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kingdragonfly

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#253033 22-Jul-2019 16:39
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With the upcoming marijuana legalization vote, I would suspect profit-motivated organised suppliers, importers and manufacturers don't like the idea of a safer locally produced alternative.

No one ever died from a marijuana overdose, except when mixed with other drugs.

There's a coroner in Louisiana who believe he's recorded the first ever marijuana overdose. Even if true compare this one death to 48,000 deaths in the US in 2017 from opioids.

Here's a shocking article from the Washington Post, which drug companies fought in multiple court cases over and over to keep a database secret.

Note a number of US cities where there were literally hundreds of pills prescribed per person per year.

https://www.washingtonpost.com/investigations/six-takeaways-from-the-deas-pain-pill-database/2019/07/16/1d82643c-a7e6-11e9-a3a6-ab670962db05_story.html

Washington Post


Five takeaways from the DEA’s pain pill database

For the first time ever, a database maintained by the Drug Enforcement Administration that tracks the path of every single pain pill sold in the United States — from manufacturers and distributors to pharmacies in every town and city — is being made public. The data was released as part of the largest civil action in U.S. history and provides an unprecedented look at the surge of legal pain pills that fueled the prescription opioid epidemic, which resulted in nearly 100,000 deaths from 2006 through 2012.

1. The national database has never been released publicly.

The database is based on previously unreleased company data supplied to the DEA and reveals what each company knew about the number of pills it was shipping and dispensing, year by year, town by town. It is a virtual road map to the opioid epidemic. The drug companies, along with the DEA and the Justice Department, have fought furiously against the public release of the database, the Automation of Reports and Consolidated Orders System, known as ARCOS.

2. The companies flooded the nation with pills as the opioid epidemic raged.

A Washington Post analysis of the database shows that America’s largest drug companies distributed 76 billion oxycodone and hydrocodonepain pills across the country between 2006 and 2012 as the nation’s deadliest drug epidemic spun out of control.

About two dozen companies are being sued in federal court in Cleveland by nearly 2,000 cities, towns and counties alleging that they conspired to flood the nation with opioids. The companies, in turn, have blamed the epidemic on overprescribing by doctors and pharmacies, and on customers who abused the drugs. The companies say they were working to supply the needs of patients with legitimate prescriptions desperate for pain relief.

3. A handful of companies manufactured and distributed most of the opioids.

Just six companies distributed 75 percent of the pills — oxycodone and hydrocodone — during this period: McKesson Corp., Walgreens, Cardinal Health, AmerisourceBergen, CVS and Walmart, according to an analysis of the database by The Washington Post.

Three companies manufactured about 88 percent of the opioids: SpecGx, a subsidiary of Mallinckrodt; Actavis Pharma; and Par Pharmaceutical, a subsidiary of Endo Pharmaceuticals.

4. The number of pills distributed skyrocketed over seven years.

The volumes of the pills handled by the companies climbed as the epidemic surged, increasing 51 percent from 8.4 billion in 2006 to 12.6 billion in 2012. By contrast, doses of morphine, a well-known treatment for severe pain, averaged slightly more than 500 million a year during the same period.

The numbers of pills the companies sold during the seven-year time frame are staggering, far exceeding what has been previously disclosed in limited court filings and news stories.

The opioid epidemic began with prescription pills, spawned increased heroin use and then resulted in the current fentanyl crisis, which added more than 67,000 to the death toll from 2013 to 2017.

5. Some states and rural areas were saturated.

The states that received the highest concentrations of pills per person per year were: West Virginia with 66.5, Kentucky with 63.3, South Carolina with 58, Tennessee with 57.7 and Nevada with 54.7. West Virginia also had the highest opioid death rate from 2006 through 2012.

Rural areas with the greatest number of pills shipped per person per year were: Norton, Va., with 306; Martinsville, Va., with 242; Mingo County, W.Va., with 203; and Perry County, Ky., with 175.


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freitasm
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  #2281637 22-Jul-2019 18:08
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And yet they keep talking about the drugs being smuggled from the South of the Border. The "legal" drugs aren't controlled at all - town of 3,000 received 20.8 million pills over seven years. Funny how they find these numbers but no one is ever charged.

