Some time ago I asked (via Twitter) if people knew of cases where hospice patients were being underprescribed opioid pain medications. Many did. But one story stood out. You'll see why. Meet Laurie Engel.
anti-opioid
The BS that has been put out by the anti-opioid zealots has been more than bad enough. Then Senator Joe Manchin joined the fray, taking it to a new level. Disgusting.
Recently, Newsday's David Olson wrote about opioids in an honest way not often seen in mainstream media. He emphasized the harm caused by the “overcorrection of the pendulum” – the shortage of medically legitimate opioids caused by ill-advised restrictions on prescribing. He gives personal accounts of practitioners, pharmacists, and patients struggling to navigate the unforgiving terrain of new laws and policies. Thumbs up to Mr. Olson for this important article.
An important study examining whether antidepressants were useful for pain was recently published in BMJ. The headlines stated varieties of the same theme: They "may not be effective" or "may have a small benefit." These conclusions are based on data from one table in the paper. Let's take a look at that data.
The 2016 and 2022 CDC opioid prescribing guidelines were based on the assertion that doctor over-prescribing to patients has been a major cause of opioid use disorder and overdose-related deaths. Published
data from the CDC and other sources reveals that this assertion was incorrect – and the CDC knew it was incorrect when it published its guidelines.
The Washington Post just published a sweeping 6000-word investigative article about multiple aspects of the fentanyl epidemic. Although the piece gives a very thorough account of multiple facets of our losing battle with illicit fentanyl, it is unfortunate that the authors could not spare a few words to discuss the root cause of the fentanyl plague – the relentless war on prescription painkillers—a perfect example of the Iron Law of Prohibition.
Some thoughts on the "debate" between Drs. Jeff Singer and Ardianne Fugh-Berman. Such as it was. The video is now available. Have a strong stomach.
Two thousand people a week are dying from (almost entirely) illegal street drugs. While at the same time prescriptions for legal pain medications have been cut by half in the past decade. The FDA’s solution? Postage-paid envelopes for people to return the extra pills they don't have. It's almost funny. Just don't laugh until it hurts.
For reasons I cannot fathom, we are treated to yet another clinical trial about IV Tylenol and whether it can decrease the amount of morphine needed by pain patients in the ER. Here's your hint: No.
The CDC 2016 Opioid Prescribing Advice, which has caused so much hardship to so many pain patients, has been tossed out and replaced by a revised document. Is it better? Sure looks that way.
The story of what we call the "opioid epidemic" has been distorted by lies and deception, resulting in incalculable harm done to both pain patients and those who abuse drugs. The last thing we need is more anti-opioid propaganda. Unfortunately, an article in Healthline provides just this
Antibe Therapeutics has been developing otenaproxesul, a "miracle drug" that, at least in early trials, controlled both pain and inflammation -- but without the side effects of NSAID drugs. However, the company hit a snag and is now going in a different direction. Will it succeed?