I read this article today, and on paper it makes sense and is needed. I also notice some other provisions that are positive es, like the expansion of telemedicine.
My fear is, the many people that aren't prone to addiction will be denied pain relief. It seems that the government goes from one extreme to another. 20 years ago they were pushing us to relieve pain, and chastising healthcare workers from even using the word addiction. Now they are seeing addiction under every rock.
I guess we'll have to wait and see, but I am cynical.
It does drive me a bit batty when news people forewarn the public over and over about the heroine and fentanl concoction killing many but show clips of pills...lest I knew, neither came in a pill form but hey I don't spend my days researching everything about heroine and fentanyl. I do think however that the news people should do a few minutes of research on these drugs before they spout out a bunch of doomsday "education"..
Well, a) Fentanyl does comes in tablets (FENTANYL TABLET - BUCCAL (Fentora) side effects, medical uses, and drug interactions.), but b) I believe the more significant point is that a lot of the deaths related to opioid overdoses have been because drug dealers are making counterfeit versions of OxyContin, oxycodone, Percocet, etc. out of cheap fentanyl imported from China. You think you're buying the actual, legitimately produced, name-brand tablet (and you think you know the dosage you're getting), but you're really getting an illicitly produced tablet that contains fentanyl or carfentanil and who-knows-what-else, made to look like the real thing. (But is anyone really that surprised? Since when could anyone trust drug dealers??)
Specializes in Medical-Surgical/Float Pool/Stepdown.
I don't believe they are actually showing the sublingual or buccal route pills (which I truly wasn't aware of) but instead pictures of hydrocodone, etc with no mention of drug lords...just pill mills and "under-educated" doctors prescribing them all.
I don't believe they are actually showing the sublingual or buccal route pills (which I truly wasn't aware of) but instead pictures of hydrocodone, etc with no mention of drug lords...just pill mills and "under-educated" doctors prescribing them all.
Well, I'm confused about what you're objecting to, then. Either the articles are about illegal drugs and "drug lords," much of which concerns illegally manufactured counterfeit pills, in which case, photos of pills are appropriate illustrations for the stories, or the articles are about "pill mills" and physicians over-prescribing legitimate opioids inappropriately, in which case, photos of pills are appropriate illustrations for the stories. What am I missing? That articles that talk about heroin are including pictures of pills?
Specializes in Psych, Peds, Education, Infection Control.
AJJKRN said:
IMHO, it already has.
My even bigger frustration though happens to be about the lack of mental health funding and resources, because let's face it, we really will continue to spin our wheels on this until we do.
^^^ This. If we don't fund mental health care, those with addiction issues won't get the help they need, and people who start out self-medicating with alcohol/drugs will continue to become addicted in many cases. I do also worry about those with legitimate pain issues getting the coverage they need, but I think the bigger issue is to stop stigmatizing mental health and criminalizing addiction.
Specializes in Medical-Surgical/Float Pool/Stepdown.
elkpark said:
Well, I'm confused about what you're objecting to, then. Either the articles are about illegal drugs and "drug lords," much of which concerns illegally manufactured counterfeit pills, in which case, photos of pills are appropriate illustrations for the stories, or the articles are about "pill mills" and physicians over-prescribing legitimate opioids inappropriately, in which case, photos of pills are appropriate illustrations for the stories. What am I missing? That articles that talk about heroin are including pictures of pills?
Are you considering articles to be the "breaking news" we are seeing daily on CBS, NBC, etc? I'm not talking about journals, I'm talking about the boob tube.
Does anyone honestly think Trump will proceed with any action that hurts big business? I think he is just putting this out there so the pharmaceutical lobbyists will fork over another few million.
Yep tell me about it .I have a partially displaced comminuted distal radius fracture after a fall.Was xrayed at urgent care given 3 days of tramadol 50mg .Did not help the pain in wrist.Saw ortho next day casted and given 3 days of oxycodone 5mg .Still in pain 10 days later cannot take motrin.Told to take tylenol.It trobs so bad at night it keeps me awake.
Are you considering articles to be the "breaking news" we are seeing daily on CBS, NBC, etc? I'm not talking about journals, I'm talking about the boob tube.
(Yes, I assumed you were talking about "news," not professional journals.)
Opioids are one of the worst drugs to treat chronic pain. Long term use of opioids leads to hyperalgesia and allodynia. We can do better by using multimodal pain medication regimens and saving opioids for true acute breakthrough pain relief. This has nothing to do with politics.
Opioids are one of the worst drugs to treat chronic pain. Long term use of opioids leads to hyperalgesia and allodynia. We can do better by using multimodal pain medication regimens and saving opioids for true acute breakthrough pain relief. This has nothing to do with politics.
Opioids are one of the worst drugs to treat chronic pain. Long term use of opioids leads to hyperalgesia and allodynia. We can do better by using multimodal pain medication regimens and saving opioids for true acute breakthrough pain relief. This has nothing to do with politics.
I respectfully disagree. They work well for my chronic pain. But it's not my only form of treatment. Movement helps my chronic pain. But it sucks when it hurts too bad to move in the morning.
elkpark
14,633 Posts
Well, a) Fentanyl does comes in tablets (FENTANYL TABLET - BUCCAL (Fentora) side effects, medical uses, and drug interactions.), but b) I believe the more significant point is that a lot of the deaths related to opioid overdoses have been because drug dealers are making counterfeit versions of OxyContin, oxycodone, Percocet, etc. out of cheap fentanyl imported from China. You think you're buying the actual, legitimately produced, name-brand tablet (and you think you know the dosage you're getting), but you're really getting an illicitly produced tablet that contains fentanyl or carfentanil and who-knows-what-else, made to look like the real thing. (But is anyone really that surprised? Since when could anyone trust drug dealers??)
Counterfeit Pills Laced with Fentanyl are Ravaging Communities Across North America – Partnership for Safe Medicines
Deadly Fentanyl Disguised As Prescription Pills - Hartford Courant
Hence, the photos of pills. The reports really are about pills.