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Old 03-15-2018, 08:36 PM
 
Location: Santa Monica, CA
15,895 posts, read 4,991,415 times
Reputation: 10855

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I thought this interesting history. I was raised with Anacin, Bayer, Excedrin and didn't experience an opioid until 2010, Darvocet, and then it was removed also. This was pre and post hip replacement. Makes me wonder what I took after hysterectomy in the 80's....don't have recollection and there had to be post surgery pain.

https://www.cnn.com/2016/05/12/healt...ory/index.html
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Old 03-15-2018, 09:43 PM
 
6,991 posts, read 5,024,237 times
Reputation: 12876
Opioids have their place.

Overprescribing doesn't

I can't begin to tell you how many Rxs for narcs prescribed for addicts I refused to fill in my store.

Thank God Ohio has OARRS

The Ohio Automated Rx Reporting System (OARRS) is a tool to track the dispensing and personal furnishing of controlled prescription drugs to patients. OARRS is designed to monitor this information for suspected abuse or diversion (i.e., channeling drugs into illegal use), and can give a prescriber or pharmacist critical information regarding a patient’s controlled substance



Mr CCCC I cant fill this because you just had another one filled at CVS, and Walgreens, and WallyWorld.

"Oh no I didn't

Then why is your name, birthday and address on all of these lines for yesterday in this State Board report.
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Old 03-15-2018, 09:54 PM
 
Location: on the wind
2,867 posts, read 1,023,367 times
Reputation: 10111
Quote:
Originally Posted by mike1003 View Post
Opioids have their place.

Overprescribing doesn't
Pretty simple isn't it? I'm not trying to say the current problem is simple, but that any drug can be abused and the fault doesn't lie completely on either side.
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Old 03-15-2018, 10:00 PM
 
6,991 posts, read 5,024,237 times
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Quote:
Originally Posted by AllisonHB View Post
Pretty simple isn't it? I'm not trying to say the current problem is simple, but that any drug can be abused and the fault doesn't lie completely on either side.
Very true, but it is true
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Old 03-16-2018, 05:29 AM
 
2,285 posts, read 1,139,145 times
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I think the big issue is that some chronic pain patients who are only helped my opioids are suffering big time. I know someone with ehler-Danlos for example who is being forcefully weaned down on her meds despite having over 20 surgeries in 5 years because her doctor is getting pressure. She can barely function with them let alone without. I think we have to be very careful about the slippery slope but understand they have their place.
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Old 03-16-2018, 08:35 AM
 
Location: Middle of the ocean
25,611 posts, read 16,479,156 times
Reputation: 37037
Quote:
Originally Posted by annabanana123 View Post
I think the big issue is that some chronic pain patients who are only helped my opioids are suffering big time. I know someone with ehler-Danlos for example who is being forcefully weaned down on her meds despite having over 20 surgeries in 5 years because her doctor is getting pressure. She can barely function with them let alone without. I think we have to be very careful about the slippery slope but understand they have their place.
My doctor is also getting pressure from the insurance companies, which is unfortunate. I was at a perfect balance of medications, then they cut one out.
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Old 03-16-2018, 10:49 AM
 
6,991 posts, read 5,024,237 times
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Quote:
Originally Posted by annabanana123 View Post
I think the big issue is that some chronic pain patients who are only helped my opioids are suffering big time. I know someone with ehler-Danlos for example who is being forcefully weaned down on her meds despite having over 20 surgeries in 5 years because her doctor is getting pressure. She can barely function with them let alone without. I think we have to be very careful about the slippery slope but understand they have their place.
It's this pver reaction from Docs on patients like this that are driving patients to street drugs.

It's a balance act
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Old 03-16-2018, 12:57 PM
 
Location: Raleigh
6,308 posts, read 4,702,865 times
Reputation: 8394
Quote:
Originally Posted by jaminhealth View Post
I thought this interesting history. I was raised with Anacin, Bayer, Excedrin and didn't experience an opioid until 2010, Darvocet, and then it was removed also. This was pre and post hip replacement. Makes me wonder what I took after hysterectomy in the 80's....don't have recollection and there had to be post surgery pain.

https://www.cnn.com/2016/05/12/healt...ory/index.html
These drugs aren't new. Oxycodone, Hydrocodone, Hydromorphone, etc...Have all been around for a long, long time, 90+ years.

Pain, and Chronic pain, are huge problems for those who suffer from it. Pursuing and developing treatments for pain is a reasonable goal. Despite what some will have you believe, bulged discs and pinched nerves aren't going to get better with essential oils and valerian root and Flax Seed oil.

OxyContin was notable because it was an extended release formulation; one didn't have to take pills every four hours for their pain and the release was slower.

Now, there certainly was gross irresponsibility on behalf of some of the drug companies.

But, the idea that a slower, controlled release of the drug was a good thing isn't at all far fetched. And, that the pills could be ground and insuflated or injected so easily was another problem, one that I don't think entirely falls on the Pharma companies.

Dr's have known about the dangers of opiates almost as long as they've been using opiates. Laudanum was abused in the old west. Morphine has been strictly regulated as long as they've been strictly regulating drugs in the country.

Addicts have been around forever, too, and not just junkies on the street. My mom remembers people trying to get demerol prescriptions all the time, long before the opiate epidemic.
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Old 03-16-2018, 12:58 PM
 
Location: Raleigh
6,308 posts, read 4,702,865 times
Reputation: 8394
Quote:
Originally Posted by mike1003 View Post
It's this pver reaction from Docs on patients like this that are driving patients to street drugs.

It's a balance act
And, patients that develop a tolerance. Doc says, nope, I'm only giving you 60 pills a month...And then they're gone in three weeks, and someone has withdrawal, and pain staring at them. Not pretty.
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Old 03-16-2018, 01:36 PM
 
Location: Santa Monica, CA
15,895 posts, read 4,991,415 times
Reputation: 10855
JONOV: Well yes they've been around, I didn't know the history of all the drugs. And this was never a discussion in my family growing up. My family had pain issues and they went to their medicine cabinets.

When I went thru the knee infection and could NOT walk and pain was out of sight, I was given oxycodone before I went into PT room, but it got to the point FOR ME, that ibuprofen was just as good if not better than the oxy for my issues...I had them Stop the oxy and go with ibuprofen every 6 hrs. Plus the side effects with oxy...good grief.

I drag my feet on knee replacement surgery for many issues and one is all the pain and the drugs going back into my body and dealing with all the side effects again.
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