Laura Monico PhD

Clinical Research Scientist • Friends Research • Advocate/Harm Reductionist • Lived experience • Thoughts are my own 🏳️‍🌈💉💊

[Darby Saxbe @darbysaxbe]

I need people to understand how difficult it is to get an NIH grant. You spend months writing a proposal, following strict guidelines that include a detailed multiyear budget, bios of everyone on your team, plans for participant safety & ethical conduct. Then you send it off -1/n

[Khary Rigg @krigg01]

Opioid use disorder=highly stigmatized

Methadone tx=highly stigmatized

Hard pressed to think of another example where both the medical condition and its treatment are so negatively branded by society.

[Laura Monico PhD @DrCoachLaura]

Normalize people making healthier choices. Whether that is #harmreduction for substance use or #alcoholfree and #sobercurious movements for alcohol. The goal is purposeful and mindful choices that feel healthier for the individual.

[Laura Monico PhD @DrCoachLaura]

@HiighLiine This! I’ve been looking for the exact same thing!

[Laura Monico PhD @DrCoachLaura]

“Recommended dosing up to 32 mg/d and elimination of the 16 mg/d target dose would improve treatment effectiveness and save lives.”

Evidence on Buprenorphine Dose Limits: A Review : Journal of Addiction Medicine https://t.co/CF0kUGO58l

[Ajay Manhapra @AjayManhapra]

Only 24% residential treatment facilities treating OUD among adolescents provided buprenorphine treatment. What a tragedy during the times of crisis?

Treatments Used Among Adolescent Residential Addiction Treatment Facilities in the US, 2022 https://t.co/NXHtvkxESW

[Addiction Medicine Journal Club @AddictionMedJC]

We need a "Things We Do For No Reason in Addiction Medicine." There are so many of these things.

Avoiding methadone for opioid withdrawal in @JHospMedicine
https://t.co/FAnpOFMk7I

[Laura Monico PhD @DrCoachLaura]

Prevention is key to never knowing how loud substances can be, a way of never letting your brain know there’s a volume beyond what it can create on its own. Early intervention into this pain and discomfort makes the journey to well-being safer, shorter, and a hell of a lot easier

[Laura Monico PhD @DrCoachLaura]

Let’s talk about prevention.

So much discussion goes into treating SUDs once they’ve started, but we’ve lost touch with how important prevention can be. Not from a 1980s DARE perspective, or a fear-based approach, but from a place of compassion.

Short 🧵

[Laura Monico PhD @DrCoachLaura]

Initiating substance use is a synthetic way of managing pain and discomfort - a way to feel better for a variety of reasons and in a variety of ways. The natural mechanisms of pain and discomfort management become whispers against the loud volume of what substances can do for us.

[Laura Monico PhD @DrCoachLaura]

Really informative new episode by @Theaddictionfi1 on Butalbital and Promethazine misuse.

[Bev Schechtman🇮🇱 @ibdgirl76]

CDC has screwed up OD data for years, including illicit fentanyl in w Rx opioids. Will this get it right? https://t.co/YQ1C4jDL98

[Laura Monico PhD @DrCoachLaura]

@Theaddictionfi1 Great suggestions, thank you! These patients have been able to reduce some more elevated levels of regular drinking patters, don’t meet the need to treat for opt withdrawal symptoms, are naive to naltrexone, & unsure about how they will tolerate the med

[Laura Monico PhD @DrCoachLaura]

#addictionmedicine twitter: Advice for patients opting to initiate naltrexone for AUD with a quarter tablet? Patients report 50mg tablets just fall apart after cutting it in half. Any tips?

[Laura Monico PhD @DrCoachLaura]

@Dr_Jack_McG_MD Fantastic - I haven’t heard this before! Much appreciated!

[Laura Monico PhD @DrCoachLaura]

“and”

[Laura Monico PhD @DrCoachLaura]

These are exactly the kinds of barriers telehealth for OUD is designed to address. @Prison_Health

https://t.co/sMXoaNDnjr