I’m not going to pretend to be impartial and scientific anymore – this obscene charade of drug-warriors fighting what they call an “opioid epidemic” has gone to such ridiculous extremes (no opioids after cutting open a woman’s abdomen to pull her baby out) that I can no longer restrain my outrage.
With governments’ increasing efforts to curb opioid prescription use and limit dose below the Centers for Disease Control and Prevention (CDC)-recommended threshold of 90 morphine milligram equivalents per day, little is known about prescription opioid patterns preceding opioid use disorder (OUD) or overdose.
Limiting opioid prescriptions never worked in the past, isn’t working now, and never will work. It cannot work because legitimate opioid prescriptions are not related to opioid overdoses. How long will it take these bureaucrats to figure this out?
I suspect they simply don’t want to know about the horrific outcomes of their policies (pain patient suffering and suicide) because there are no simple ways to prevent overdoses. Yet simple policies tied to arbitrary numbers are the only ones these intellectually limited people can imagine.
There just aren’t enough smart people at the helm of this ship.
The whole anti-drug movement is being run by fools and grifters, while the smart folks are ignored. Until the root causes of the misery driving people to mind-altering drugs are addressed, nothing will change. Oh, wait, of course, things will change: they will get worse.
And the worse the situation becomes, the more these fools will apply the same “solutions”.
Doing the same things over and over and expecting different results is the definition of insanity according to AA, so they are labeling themselves as insane.
This study aimed to determine prescribed opioid fills and dose trajectories in the year before an incident OUD or overdose diagnosis using a 2005–2016 commercial healthcare database.
In this study of US commercially insured adults with incident OUD or overdose, 35.1% had no opioid prescription fills in the year before diagnosis, and the proportion increased in more recent years.
Patients with OUD or overdose exhibited substantial heterogeneity in individual prescription opioid dose trajectories in the year preceding the diagnosis, with the majority receiving prescribed daily doses below the guideline-recommended high-risk threshold of 90 mg MED.
Our findings suggest that the vast majority of patients at risk for OUD or overdose will not be identified if solely relying on currently employed prescription-based metrics.
Further studies are needed that examine whether the absence of prescription fills was associated with overdoses from illicit opioids and the relationship between dose trajectories with incident OUD or overdose in this new era of decreasing access to prescription opioids.
What do these findings mean?
- The findings of this study suggest that an increasing proportion of patients with OUD or overdose could be missed by current programs solely based on opioid prescribed use and dose in this new era of limited access to prescription opioids.
- Further studies are needed that examine the relationship between absence of prescription opioid fills and overdoses from illicit opioids and the association of prescription opioid dose trajectories with incident OUD or overdose.
No matter how often we see calls for research into the outcomes of the hare-brained and destructive policies, there’s nothing forthcoming. I suspect it’s because no one darest to fund a study pointing out the damage being done in the name of “fighting the opioid epidemic” (which is actually an overdose epidemic from a changing mix of multiple drugs).