 

Oh, wait. If they were immigrants...





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afe66
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  #2281837 22-Jul-2019 22:01
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We have a different culture of opiate prescribing in NZ.

 

Conscious use of only short courses of opiates. Pharmac plays role here.

 

Published evidence for cannabis as a pain reliever isnt a great as some would lead you to believe.

 

"At the present time, the scientific evidence for the efficacy of cannabinoids in the
management of people with chronic non-cancer pain is insufficient to justify endorsement of
their clinical use."

 

Statement on “Medicinal Cannabis” with particular reference to its use in the management of patients with
chronic non-cancer pain. 2019 Faculty of Pain Medicine. Australian and New Zealand College of Anaesthetists


cshwone
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  #2281873 23-Jul-2019 06:53
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Afe66,

I think you are slightly misinformed about issues around opiates in NZ

https://www.stuff.co.nz/national/health/112515172/doctors-demand-change-in-way-pain-is-treated-to-tackle-opioid-problem



MikeB4
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  #2281929 23-Jul-2019 08:33
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Before we get on soap boxes about pain relief walk a mile in the shoes of someone who lives with constant pain ranging from 5/10 to 10/10


kingdragonfly

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  #2282039 23-Jul-2019 09:54
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There are lot of people who'll take advantage of someone in pain.

Look at this stupid and useless product I see advertised on NZ TV for $160

https://www.consumer.org.nz/articles/pain-erazor-claims

Wish you could make pain go away with the click of a button? A product promising to do just that is being advertised on television and it can be yours for a mere $160.

Ads for the Pain Erazor pen claim it offers drug-free pain relief through “the science of electro-analgesia”. “Say goodbye to the suffering you experience when pain or discomfort strikes,” boasts the marketing material. “Fast, affordable, convenient & extremely effective!” it trumpets.

Eliminating your aches and pains with no pills or costly visits to a doctor sounds appealing, even too good to be true.




If you can make an addict out of a customer, so much the better.

https://www.everydayhealth.com/opioid-addiction/family-behind-purdue-pharma-used-pressure-push-sales-oxycontin-via-doctors-massachusetts-lawsuit/

Michael Barnett, MD, a primary care physician and assistant professor of health policy and management at Harvard T.H. Chan School of Public Health in Boston:

“We knew OxyContin was one of the most widely abused opioids before its reformulation in 2010.

Now we also know from lawsuits and the documents that have been released that Purdue was aware of it, but still promoted their products just as aggressively in spite of the knowledge” .

surfisup1000
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  #2282049 23-Jul-2019 10:06
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afe66:

 

We have a different culture of opiate prescribing in NZ.

 

Conscious use of only short courses of opiates. Pharmac plays role here.

 

Published evidence for cannabis as a pain reliever isnt a great as some would lead you to believe.

 

"At the present time, the scientific evidence for the efficacy of cannabinoids in the
management of people with chronic non-cancer pain is insufficient to justify endorsement of
their clinical use."

 

Statement on “Medicinal Cannabis” with particular reference to its use in the management of patients with
chronic non-cancer pain. 2019 Faculty of Pain Medicine. Australian and New Zealand College of Anaesthetists

 

 

The pain relief angle is used by the stoners to get it decriminalised. Of course, it is a scam. 

 

Personally, i think it should be legalised for adults, and police can concentrate on fighting crime. 


MikeB4
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  #2282057 23-Jul-2019 10:13
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Cannabis has been shown to have benefits in pain management. It has limited analgesic properties but is useful in the treatment of pain triggers. An example of this is its reduction of spasms which believe me causes agonizing pain.




Fred99
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  #2282067 23-Jul-2019 10:25
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MikeB4:

 

Cannabis has been shown to have benefits in pain management. It has limited analgesic properties but is useful in the treatment of pain triggers. An example of this is its reduction of spasms which believe me causes agonizing pain.

 

 

Even if what you claim is placebo (and that's not what I'm suggesting is the case), it's inhumane to deny access to it, given the low potential for harm.


