Robert Parangi MD (@mdparangi) 's Twitter Profile
Robert Parangi MD

@mdparangi

opinions are my own

ID: 1036002814630215681

calendar_today01-09-2018 21:28:13

2,2K Tweet

739 Followers

542 Following

Ryan Marino is on BlueSky (@ryanmarino) 's Twitter Profile Photo

Fentanyl decomposes (the molecule break apart into things that are not fentanyl) at temps greater than 350C. No fentanyl exists at temps greater than 750C. A lighter is ~2000C. Lit cigarettes/joints/pipes/etc are 600-900C. This is pure mythology.

Robert Parangi MD (@mdparangi) 's Twitter Profile Photo

Impact of Morphine Treatment With and Without Metoclopramide Coadministration on Myocardial and Microvascular Injury in Acute Myocardial Infarction: Insights From the Randomized MonAMI Trial | Journal of the American Heart Association. Interesting ahajournals.org/doi/10.1161/JA…

Robert Parangi MD (@mdparangi) 's Twitter Profile Photo

Frontiers | Targeting peripheral opioid receptors to promote analgesic and anti-inflammatory actions frontiersin.org/articles/10.33…

Robert Parangi MD (@mdparangi) 's Twitter Profile Photo

Chronic pain-induced neuronal plasticity in the bed nucleus of the stria terminalis causes maladaptive anxiety - PubMed pubmed.ncbi.nlm.nih.gov/35476439/?utm_…

Debbie Nickels Heck, MD (@drnickels) 's Twitter Profile Photo

To all Twitter friends of Dr Debbie: Very sad that she died suddenly Tues afternoon. Due to DEA issues she had been forced to taper off pain meds. Tues suffered a severe all-body pain attack causing heart to stop. Couldn't be stabilized. Pain kills. She cared for you all.

Robert Parangi MD (@mdparangi) 's Twitter Profile Photo

Agonist that activates the µ-opioid receptor in acidified microenvironments inhibits colitis pain without side effects | Gut gut.bmj.com/content/71/4/6…

Anthony Accurso, MD, FASAM (@aaccursomd) 's Twitter Profile Photo

We just gave our first XR-Buprenorphine injection today. So grateful for everybody who worked to get it arranged and to our first patient. Having every tool available for people with #OpioidUseDisorder is essential. NewBridgeMedicalCtr Deb Visconi @dr_gianv

Dr. Michael Schatman (@headdock) 's Twitter Profile Photo

Illicit fentanyl is killing people Jeffrey A. Singer Agreed. Xylazine is cheap, however, & as long as the scumbag drug pushers are using it in the product that they sell, it will be ubiquitous. I'm starting to think that our government needs to put the amoral pushers out of business by selling street drugs that are tested & cheap.

Jeffrey A. Singer (@dr4liberty) 's Twitter Profile Photo

Dr. Michael Schatman Illicit fentanyl is killing people Dr. Michael Schatman, your idea is not unique. It is the harm reduction strategy called "safe supply." And is used in Canada and other developed countries that have more realistic, compassionate, and enlightened drug policies than the U.S.