World’s most popular painkiller poses risk with long-term use: study | CTV News – Mar 2015
I find it baffling that despite knowing for years how damaging this drug can be, I read about it being recommended for just about any pain, anywhere, any time.
Doctors may be under-estimating the risks to patients from long-term use of paracetamol, also known as acetaminophen, the world’s most popular painkiller, researchers said Tuesday.
Chronic users of the drug — people who typically take large, daily doses over several years — may increase their risk of death, or kidney, intestinal and heart problems, they found.
So why is it still being pushed on patients at every turn? Continue reading
In Defense of the Concept of Addiction – by Stanton Peele – Jan 2020
The term—and concept of—“addiction” is regularly frowned upon or even attacked by people in our field. But it won’t disappear, nor should it. There are four groups or schools of thought that de-emphasize or disparage “addiction.” And their reasons for doing so all have value.
Psychiatry in the latest DSM-5 claims it didn’t want to stigmatize people with the term “addiction”, so it completely muddled the difference between doing something regulated and appropriate on a regular basis (taking prescription opioids) versus binging on street drugs (heroin, amphetamines, cocaine), becoming addicted, and ending up overdosing. Continue reading
Are Prescription Opioids Driving the Opioid Crisis? Assumptions vs Facts | Pain Medicine | Oxford Academic – Mark Edmund Rose, BS, MA – Dec 2017
Sharp increases in opioid prescriptions, and associated increases in overdose deaths in the 2000s, evoked widespread calls to change perceptions of opioid analgesics. Medical literature discussions of opioid analgesics began emphasizing patient and public health hazards.
Repetitive exposure to this [mis-]information may influence physician assumptions.
This is a huge problem for us, and a sad commentary on the state of medicine in the U.S. when doctors are influenced more by media-hype and biased research than their patients’ lived experiences. Continue reading
10: Addiction vs dependence | National Institute on Drug Abuse (NIDA) – Nov 2019
We have an entire government institute that is dedicated to handling drug abuse issues. NIDA is not connected to the DEA in any manner and has much experience and knowledge about addiction, but their expertise is being ignored.
Here, the true experts on addiction give a lengthy explanation of how the brain region leading to addiction is entirely separate from the region that controls dependence and tolerance.
This is a slide show with diagrams to illustrate the points they make. Click on the link of each section to see the slides.
…different parts of the brain are responsible for the addiction and dependence to heroin and opioids.
Only 1 Percent of People Become Chronic Opioid Users After Hospital Prescriptions for Injuries, Study Shows – By Blake Dodge – Nov 2019
This destroys the myth of “heroin pills” that “cause” addiction after “just a few pills”. And this tiny fraction of patients could very well be the ones that suffered long term damage from the injuries that sent them to the ER in the first place.
People who are prescribed pain medication after they visit the emergency room for car crashes, falls and other types of acute injuries largely do not become addicted to opioids, a new study showed.
The results go against the widely held understanding…
It’s more like malicious ignorance due to a complete lack of understanding and, in some cases, a blatant refusal to understand. Continue reading
The Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain. – PubMed – NCBI – Sep 2014
I originally found this in a government-sponsored Research Review, from the Effective Health Care Program (Helping You Make Better Treatment Choices) under the Agency for Healthcare Research and Quality (AHRQ).
But now in 2019, I can’t find it there anymore. I can only find the abstract of what used to be a 219-page report, which had reached the same non-conclusion as all other studies of the last couple of decades: “more research is needed”, used when the study doesn’t find the results they wanted.
I think this increasingly common “conclusion” to studies of opioids is a pathetic evasion of the full truth. Continue reading
Is There Really a Difference Between Drug Addiction and Drug Dependence? – Scientific American Blog Network – By Jonathan N. Stea – Nov 2019
In my experience as a clinical psychologist and, dare I facetiously say, a Twitter addict, the most important and commonly confused distinction is between “addiction” and “dependence.”
And it is no wonder.
This deadly (to pain patients) confusion is due to the psychiatric “bible” which either unintentionally or intentionally erased the difference between the two.
The latest version, the DSM-5, now hides “addiction” as a category of “dependence”, even though these are two very distinct issues. Continue reading
Post-op Pain Unaffected by IV Acetaminophen After Minimally Invasive Spine Surgery – Pain Medicine News —Chase Doyle – Nov 2019
A study of perioperative IV acetaminophen in patients undergoing minimally invasive spine surgery has found no effect on postoperative pain.
However, that finding does not rule out its use for other surgeries, particularly more painful spine surgeries.
If it didn’t work for mild pain, how can they claim it would be useful for more severe pain? If opioids were studied and evaluated like this, they would be found effective for all kinds of pain. Continue reading
The Press: Incorrect Medical Information, Dire Consequences! | American Council on Science and Health –By Wolfgang Vogel — Oct 2019
Reporters and editors have the duty to inform the public about current events. In fulfilling this duty, every journalist must follow the journalistic code of ethics; reports must be based on proven facts or when personal opinions are used they must be clearly be labeled as such.
Sometimes we don’t even realize the difference between something we have knowledge of and something we only believe. More than once in my life, things I thought I “knew” turned out to be more assumptions or opinions rather than facts. Continue reading