Isn't that a fail for the clinical trials? The USA is both hindered and hurt by this. So many possibilities for cures and help yet so many unintended/under reported consequences.

Opioid addiction should have been revealed in clinicle trials.

The clinical trials most likely did not allow abuse of the drug and used it appropriately. We have doctors giving this schit out like candy. That was most likely not the way it was done in the trials. I directly blame the doctors for recklessly prescribing these drugs. It seems that they now are finally beginning to address this problem. Too late..but finally.

Opioid addiction is going down in states with legal marijuana, but Jeff Sessions is about to take that away.

(02-25-2017 09:50 PM)cb4029 Wrote:  Opioid addiction is going down in states with legal marijuana, but Jeff Sessions is about to take that away.

The only way to decrease opium addiction is with a war on it with wherever it is coming from. Don't know if we'll get there. It isn't like crack where it leads to violent crime. The 80s were hell in the inner cities. I agree with you on marijuana but some drugs should never be legal. I can't imagine a crack epidemic right now. That would spread like wildfire into the suburbs too.

(02-25-2017 08:29 PM)Fo Shizzle Wrote:  The clinical trials most likely did not allow abuse of the drug and used it appropriately. We have doctors giving this schit out like candy. That was most likely not the way it was done in the trials. I directly blame the doctors for recklessly prescribing these drugs. It seems that they now are finally beginning to address this problem. Too late..but finally.

Agree 100%. This is on the doctors. You here stories about pill mills and doctors with a reputation for handing out scripts for anything. That's flat out criminal.

On the less extreme side, I think a lot of Drs have just been ignorant about how damaging these drugs can be.

I was "lucky" enough to get shingles at the ripe old age of 25. I had just moved to my girlfriends home town, and went to her family physician. He gave me a RX for a high dosage of Ibuprofen and said to call back if that didn't help. It helped some, but was still feeling some pain, so I called back, figuring he might give me a few days worth of the good stuff. I go to the pharmacy and I have 60 Vicodin with 2 refills waiting for me. That's nuts! I probably used 15 for the actual pain and took the rest just for fun. I wasn't even taking them everyday, but even so I definitely felt ****** for a few days after I ran out. Its scary to think what happens to people who have taken that stuff for years and then try to quit.

Glad to see more awareness about this but a lot more needs to be done to fix this epidemic.

(02-25-2017 10:20 PM)HappyAppy Wrote:  

(02-25-2017 08:29 PM)Fo Shizzle Wrote:  The clinical trials most likely did not allow abuse of the drug and used it appropriately. We have doctors giving this schit out like candy. That was most likely not the way it was done in the trials. I directly blame the doctors for recklessly prescribing these drugs. It seems that they now are finally beginning to address this problem. Too late..but finally.

Agree 100%. This is on the doctors. You here stories about pill mills and doctors with a reputation for handing out scripts for anything. That's flat out criminal.

On the less extreme side, I think a lot of Drs have just been ignorant about how damaging these drugs can be.

I was "lucky" enough to get shingles at the ripe old age of 25. I had just moved to my girlfriends home town, and went to her family physician. He gave me a RX for a high dosage of Ibuprofen and said to call back if that didn't help. It helped some, but was still feeling some pain, so I called back, figuring he might give me a few days worth of the good stuff. I go to the pharmacy and I have 60 Vicodin with 2 refills waiting for me. That's nuts! I probably used 15 for the actual pain and took the rest just for fun. I wasn't even taking them everyday, but even so I definitely felt ****** for a few days after I ran out. Its scary to think what happens to people who have taken that stuff for years and then try to quit.

Glad to see more awareness about this but a lot more needs to be done to fix this epidemic.

Guy I used to work with got hooked because his stupid wife did not want to deal with him. He had back surgery, and was stuck in the bed for about a month. She would keep him drugged up so he would barely know what was going on. He asked her to slow down but she would give it to him one way or another. He had a hard time shaking the pills after that.

(02-25-2017 10:20 PM)HappyAppy Wrote:  

(02-25-2017 08:29 PM)Fo Shizzle Wrote:  The clinical trials most likely did not allow abuse of the drug and used it appropriately. We have doctors giving this schit out like candy. That was most likely not the way it was done in the trials. I directly blame the doctors for recklessly prescribing these drugs. It seems that they now are finally beginning to address this problem. Too late..but finally.

Agree 100%. This is on the doctors. You here stories about pill mills and doctors with a reputation for handing out scripts for anything. That's flat out criminal.

On the less extreme side, I think a lot of Drs have just been ignorant about how damaging these drugs can be.

