Category Archives: Opioid Debate

New Data on Opioid Use and Prescribing, 2006-2015

New Data on Opioid Use and Prescribing, 2006-2015 | Clinical Pharmacy and Pharmacology | JAMA | The JAMA Network – July 6, 2017 – Anne Schuchat, MD; Debra Houry, MD, MPH; Gery P. Guy Jr, PhD, MPH

Though the new data proves Rx opiods are no longer the source of overdoses, these authors believe that when their policy isn’t working, they should merely intensify their failing efforts.

This practice follows the often stated definition of insanity as “Doing the same thing over and over, expecting different results.” (like the whole drug-war)

On July 6, 2017, the US Centers for Disease Control and Prevention reported that between 2006 and 2015 the amount of opioids prescribed in the United States peaked in 2010 at 782 morphine milligram equivalents (MME) per capita and then decreased each year through 2015 to 640 MME per capita.  Continue reading

CRPS, Chronic Pain and America’s war on painkillers

CRPS, Chronic Pain and America’s war on painkillers – BLB Soliciters – April 2017 | Written by Libby Parfitt

Headlines scream and terrify: “How the opioid epidemic became America’s worst drug crisis ever”, “America’s indiscriminate killer”, “Inside a Killer Drug Epidemic”.

The papers are full of hollow-eyed people telling their sad stories, starting with a doctor’s appointment for a bad back, ending with scoring heroin on a street corner.

If you heed only these headlines, you’d probably expect me to be a shambling, semi-conscious being, barely capable of functioning as an adult and concerned only with where my next tablet is coming from. Continue reading

Taking On the Scourge of Opioids | National Affairs

Taking On the Scourge of Opioids | National Affairs | Summer 2017 By Sally Satel

This article is especially noteworthy because this political publication, “its founding editor, Yuval Levin, and authors are typically considered to be conservative.” 

The author describes the origin and current state of the “opioid issue” in great detail and reasonably concludes that “factors beyond physical pain are most responsible for making individuals vulnerable to problems with opioids”

An estimated 2.5 million Americans abuse or are addicted to opioids — a class of highly addictive drugs that includes Percocet, Vicodin, OxyContin, and heroin.   Continue reading

Updated Opioid Guidelines for State Medical Boards 

Updated Opioid Guidelines Released for State Medical Boards – June 23, 2017 – By Kelly Rehan

“Guidelines emphasize individual treatment as opposed to rigid standards.”

The Federation of State Medical Boards (FSMB) released updated guidelines for using opioid analgesics to manage chronic, non-cancer pain. 

The updated document, which stresses safety through an individualized treatment approach, aligns with recent opioid advisories from the Centers for Disease Control and Prevention (CDC) and the US Food and Drug Administration (FDA).   Continue reading

Urgent Need for Comments Against 90MME Limit Urged by PROP

PROP Urges Members to Oppose FDA Opioid Strategy — Pain News Network – July 08, 2017/ by Pat Anson, Editor

The anti-opioid activist group, Physicians for Responsible Opioid Prescribing (PROP), has sent an “Urgent Action Request” to it members, asking them to oppose plans by the FDA to give new guidance to health care providers about prescribing opioid pain medication.

PROP founder and Executive Director Andrew Kolodny, MD and other PROP board members wrote a letter to the FDA, urging them to include the specific dose limit of 90mg morphine equivalents.

Today, July 10, is the last day to comment and oppose this artificial and arbitrary limit that goes against all scientific evidence of wide varieties in opioid metabolism that preclude any such dose standardization.

The contents of PROP’s letter are frightening, starting with their first main point:

1) Opioids are rarely needed for chronic pain.  

Please, please, go to the site and add a comment supporting the use of opioids for chronic pain. Continue reading

Urgent: Comments Needed ASAP

The FDA is creating a training curriculum for doctors on opioid prescribing and they are following the addiction-recovery industry’s callous call for limits on opioids.

*** FDA Blueprint for Prescriber Education for Extended-Release and Long-Acting Opioids ***

The period for commenting ends, Monday, July 10, so you can write them until midnight Eastern Time.

Looking at the comments so far, I see many comments supporting the use of acupuncture instead of opioids. This is outrageous because acupuncture has no scientific basis and works only for some people in some situations.

I spent thousands on repeated treatments over many months and noticed absolutely no change anywhere in my body, even after adding suggested herbal teas, In retrospect, I feel like a fool.

Spending my limited funds (no insurance reimbursement) on such painful (needles hurt me) pain “treatments” and “herbals”  that included whole dried earthworms was a terrible waste of time, pain tolerance, and money.

Please, please, go to the site and add a comment supporting the use of opioids for pain.

It can be very short – just a sentence or two protesting these limits on opioids, but it will be counted as a “NO” on this proposal.

Will Limits on Opioid Rx Duration Prevent Addiction?

Will Strict Limits on Opioid Prescription Duration Prevent Addiction? Advocating for Evidence-Based Policymaking: Substance Abuse:  , MD, MPH,  , MD, MPH &  , MD, MSc –  Jun 2017

Quick answer: NO!

In 2016, the Centers for Disease Control and Prevention (CDC) issued the first national guideline in the United States regarding opioid prescribing for pain.

The guideline included the recommendation that patients treated for acute pain should receive opioids for no longer than 7 days, prompting at least five states to implement laws requiring prescribers not to exceed this threshold when providing initial opioid supplies.

The rapid conversion of this guideline into policy appears to reflect an underlying assumption that limiting initial opioid supplies will reduce opioid consumption, and thus addiction.   Continue reading

We need to kick our harmful addiction to punishment

We need to kick our harmful and ineffective addiction to punishment – KevinMD – Marc Krupanski |May 3, 2017

As New Jersey Governor Chris Christie takes the lead in crafting the Trump administration’s response to the opioid crisis, he and his colleagues need to understand that we can’t fix the problem until we kick our long-term addiction to the war on drugs and accept overdoses for what they are: a health issue.

Although the majority of Americans who consume illicit drugs do so without addiction, opioid overdose has become a deadly reality.

Expecting the criminal justice system to solve a health crisis does more harm than good.   Continue reading

What your doctor thinks when you talk about pain

INSIDER INFORMATION: Opiate Prescriptions – from – Richard_smoker, Mar 21, 2006

Interested in what your psychiatrist &/or pain control doc is thinking when you tell him you’re in pain?

Perhaps you will be shocked when you read what’s going through his mind. If you know what’s best for yourself (pun intended), then you will read the ‘suggestions’ herein very carefully.

Here it is. 2 back-to-back articles copied starting on pg. 1282, JOURNAL OF PALLIATIVE MEDICINE. Volume 8, Number 6, 2005.

Is It Pain or Addiction? – DAVID E. WEISSMAN, M.D.  Continue reading