Best Ways to Deal with Pain
“I know God will not give me anything I can’t handle. I just wish that He didn’t trust me so much.” – Mother Teresa Pain is an equal-opportunity phenomenon. It strikes the rich and poor alike, is not dependent on age or gender or socio-economic status. Pain doesn’t care if you’re a college graduate or a high-school dropout or if you’ve never even gone to school. When you experience pain, however, you join the millions of others in one common thought: How can I deal with this and get it to go away? Indeed, finding the best ways to deal with pain can be confounding. On the one hand, you’re likely to try hom...
Source: World of Psychology - August 11, 2016 Category: Psychiatry & Psychology Authors: Suzanne Kane Tags: Addiction General Grief and Loss Health-related Inspiration & Hope Motivation and Inspiration Recovery Self-Help Alternative Medicine Chronic Pain Painkillers prescription drug abuse Substance Abuse Suffering support Source Type: blogs

FDA Supports Greater Access to Naloxone to Help Reduce Opioid Overdose Deaths
By: Karen Mahoney, M.D. Overdose deaths involving prescription opioids such as oxycodone, hydrocodone and morphine and illicit opioids such as heroin and illegally produced fentanyl have more than tripled since 1999 – with about 28,000 people dying in 2014 alone. … Continue reading → (Source: FDA Voice)
Source: FDA Voice - August 10, 2016 Category: American Health Source Type: blogs

JAMA Forum: The Pain and Opioid Epidemics: Policy and Vital Signs
This post authored by Diana Mason first ran in the The Journal of the American Medical Association Forum on August 9, 2016. Diana Mason, PhD, RN Near the end of my tenure as editor-in-chief of AJN, theAmerican Journal of Nursing in 2009, I asked one of the coordinators of our pain column to write an article on opioid dependence and addiction. The diversion and misuse of drugs such as oxycodone, with a resultant spike in overdose deaths, had been widely reported in the news media. Her surprising response continues to resonate for me as we face the urgent public health problem of opioid abuse. The column’s coordinators,...
Source: Disruptive Women in Health Care - August 10, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Pain and Opiods Uncategorized Source Type: blogs

Finding the right balance in pain relief: A physician ’s story
After surgery for my broken tibia, I realized that there were only four points on the pain scale that really mattered to me: I’m OK. This acetaminophen/ibuprofen/whatever is enough. I wouldn’t mind a little something more, preferably something that binds mu Um, could you please hurry that up? NOW! NOW!  I need it NOW! On the 0 to 10 pain scale, who really cares if you are at a 2 or a 3, a 3 or a 4? What does that really mean? Either we want or need additional drugs, or we don’t. Either I am OK with oral opioids, or please give me something faster, stronger, and better. As a patient, I answered with whatever number...
Source: Kevin, M.D. - Medical Weblog - August 7, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/rita-agarwal" rel="tag" > Rita Agarwal, MD < /a > Tags: Physician Pain management Source Type: blogs

How OxyContin taught doctors to trust pills over patients
Treating pain is a notoriously tricky business. But it’s even harder if the medications on which we rely are inappropriately marketed. Last month, a Los Angeles Times investigation of Purdue Pharma asserted that for years, the company falsely elevated the efficacy of its twice-daily OxyContin, a powerful opioid pain reliever. The Times’ review of evidence — including three decades of court cases, investigations, patient and sales rep testimonies — provides good data that the drug’s effect may not, as claimed by Purdue, last for 12 hours across the board. In other words, OxyContin may not be the ma...
Source: Kevin, M.D. - Medical Weblog - July 24, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/anna-reisman" rel="tag" > Anna Reisman, MD < /a > Tags: Meds Medications Pain management Source Type: blogs

Think Before You Fill: Four Reasons to Reconsider Using Opioid Prescription Medications
Getting a prescription from your doctor after an injury, illness or surgery seems like a no brainier. Why turn down medications that will ease any aches or pains you’re feeling? But there’s another side to many common opioid-based prescription medications you should know about before agreeing to take one regularly, even as prescribed by a physician. Here are four things you should know about opioid-prescription drugs that might make you reconsider using one. You might not need the prescription. Most people naturally assume that if their doctor recommends a drug to them they absolutely need it. In reality the...
Source: Cliffside Malibu - July 18, 2016 Category: Addiction Authors: sheilas Tags: Richard Taite Source Type: blogs

