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UglyGreed

(7,661 posts)
Wed Oct 8, 2014, 10:02 AM Oct 2014

The Innocent Victims of America's Painkiller Panic

However, the opioid issue looks very different when you examine the numbers closely. For one, the rates of Americans addicted to OxyContin, Vicodin, percocet, fentanyl and other products in our synthetic narcotic medicine cabinet are not rising. In fact, they have been steady at 0.8% since 2002, according to the government's own statistics.

Moreover, fewer than 1% of people over 30 (without a prior history of serious drug problems) become an addict while taking opioids; for chronic pain patients who are not screened for a history of previous drug problems, the addiction rate is 3.27%. That means, of course, that more than 96% do not become addicted.

Yet these statistics usually go unmentioned in media accounts because they do not confirm the preferred panic narrative. Also left out is the fact that around 80% of Oxy addicts (a) did not obtain the drug via legitimate prescription for pain and/or (b) had a prior experience of rehab. Their contact with the medical system—if any—was not what caused their addictions.

So, the first thing the public really needs to know about what doctors call “iatrogenic addiction” is that it is extremely rare. If you’ve made it out of your 20s without becoming an addict, the chances that you will get hooked on pain treatment are miniscule—and even young people are not at high risk in most medical settings.

Nonetheless, the media continue to love them some “innocent victims”—and the real story of not-so-blameless drug users who move from heavy drinking, cocaine use and marijuana smoking to prescription drug abuse is just not as compelling. This, sadly, only contributes to the delusion that anyone who is treated for chronic pain with opioids is at risk for drowning in the—gasp!—ubiquitous riptide of addiction.


http://www.thefix.com/content/fake-prescription-painkiller-epidemic9028?page=all

8 replies = new reply since forum marked as read
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The Innocent Victims of America's Painkiller Panic (Original Post) UglyGreed Oct 2014 OP
You might be surprised. JNelson6563 Oct 2014 #1
I just read the entire article which I found quite good. cali Oct 2014 #2
Well you might be more UglyGreed Oct 2014 #3
That was impressive. JNelson6563 Oct 2014 #5
See post #6 madokie Oct 2014 #7
What percentage of chronic nonmalignant pain patients UglyGreed Oct 2014 #4
Well hell madokie Oct 2014 #6
I Thank you and Cali for the UglyGreed Oct 2014 #8

JNelson6563

(28,151 posts)
1. You might be surprised.
Wed Oct 8, 2014, 10:32 AM
Oct 2014

If you know even one addict you could meet at least several others through them. I know one and have met so many others through him and his acquaintances it is rather shocking. They all get there different ways, most I met started out with legitimate prescriptions.

The addict in my life is a chef and has worked around the country. Somehow contacts were always found to establish local supply so I don't think my neighborhood is unique in this way. From northern MI to Montana and all points in between, sources were found. We're not talking vicodin here but oxy and morphine pills crushed and snorted. Guess how sick they are when they run out at that level of addiction. So bad death seems preferable, even to just a witness!

This article really makes light of the situation. I find that discouraging. I don't have tv, I only know what I've seen over the years, throughout my travels. Pretty bad stuff. And don't even get me started on what the poor children of the hard core addicts go through!

But yeah, it's just all bullshit that is made up on tv.

*sigh*

Ok, I get that the drug war is for-profit bullshit. Addiction needs treatment, not prison. Pot should be legal, period.

None of these things changes the fact that we have a problem with addiction. It's real and it is dangerous as well as expensive to society as a whole. The article in the OP only gives people assurance that they can dismiss the matter out of hand, nothing to be concerned about. That's counter-productive.

Julie

 

cali

(114,904 posts)
2. I just read the entire article which I found quite good.
Wed Oct 8, 2014, 10:45 AM
Oct 2014

It relies on statistics and makes good points. I feel fortunate that my doctors don't have a problem with prescribing oxycodone, but if I didn't have CRPS which has the dubious distinction of being recognized as the most painful condition you can have, I wonder if I'd have a harder time getting help. And although I've been taking oxycodone for 3 years, I don't have a problem with addiction. I have never upped my dosage and I take it only when my pain spirals and I need to shut it down.

UglyGreed

(7,661 posts)
3. Well you might be more
Wed Oct 8, 2014, 10:52 AM
Oct 2014

surprised how many more people do not abuse their medication. Of course you will not hear of those people because they just go on with their lives. Of course any article which points that out is BS and should be ignored. I get it thanks for the reply.

JNelson6563

(28,151 posts)
5. That was impressive.
Wed Oct 8, 2014, 11:41 AM
Oct 2014

You completely dismissed everything I wrote AND then assumed to know my views, my breadth of knowledge of the matter & threw in a healthy scoop of rather unimaginative, rather sophmoric snark.

While crude, I don't think many can fit that much into so few words.

Julie

madokie

(51,076 posts)
7. See post #6
Wed Oct 8, 2014, 12:03 PM
Oct 2014

I tell my story and you are right. My own family, guys who I grew up with had no idea that I was taking pain meds and had been, when I told them, for years. My doctor was worried because of my past and thats why we've tried all these other meds that I can't take for one reason or the other with all of them because of how they make me feel. I'll live with the pain before I take something that is going to raise my anxiety level or leave me in a fog. If I can't enjoy life why live it?

