Skip to main content

Opioid Epidemic Week Part One: How Did We Get Here?

Even if you don't pay particular attention to the news, stories about the opioid crisis are everywhere. You just can't miss it.

Opium has been in use for centuries. According to Wikipedia, opium was in use during the Neolithic Age- (10,200 BC to around 4,500 BC). So, the question is...how did this crisis emerge?






Fast forward to the modern century...about fifteen years ago, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) reported that pain was vastly under treated here in the United States. Pain was deemed the "Fifth Vital Sign" and JCAHO stressed that pain assessments be a part of every patient/physician visit.  It was suggested that opioids could safely and effectively be used liberally, without fear of addiction.

In the meantime, Purdue Pharmaceuticals launched Oxycontin®, an opioid product that offers continuous pain relief over 12 to 24 hours. As such, this product contained higher amounts of opioid than other immediate relief painkillers that were on the market at the time.

Very shortly after its introduction, drug users realized how easy it was to tamper with the time-release feature in Oxycontin® tablets.  It was very easy for them to access large, additive-free doses of this very potent drug, and inject or snort it...a bastion for chronic or recreational users.

This went on for many years...from the introduction of OxyContin® to the marketplace in 1996 until the present. Purdue continued to insist that the product had low abuse potential...but how well we know now that this is not the case!

Since it is a legal prescription product, it's not surprising that folks like to believe that is is perfectly safe to use.  Unlike heroin and street drugs, there does not seem to be a stigma attached to using it. The real truth is... using painkillers like OxyContin® can lead a person to a heroin addiction. Heroin is less expensive and very easy to obtain.  If a patient who used OxyContin® can no longer obtain it for one reason or another (loss of insurance coverage, provider will no longer prescribe, etc.) they may still be addicted to opioids but they have no access to them....Heroin becomes the answer to the problem. For recreational users who snort or inject OxyContin®...the addiction potential is greatly increased.

These problems have brought rise to the current situation...tighter regulations of OxyContin® and other opioids by various State, Local, and Federal authorities...and rising rates of heroin addiction.

Sources: medicalexpress.com; wikipedia;wikimedia




Comments

Popular posts from this blog

Living with Chronic pain hits the big screen!

Been to the movies lately?  Jennifer Aniston is on the big screen in a recent release titled "Cake." Her character, Claire is a victim of chronic pain...she belongs to a support group, where all of the members are coming to terms with the suicide of one of their members.  Of course, she also takes pain medication and addiction is another of her problems...and of course there's more! I guess I am writing this post just to bring readers' attention to the fact that Hollywood has become aware of the crisis that is chronic pain.  This movie is a testament to that. People that don't have to live with this kind of pain don't fully understand the whole story.  Maybe this movie will shed some light on the issues. Here is the official trailer for the movie: Sources: prweb;NorthJersey.com;YouTube

The Multimodal Approach to Pain Management

OK..so if you've been following this blog you will notice that there are a good number of ideas to help manage chronic pain.  You might ask yourself, "Which one of these ideas is best for me ?" I would suggest that you might try any number of these things, depending on your level of ability/disability, health care team recommendations, and your personal interests.  There are a number of reasons for doing this: 1) The patient is in control..with few exceptions, it is your decision what to try/not try and how many different things you want to experiment with at any time. 2) Non drug pain management ideas do not have any of the drug interactions or side effects that medications have.  You may have to set limits or modify activity according to personal circumstances, but usually it does not hurt to try any of them. 3)You usually do not need a prescription for most of the ideas I have described.  There are a few exceptions, such as physical therapy.  There ...

Beware Of The Tick!

It's tick season, everyone! And while we all know about Lyme Disease and its lingering effects, a new problem has entered the scene. According to the CDC, the Powassan virus is another tick-borne disease that has recently been recognized. The CDC says symptoms become apparent anywhere from one week to one month after infection. Symptoms include vomiting, weakness, confusion, loss of coordination, problems with speech and seizures. Approximately half of those infected by this virus have permanent neurological symptoms, which can include muscle wasting, problems with memory, and recurrent headaches. Many people who have been infected with Powassan virus required hospitalization and sometimes even respiratory support (i.e., a respirator). Treatment is focused on supportive measures. In the meantime, preventive measures are the best way to avoid Lyme disease, Powassan virus , or any other tick-borne virus.  You can read more about preventive measures by clicking here . Sour...