Hi Dr. Gidwani,
I'm a clinical pharmacist and an academic detailer with the Centre for Effective Practice. We are currently offering academic detailing visits to discuss cases very much like this one re: difficult opioid tapers/rotations. We could discuss the case as an example for managing tapers such as this situation with the caveat that, as I'm not the patient's pharmacist, I wouldn't be providing direct patient care/advice but we could use this case as an example to discuss strategies and local resources that can be helpful in cases such as this (such as the Medical Mentoring for Addictions and Pain service). We are a non-profit group and our service is funded by the Ministry of Health, so it is free of commercial bias and influence. Would you be interested in a brief one on one visit in your office (15-20 min) to discuss this topic? If so, let me know when is convenient for you - you can reach me at trish.rawn@effectivepractice.org or 416-372-0582. I'm generally available Monday through Thursday.
To learn more about our service, visit https://thewellhealth.ca/academicdetailing/.
Trish Rawn