UglyGreed

(7,661 posts)
4. What percentage of chronic nonmalignant pain patients
Wed Oct 8, 2014, 11:22 AM
Oct 2014

exposed to chronic opioid analgesic therapy develop abuse/addiction and/or aberrant drug-related behaviors? A structured evidence-based review.

Fishbain DA1, Cole B, Lewis J, Rosomoff HL, Rosomoff RS.


Author information




Abstract


DESIGN:

This is a structured evidence-based review of all available studies on the development of abuse/addiction and aberrant drug-related behaviors (ADRBs) in chronic pain patients (CPPs) with nonmalignant pain on exposure to chronic opioid analgesic therapy (COAT).

OBJECTIVES:

To determine what percentage of CPPs develop abuse/addiction and/or ADRBs on COAT exposure.

METHOD:

Computer and manual literature searches yielded 79 references that addressed this area of study. Twelve of the studies were excluded from detailed review based on exclusion criteria important to this area. Sixty-seven studies were reviewed in detail and sorted according to whether they reported percentages of CPPs developing abuse/addiction or developing ADRBs, or percentages diagnosed with alcohol/illicit drug use as determined by urine toxicology. Study characteristics were abstracted into tabular form, and each report was characterized according to the type of study it represented based on the Agency for Health Care Policy and Research Guidelines. Each study was independently evaluated by two raters according to 12 quality criteria and a quality score calculated. Studies were not utilized in the calculations unless their quality score (utilizing both raters) was greater than 65%. Within each of the above study groupings, the total number of CPPs exposed to opioids on COAT treatment was calculated. Similarly, the total number of CPPs in each grouping demonstrating abuse/addiction, ADRBs, or alcohol/illicit drug use was also calculated. Finally, a percentage for each of these behaviors was calculated in each grouping, utilizing the total number of CPPs exposed to opioids in each grouping.

RESULTS:

All 67 reports had quality scores greater than 65%. For the abuse/addiction grouping there were 24 studies with 2,507 CPPs exposed for a calculated abuse/addiction rate of 3.27%. Within this grouping for those studies that had preselected CPPs for COAT exposure for no previous or current history of abuse/addiction, the percentage of abuse/addiction was calculated at 0.19%. For the ADRB grouping, there were 17 studies with 2,466 CPPs exposed and a calculated ADRB rate of 11.5%. Within this grouping for preselected CPPs (as above), the percentage of ADRBs was calculated at 0.59%. In the urine toxicology grouping, there were five studies (15,442 CPPs exposed). Here, 20.4% of the CPPs had no prescribed opioid in urine and/or a nonprescribed opioid in urine. For five studies (1,965 CPPs exposed), illicit drugs were found in 14.5%.

CONCLUSION:

The results of this evidence-based structured review indicate that COAT exposure will lead to abuse/addiction in a small percentage of CPPs, but a larger percentage will demonstrate ADRBs and illicit drug use. These percentages appear to be much less if CPPs are preselected for the absence of a current or past history of alcohol/illicit drug use or abuse/addiction.


PMID: 18489635 [PubMed - indexed for MEDLINE]

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http://www.ncbi.nlm.nih.gov/pubmed/18489635

madokie

(51,076 posts)
6. Well hell
Wed Oct 8, 2014, 11:45 AM
Oct 2014

I've been taking hydrocodone for 8 years or longer now and I don't abuse them. I don't like the way they make me feel so there is no way that I would take more than they're prescribed, most times I take less. If I forget to take one for about 12 hours I know it and if I was to quit taking them I'd have to wean myself off as my body has gotten used to them and I'd have to taper off. The other meds I've tried that is used for my condition leaves me in a trance, agitated, super anxious or just like I'm living in a fog. With the hydrocodone I go about my business with out being impaired at all. I was telling my brothers a while back that I take pain meds every day and have been for years and they were amazed that they couldn't tell, had no idea that I was. Grant you when I first started taking them they gave me a high kinda like a couple beer buzz but that didn't last long. The pain tells me when to take them most times but I feel better when I take them on a regular basis and try to do it that way but sometimes I forget.
These people who take a hand full at a time or great numbers a day definitely have a problem but people like me they're not a problem at all. I'd like to not take them but I also like to do things that pain would keep me from being able to do so I plow on with my regimen of pill taking. Smoking pot works for the pain but I can't do that any more cause of several reasons one being its illegal and another is my lungs. I gave it up and never looked back.
I used to be an old pot head and drank scnapps like a fish but don't do either anymore. The scnapps has been gone something like 6 or 7 years now. I drink a beer once in a while but a 6 pack will last me for weeks so its not a problem either. Never was much of a beer drinker anyway. The reason I'm saying this is to show that everyone who used to be addicted to something doesn't necessarily have a problem with the pain meds. I used to be a drinker and I don't have a problem with the meds, so there media get off our ass

UglyGreed

(7,661 posts)
8. I Thank you and Cali for the
Wed Oct 8, 2014, 01:43 PM
Oct 2014

replies, takes guts to speak up. More people need to do so to show the other side of this situation. IMO fear of ridicule and being labeled is strong deterrent used by many to justify the suffering.

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