I was "lucky" enough to get shingles at the ripe old age of 25. I had just moved to my girlfriends home town, and went to her family physician. He gave me a RX for a high dosage of Ibuprofen and said to call back if that didn't help. It helped some, but was still feeling some pain, so I called back, figuring he might give me a few days worth of the good stuff. I go to the pharmacy and I have 60 Vicodin with 2 refills waiting for me. That's nuts! I probably used 15 for the actual pain and took the rest just for fun. I wasn't even taking them everyday, but even so I definitely felt ****** for a few days after I ran out. Its scary to think what happens to people who have taken that stuff for years and then try to quit.

Glad to see more awareness about this but a lot more needs to be done to fix this epidemic.

The doctors can't prescribe an amount that will cause an addiction and can't track the patient's prescription history. You can't blame doctors in general for this.

(02-25-2017 10:32 PM)EverRespect Wrote:  

(02-25-2017 10:20 PM)HappyAppy Wrote:  

(02-25-2017 08:29 PM)Fo Shizzle Wrote:  The clinical trials most likely did not allow abuse of the drug and used it appropriately. We have doctors giving this schit out like candy. That was most likely not the way it was done in the trials. I directly blame the doctors for recklessly prescribing these drugs. It seems that they now are finally beginning to address this problem. Too late..but finally.

Agree 100%. This is on the doctors. You here stories about pill mills and doctors with a reputation for handing out scripts for anything. That's flat out criminal.

On the less extreme side, I think a lot of Drs have just been ignorant about how damaging these drugs can be.

I was "lucky" enough to get shingles at the ripe old age of 25. I had just moved to my girlfriends home town, and went to her family physician. He gave me a RX for a high dosage of Ibuprofen and said to call back if that didn't help. It helped some, but was still feeling some pain, so I called back, figuring he might give me a few days worth of the good stuff. I go to the pharmacy and I have 60 Vicodin with 2 refills waiting for me. That's nuts! I probably used 15 for the actual pain and took the rest just for fun. I wasn't even taking them everyday, but even so I definitely felt ****** for a few days after I ran out. Its scary to think what happens to people who have taken that stuff for years and then try to quit.

Glad to see more awareness about this but a lot more needs to be done to fix this epidemic.

The doctors can't prescribe an amount that will cause an addiction and can't track the patient's prescription history. You can't blame doctors in general for this.

http://www.al.com/news/mobile/index.ssf/...ty_in.html

(02-25-2017 10:45 PM)cb4029 Wrote:  

(02-25-2017 10:32 PM)EverRespect Wrote:  

(02-25-2017 10:20 PM)HappyAppy Wrote:  

(02-25-2017 08:29 PM)Fo Shizzle Wrote:  The clinical trials most likely did not allow abuse of the drug and used it appropriately. We have doctors giving this schit out like candy. That was most likely not the way it was done in the trials. I directly blame the doctors for recklessly prescribing these drugs. It seems that they now are finally beginning to address this problem. Too late..but finally.

Agree 100%. This is on the doctors. You here stories about pill mills and doctors with a reputation for handing out scripts for anything. That's flat out criminal.

On the less extreme side, I think a lot of Drs have just been ignorant about how damaging these drugs can be.

I was "lucky" enough to get shingles at the ripe old age of 25. I had just moved to my girlfriends home town, and went to her family physician. He gave me a RX for a high dosage of Ibuprofen and said to call back if that didn't help. It helped some, but was still feeling some pain, so I called back, figuring he might give me a few days worth of the good stuff. I go to the pharmacy and I have 60 Vicodin with 2 refills waiting for me. That's nuts! I probably used 15 for the actual pain and took the rest just for fun. I wasn't even taking them everyday, but even so I definitely felt ****** for a few days after I ran out. Its scary to think what happens to people who have taken that stuff for years and then try to quit.

Glad to see more awareness about this but a lot more needs to be done to fix this epidemic.

The doctors can't prescribe an amount that will cause an addiction and can't track the patient's prescription history. You can't blame doctors in general for this.

http://www.al.com/news/mobile/index.ssf/...ty_in.html

I'm not saying there aren't bad, crooked doctors out there. I just don't think you can blame doctors in general. Most addicts don't go to one doctor. I know someone that drove 5 hours to go to an Urgent Care.

(02-25-2017 10:32 PM)EverRespect Wrote:  

(02-25-2017 10:20 PM)HappyAppy Wrote:  

(02-25-2017 08:29 PM)Fo Shizzle Wrote:  The clinical trials most likely did not allow abuse of the drug and used it appropriately. We have doctors giving this schit out like candy. That was most likely not the way it was done in the trials. I directly blame the doctors for recklessly prescribing these drugs. It seems that they now are finally beginning to address this problem. Too late..but finally.

Agree 100%. This is on the doctors. You here stories about pill mills and doctors with a reputation for handing out scripts for anything. That's flat out criminal.

On the less extreme side, I think a lot of Drs have just been ignorant about how damaging these drugs can be.

