The Opioid Crackdown: Have We Gone Too Far? Part II – November 15, 2017 – by Anne Fletcher
Common misconceptions and misinformation have fueled near hysteria about the so-called opioid “epidemic,” fed what’s been called a “civil war” within the medical profession, and downplayed concerns about other major drug problems.
Furthermore, misinterpretation of the widely followed 2016 “CDC Guideline for Prescribing Opioids for Chronic Pain” – with its 12 “recommendations” for “determining when to initiate or continue opioids for chronic pain” – has left some chronic pain patients feeling defenseless against their agony. Continue reading
From Twitter Dystopian Novelist @dystopiannovel:
2016 deaths per day & cause:
- 16,850 heart disease
- 16,500 cancer
- 1,315 tobacco*
- 1,205 preventable hospital errors
- 684 medical error
- 175 OD (all drugs)
- 121 suicide
- 109 car accident
- 101 alcohol*
- 98 gun
- 59 Fentanyl*
- 41 heroin*
- ~40 CPP* suicide
- 39 Rx opioid*
- <10 legal Rx opioid only OD
Unintended consequences of universal mindfulness training for schoolchildren – Coyne of the Realm – by James C Coyne November 16, 2016
The UK is following the U.S. lead in forcing their doctors to prescribe fewer opioids and send everyone to mindfulness training instead. Both governments have anointed “mindfulness” and/or “meditation” as the cure-all for both physical and mental problems.
It is becoming clear that increasing numbers of people are descending into addiction as a response to the chronic debt, unemployment, and pain brought on by the ruthless winner-take-all culture in both countries,
Instead of tackling the difficult task of easing regressive economic policies, putting in place a better social safety net, and repairing the broken medical system, various forms of “mindfulness” and/or “meditation” are currently being promoted for all unhappy citizens (not just those in pain). Continue reading
America’s Current Guidelines For Fixing The Opioid Crisis Will Increase Suffering And Death, Not Relieve It – by Kat Suricata – Oct 2017
Yesterday afternoon, President Trump declared America’s opioid crisis a public health emergency, and for good reason: the American Society of Addiction Medicine estimates that there’s nearly 2.6 million Americans with an opioid addiction, and the communities affected include some of our poorest and most vulnerable
The only problem:
- current guidelines by the FDA and CDC are ineffective,
- based on a factually‐faulty premise unsupported by evidence, and
- will almost certainly increase suffering and death without significantly improving the numbers for opioid addiction. Continue reading
Opioid Crisis: Efforts to Curtail Prescribing Are Backfiring | National Review | by Jeffrey A. Singer – October 25, 2017
This is noteworthy because it is published in a conservative magazine, which usually does little questioning of hard-line “law & order” policies.
For years now, federal and state authorities have focused on the supply side of the problem, targeting prescription-drug producers and providers.
But new information suggests that this approach is driving opioid abusers away from illegally obtained prescription opioids and towards heroin, fentanyl, and mixtures of the two.
And this is increasing the death rate from drug abuse. Continue reading
Misdiagnosing the Opioid Crisis | Cato Institute | By Jeffrey A. Singer | September 27, 2017
Here’s a doctor who truly understands that hounding doctors about opioid prescriptions is not only futile but harmful.
He outlines how outdated beliefs are driving our doomed and dangerous response to the “opioid overdose crisis”, pursuing policies that have been proven ineffective and even damaging.
Policymakers in Washington and in state capitals are misdiagnosing the opioid crisis as a doctor-patient problem.
Their policies are coming between doctors and patients. Continue reading
What Is Opioid Use Disorder in the New DSM-5? – By Elizabeth Hartney, PhD – October 27, 2017
Opioid Use Disorder is a diagnosis introduced in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-5.
It combines two disorders from the previous edition of the Diagnostic and Statistical Manual, the DSM-IV-TR, known as Opioid Dependence and Opioid Abuse, and incorporates a wide range of illicit and prescribed drugs of the opioid class.
Although the generic term, Opioid Use Disorder, is given in the DSM-5, the guidelines indicate that the actual opioid drug being used by the individual is specified in the diagnosis. Continue reading
DSM 5 Criteria for Substance Use Disorders – By Elizabeth Hartney, PhD – Updated October 22, 2017
The DSM-V recognizes substance-related disorders resulting from the use of 10 separate classes of drugs:
- caffeine; [even large amounts are beneficial -zc]
- hallucinogens (phencyclidine or similarly acting arylcyclohexylamines, and other hallucinogens, such as LSD);
- opioids; [makes syringe of heroin = tablet of codeine/APAP -zc]
- sedatives, hypnotics, or anxiolytics;
- stimulants (including amphetamine-type substances, cocaine, and other stimulants);
- tobacco; and [no mention of nicotine? -zc]
- other or unknown substances. [“Substance” seems a deliberately vague word. -zc] Continue reading
Pain management, prescription opioid mortality, and the CDC: is the devil in the data? – Michael E Schatman, Stephen J Ziegler – Oct 2017
This article picks apart the data selected by the CDC to create the opioid prescribing guidelines.
These are excerpts from the full article:
Transparency, freedom from bias, and accountability are, in principle, hallmarks of taxpayer-funded institutions. Unfortunately, it seems that at least one institution, the Centers for Disease Control and Prevention (CDC), continues to struggle with all three. Continue reading
What is Opioid Use Disorder? — Pain News Network – By Rochelle Odell – October 18, 2017
Substance use disorders “related” to pain relievers? Heroin use disorder? That got me wondering how many drug “disorders” there are.
According to the Substance Abuse and Mental Health Services Administration (SAMSHA), there are six major substance use disorders.
Nearly 93,000,000 Americans have a substance use disorder of some kind: Continue reading