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

Effectiveness Of Ozone Injections Is No Longer Up In The Air

Most of us know someone who has osteoarthritis, if we don't have it ourselves.  Joint replacement surgery is a pretty common remedy when the joint becomes severely damaged and the patient is in a lot of pain.  With risk of complications from such a surgery, perhaps an alternative treatment should be tried first. One such remedy is the injection of a synthetic version of collagen(e.g. Synvisc®) into the affected joint.  This procedure restores the cushioning to a joint that has degenerated over the years. It can diminish the pain substantially and help put off joint replacement surgery for months to years.  The biggest drawback is that these products are expensive.   GoodRX , a web site that can be used to estimate the cost of medications, estimates the cost of these products to be over $1,000 each. Here's another example--and I am not sure how widely accepted this protocol has become since study authors introduced it in November 2015.  Are you r...

Fibromyalgia Week: Day 2

Tender points...click caption for WebMD animation Tender points are a unique feature of fibromaylgia.  There are 18 such points on the human body (9 pairs as shown).  Using special technique by hand or a dolorimeter, a fibromyalgia patient will experience pain in at least 11 points, and there will be at least one painful tender point in each quadrant of the body! One study found that up to 96% of fibromyalgia patients suffer from sleep disorders. It is believed that this is responsible for a deprivation of delta sleep, during which human growth hormone is produced. This hormone is essential to tissue repair. Other common problems in fibromyalgia are fatigue, concentration/memory ("fibro fog"), and depression.  There is no doubt in my mind that just enabling the patient to sleep well on a regular basis would be of great benefit! It is not uncommon for fibromyalgia patients to have coexisting conditions--some of these are lupus, disease, irritable bowel syndrom...