The American College of Physicians has re-posted its guidelines on this topic and now it’s available as free access full text. As Medscape explains, the re-posting has revised disclosure and source information but no content changes. Although I linked to it the first time around it’s worth mentioning again.I guess now for folks taking methadone all the narcotic contracts will need to be altered to include informed consent regarding the arrhythmia risks and an agreement that the patient will comply with the recommended ECG monitoring.
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