FDA has approved a sublingual film version of dexmedetomidine for the treatment of acute agitation for people with schizophrenia or bipolar disorder. Looking forward to trying it on my next superagitated methamphetamine intoxication, if they will take it.

Be careful where you publish and present. Doing so, even inadvertently, at a predatory journal or conference can have serious consequences for your career. Great new report on this topic at:

DraftCDC pain mg't guidelines are out for comment eliminating the formal suggested limits for opioids from their 2016 guidelines and replace them with clinical judgment. Nice!

New definition of lead poisoning was announced yesterday by @CDC of 2.5 ug/dl.

If you want your voice to be heard, please tell ACMT, AACT, ACEP, AAPCC, SOT or whatever organizations you belong to that you will not attend any meetings or courses in Georgia, Texas, or any state that restricts voting rights or women's rights.

MMWR today published data from the Toxicology Investigators Consortium's Fentalog study on illicit benzodiazepines contaminating the opioid supply:

RT @ZiadKazzi: via @NYTimes powerful piece! Vaccine vs COVID! What do you lose by getting vaccine? Rare vaccine adverse effects vs potentia….

First ever comprehensive guidelines on the diagnosis and treatment of botulism published today by CDC

New HHS Guidelines published today allow treatment w/ buprenorphine for up to 30 patients w/o "X-waiver" training. Notice of Intent has to be filed w/ SAMSHA who will ussue X-waiver ID # allowing use. Way to go!.Search Fed Reg doc # 2021-08961 for details.

RT @acmtmedtox: Congratulations to our 2021 FACMT Inductees! We applaud the achievements of these 12 individuals and welcome them as fellow….

Southwest Airlines pilot who went on bigoted inappropriate political rant on open San Jose ATC channel while piloting a plane full of passengers should be fired immediately. He also violated sterile cockpit rules in the process.

RT @DrDan_Biotech: @kavitababu Honestly, the only possible purpose I can see for the X waiver is to keep doctors from accidentally helping….

JAMA today - Vourc'h et al.: high dose baclofen (50 - 150 mg/d) decreases agitation in vented EtOH misusing patients (but increases time to extubation). Will definetly try in a serious drinker and report back.

AMA has just recommended needle exchanges &, easing of restrictions on prescribing controlled substances.

New FDA Safety Comm re risk of respiratory depression if gabapentin or pregabalin are used with opioids.

Wishing everyone a really terrific Christmas and best wishes for 2020! I hope it is such a good year that you do something so much fun that you can't even talk about it.😎🎅

Washington DC pharmacies to offer free naloxone starting 8/31.

JAMA Pediatrics just published a paper showing an association between fluoride in drinking water during pregnancy and decreased IQ in offspring. Read it carefully, particularity re lack of mechanism and unexplained gender differences. Conclusions very questionable, at best.

Attorney General for the Commonwealth of Mass filed a lawsuit against Purdue Pharma this week blaming OxyContin promotion for the opioid epidemic in that state. Interestingly this was a civil suite with no apparent criminal charges.

Congress passed the Poison Center Network Enhancement Act giving $30 million per ur from 2019 to 2023. When is the last time you can say that the House actually did something useful?.