More Opioid Pill Shipment Settlements
Five drug wholesalers have agreed to a $4.2 million settlement in connection with a lawsuit alleging that they shipped an excessive number of prescription opioids in West Virginia. The five wholesalers, Anda Inc., The Harvard Drug Group, Associated Pharmacies, KeySource Medical Inc., and Quest Pharmaceuticals, all deny the allegations in the lawsuit. The lawsuit, initiated in 2012, was filed by then-Attorney General Darrell McGraw and involved twelve prescription drug wholesalers. The companies allegedly distributed painkillers to notorious "pill mill" pharmacies in West Virginia's smallest towns and poorest counties. ...
Source: Policy and Medicine - July 6, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Markey Calls for Investigation into Purdue
United States Senator Edward J. Markey has called for a federal investigation of OxyContin's manufacturers in response to a Los Angeles Times report. The report found that the drug tends to wear off early in many patients, which can expose them to an increased risk of addiction. According to the LA Times, OxyContin's main selling point is that it lasts for twelve hours. The investigation found that "when the effects don't last, patients can suffer symptoms of a narcotic withdrawal, including intense craving for the drug, and experience a cycle of agony and relief that experts say promotes addiction." The report states ...
Source: Policy and Medicine - June 28, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Opioid Prescriptions Drop for Three Years in a Row
For the first time in decades, the number of opioid prescriptions in the United States is starting to fall, according to a recent report by the New York Times based on data from IMS Health For each of the past three years – 2013, 2014, and 2015 – prescriptions for opioids have declined. This marks the first sustained drop since OxyContin hit the market in 1996. Some experts believe that the drop is an early signal that the long-running and often-discussed opioid epidemic may have reached its peak and that doctors and prescribers have begun to heed the warnings about the highly addictive nature of the drugs. It's also...
Source: Policy and Medicine - June 28, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

New Ways to Treat Pain Meet Resistance - The New York Times
A few months ago, Douglas Scott, a property manager in Jacksonville, Fla., was taking large doses of narcotic drugs, or opioids, to deal with the pain of back and spine injuries from two recent car accidents. The pills helped ease his pain, but they also caused him to withdraw from his wife, his two children and social life. "Finally, my wife said, 'You do something about this or we're going to have to make some changes around here,'" said Mr. Scott, 43. Today, Mr. Scott is no longer taking narcotics and feels better. Shortly after his wife's ultimatum, he entered a local clinic where patients ...
Source: Psychology of Pain - June 23, 2016 Category: Anesthesiology Source Type: blogs

This Suboxone Doesn’t Work!
Today on SuboxForum people were writing about their experiences with different buprenorphine formulations.  Doctors occasionally have patients who prefer brand medications over generics, but buprenorphine patients push brand-loyalty to a different level.  The current thread includes references to povidone and crospovidone, compounds included in most medications to improve bioavailability.  Some forum members suggested that their buprenorphine product wasn’t working because of the presence of crospovidone or povidone.  Others shared their experiences with different formulations of buprenorphine and questioned whet...
Source: Suboxone Talk Zone - June 16, 2016 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Addiction Buprenorphine pharmacology Psychodynamics side effects Suboxone Withdrawal exipient opioid dependence povidone zubsolv Source Type: blogs

This Suboxone Doesn ’t Work!
Today on SuboxForum people were writing about their experiences with different buprenorphine formulations.  Doctors occasionally have patients who prefer brand medications over generics, but buprenorphine patients push brand-loyalty to a different level.  The current thread includes references to povidone and crospovidone, compounds included in most medications to improve bioavailability.  Some forum members suggested that their buprenorphine product wasn’t working because of the presence of crospovidone or povidone.  Others shared their experiences with different formulations of buprenorphine and questioned whet...
Source: Suboxone Talk Zone - June 16, 2016 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Addiction Buprenorphine pharmacology Psychodynamics side effects Suboxone Withdrawal exipient opioid dependence povidone zubsolv Source Type: blogs

Survey shows lots of people save leftover painkillers - Futurity
More than half of patients who get a prescription for opioid painkillers have leftover pills and keep them to use later, a practice that could potentially exacerbate the United States' epidemic of painkiller addiction and overdoses.Researchers reporting in JAMA Internal Medicine also found that nearly half of those surveyed reported receiving no information on how to safely store their medications to keep them from children who could accidentally ingest them or from someone looking to get high.One in five respondents said they had shared their medication with another person, many saying they gave them to someone ...
Source: Psychology of Pain - June 16, 2016 Category: Anesthesiology Source Type: blogs

How pain scores escalated the opioid crisis
“It’s an 8,” I heard him say from behind the curtain as I walked into the room. The nurse’s aide dutifully recorded the number while the automated blood pressure cuff searched for his pulse, and the plastic clip on the tip of his index finger measured his oxygen saturation. “What does an 8 mean?” I asked. “Oxycodone!” he chirped cheerfully, without a moment’s hesitation.  “An 8 means oxycodone.  Five milligrams!” “Ah, but you’re wrong,” I corrected him.  “An 8 means intravenous morphine to your nurse.  Have you asked for Vicodin?” Continue reading ... Your patients are rating you online...
Source: Kevin, M.D. - Medical Weblog - June 10, 2016 Category: Journals (General) Authors: Tags: Physician Medications Source Type: blogs

The Opioid Crisis: Nociception, Pain and Suffering
By MARTIN SAMUELS, MD In order to understand the concept of pain and its relationship to the current opioid crisis, it is prudent to review the neurology of pain an why it exists.  Several concepts are important to integrate. Nociception:  Nociception is the capacity to sense a potentially tissue damaging (noxious) stimulus.  To illustrate this one should place a forefinger in a glass of ice water and determine how long passes until an unpleasant sensation arises.  If one performs this experiment in a large group, one can recognize that, although the stimulus is the same (a glass of ice water), the sensation arises at...
Source: The Health Care Blog - June 10, 2016 Category: Consumer Health News Authors: John Irvine Tags: THCB Source Type: blogs