the method where they say, Pick a dose of methanone, like five milligrams, and tell the patient, take it every three hours as much as you need, and then in a week we'll see how much you need.
I think that's just looking for trouble.
And another important part of that is um no matter how much a patient is on, we never start at higher
than thirty, maybe forty milligrams of oral methadone a day.
And at home I would not exceed thirty.
And increasing the dose of methadone, the total daily dose, if they're on less than thirty milligrams a day, we increase by no more than five milligrams in total per day and no sooner than five to seven days.
Yes.
And I'm a big fan of the ten per milligram per ml solution.
but of course if you need to and don't forget, you can go from three times a day to a larger dose twice a day and get the job done.
Most of the time we can get away with Q twelve hour dosing with methadone.
No, not a sh unless you're looking for trouble.
There's only one paper that's really been looked at and that's by Walker.
Showing 421–440 of 498 · page 22 of 25
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