MikeB4
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  #2282070 23-Jul-2019 10:29
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Fred99:

 

MikeB4:

 

Cannabis has been shown to have benefits in pain management. It has limited analgesic properties but is useful in the treatment of pain triggers. An example of this is its reduction of spasms which believe me causes agonizing pain.

 

 

Even if what you claim is placebo (and that's not what I'm suggesting is the case), it's inhumane to deny access to it, given the low potential for harm.

 

 

Agreed 1000%


afe66
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  #2282118 23-Jul-2019 12:00
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cshwone: Afe66,

I think you are slightly misinformed about issues around opiates in NZ

https://www.stuff.co.nz/national/health/112515172/doctors-demand-change-in-way-pain-is-treated-to-tackle-opioid-problem


Not everyone who posts here works in technology.
I'm not saying there aren't issues but we are not america by a long way.

gzt

gzt
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  #2282133 23-Jul-2019 12:25
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afe66: Published evidence for cannabis as a pain reliever isnt a great as some would lead you to believe.

"At the present time, the scientific evidence for the efficacy of cannabinoids in the
management of people with chronic non-cancer pain is insufficient to justify endorsement of
their clinical use."


That's telling you it's effective care for cancer pain issues in some circumstances for some people.

Batman
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  #2282195 23-Jul-2019 14:27
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kingdragonfly: There are lot of people who'll take advantage of someone in pain.

Look at this stupid and useless product I see advertised on NZ TV for $160

https://www.consumer.org.nz/articles/pain-erazor-claims

Wish you could make pain go away with the click of a button? A product promising to do just that is being advertised on television and it can be yours for a mere $160.

Ads for the Pain Erazor pen claim it offers drug-free pain relief through “the science of electro-analgesia”. “Say goodbye to the suffering you experience when pain or discomfort strikes,” boasts the marketing material. “Fast, affordable, convenient & extremely effective!” it trumpets.

Eliminating your aches and pains with no pills or costly visits to a doctor sounds appealing, even too good to be true.




If you can make an addict out of a customer, so much the better.

https://www.everydayhealth.com/opioid-addiction/family-behind-purdue-pharma-used-pressure-push-sales-oxycontin-via-doctors-massachusetts-lawsuit/

Michael Barnett, MD, a primary care physician and assistant professor of health policy and management at Harvard T.H. Chan School of Public Health in Boston:

“We knew OxyContin was one of the most widely abused opioids before its reformulation in 2010.

Now we also know from lawsuits and the documents that have been released that Purdue was aware of it, but still promoted their products just as aggressively in spite of the knowledge” .

 

You have good doctors, not so good ones.

 

Good mechanic, and mechanic that breaks your car.

 

GOod lawyer, and lawyer that only wants your money.

 

Etc ...

 

responsible doctor will advice you about all the pros and cons of a medication, not so good one maybe not even aware of the implications of prescribing the oxys.

 

On the other hand, patients are doctors' customers. if you had a sweet shop and you don't sell sweets to anyone, no one will come to your sweet shop. worse, some joker might sue you for not selling sweets. 

 

It's not as simple as it looks when every other person has some form of ongoing pain issues and 90% of them want the quick fix and wolves barking at the door wanting a high from someone with supplies.





Involuntary autocorrect in operation on mobile device. Apologies in advance.


gzt

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  #2282298 23-Jul-2019 15:33
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The issue was pharma advertising this product brand new non-addictive and safe. In fact not much different. Following from that the usual USA prescribing incentives - do the best thing for your patients AND receive a free holiday in Hawaii! Every year!

FineWine
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  #2282313 23-Jul-2019 16:39
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MikeB4:

 

Cannabis has been shown to have benefits in pain management. It has limited analgesic properties but is useful in the treatment of pain triggers. An example of this is its reduction of spasms which believe me causes agonizing pain.

 

Quite correct. Not that I suffer or have the need but being a retired nurse I would rather take Cannabis than benzodiazepines any day. These are far far far more addictive and have way more side effects than Cannabis.

 

I see our politicians are still F'ing around with introducing roadside saliva drug testing - back to committee again. Aussie has had it for a while now.





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