I was "lucky" enough to get shingles at the ripe old age of 25. I had just moved to my girlfriends home town, and went to her family physician. He gave me a RX for a high dosage of Ibuprofen and said to call back if that didn't help. It helped some, but was still feeling some pain, so I called back, figuring he might give me a few days worth of the good stuff. I go to the pharmacy and I have 60 Vicodin with 2 refills waiting for me. That's nuts! I probably used 15 for the actual pain and took the rest just for fun. I wasn't even taking them everyday, but even so I definitely felt ****** for a few days after I ran out. Its scary to think what happens to people who have taken that stuff for years and then try to quit.

Glad to see more awareness about this but a lot more needs to be done to fix this epidemic.

The doctors can't prescribe an amount that will cause an addiction and can't track the patient's prescription history. You can't blame doctors in general for this.

Obviously there are other actors involved (the drug companies who make/ship the drugs, and the pharmacies that dispense them, and the people who work the system to get them), and they deserve a share of the blame. I think it starts with the doctors though.

I saw a news story about opioid abuse in West Virginia. Over a few years, many hundreds of millions of opioids were shipped there. It came out to something like 300 or 400 pills for every single person in the state. That's a travesty, and I think it's on the doctors writing those RXs more then anything.

The problem of opiod addiction is not as simple as blaming the doctors.

Absolutely there are 'pain management' docs who absolutely abuse people... but the people are there asking for it... often because they were injured in a wreck or on the job and some attorney convinces them this is their golden ticket.

and people want 'magic pills' to deal with their pains... they don't want to lose weight and exercise and eat better and do physical therapy.

EVERY DAY we see dozens of such people in my ED, and 'patient satisfaction' and 'pain management' are key reimbursement components of the aca. I've written several articles about the issue for the JAMA, and of course the politicians TRY and deflect from the issue... and MOST docs 'take their chances' rather than do harm to patients... but the concern is real

Pharmaceutical companies should be held to account.

They pump this poison into our communities knowing what will happen.

(02-25-2017 11:01 PM)HeartOfDixie Wrote:  Pharmaceutical companies should be held to account.

They pump this poison into our communities knowing what will happen.

After the FDA says it's OK.

(02-25-2017 10:20 PM)HappyAppy Wrote:  

(02-25-2017 08:29 PM)Fo Shizzle Wrote:  The clinical trials most likely did not allow abuse of the drug and used it appropriately. We have doctors giving this schit out like candy. That was most likely not the way it was done in the trials. I directly blame the doctors for recklessly prescribing these drugs. It seems that they now are finally beginning to address this problem. Too late..but finally.

Agree 100%. This is on the doctors. You here stories about pill mills and doctors with a reputation for handing out scripts for anything. That's flat out criminal.

On the less extreme side, I think a lot of Drs have just been ignorant about how damaging these drugs can be.

I was "lucky" enough to get shingles at the ripe old age of 25. I had just moved to my girlfriends home town, and went to her family physician. He gave me a RX for a high dosage of Ibuprofen and said to call back if that didn't help. It helped some, but was still feeling some pain, so I called back, figuring he might give me a few days worth of the good stuff. I go to the pharmacy and I have 60 Vicodin with 2 refills waiting for me. That's nuts! I probably used 15 for the actual pain and took the rest just for fun. I wasn't even taking them everyday, but even so I definitely felt ****** for a few days after I ran out. Its scary to think what happens to people who have taken that stuff for years and then try to quit.

Glad to see more awareness about this but a lot more needs to be done to fix this epidemic.

that's exactly how I felt after surgery on a broken wrist. i was popping them like candy after a couple of days because they didn't seem to be as effective. when I ran out I felt horrible for about a week.

Heroine is cheaper than a prescription5

Any amount of pain meds can lead to an addiction. Many people get hooked when they truly have an issue, then they milk that issue for more meds. My docs are careful about who and how much the write scripts for. Kidney stones hurt. We don't write meds unless you have a proven stone. When we do write a script it is only for 1 week's worth. If you are taking that much dope to co tell your pain then you just need surgery to fix the problem.

I dislike the hell out of what they do to me - namely stop me up. It's why I won't take any unless I'm really, really in pain. Had hernia surgery and had a couple day of the surgery, beginning day 2, suck it up and don't take any. I watched my dad become a junkie on them........not for me.

(02-25-2017 09:50 PM)cb4029 Wrote:  Opioid addiction is going down in states with legal marijuana, but Jeff Sessions is about to take that away.

utter nonsense.

The two are not even connected.

Damn.

A big problem is that people for some reason expect never to hurt. I can't tell you how many times I've told patients that pain meds aren't there to completely get rid of pain, but instead they're to help make the pain bearable. Recovering from surgery hurts and isn't fun, but pain is a natural warning mechanism and if you shut that mechanism down you might be masking symptoms of a growing problem.