The role of Opioids in treatment shouldn’t be ignored

Eliminating Opioids for Chronic Pain Unwise?

#Painmatters.png

You know I think it is. Eliminating an option because of fear and ignorance is ludicrous and discrimination against chronic pain patients. I am currently on tramadol. As my other pain methods increase, my tramadol will decrease. That is a normal pain management strategy. Find something that works and decrease the painkiller you needed for quality of life in the meantime. But some people have no other options for treatment and they still deserve quality of life.

“The question isn’t should or should not healthcare providers prescribe opioids, but rather, how well are we prepared to prescribe opioids for our patients to get the best benefits with minimal risks,” Charles E. Argoff, MD, professor of neurology, and director, Comprehensive Pain Center, Albany Medical College, New York, told delegates attending the Academy of Integrative Pain Management (AIPM) 28th Annual Meeting here.

The National Academy of Medicine (formerly the Institute of Medicine) and other health organizations estimate that chronic pain affects more than 100 million US adults. Dr Argoff noted that most healthcare providers currently treat patients who, as a part and in the course of their various medical disorders, experience severe chronic pain.

Eliminating Opioids for Chronic Pain Unwise?

Chronic pain is the epidemic we should be concerned with and the proper treatment and management of that pain. “The goal, he said, should be individualized patient plans.”Medscape Not taking away treatment so abruptly that people are committing suicide or seriously considering it.

He reviewed some of the “abundant” evidence supporting the use of opioids for chronic pain. One of the more recent studies showed superior efficacy for the nortriptyline-morphine combination compared with either drug used as monotherapy.

He also pointed to an editorial published in JAMA earlier this year that noted there is an estimated 5 to 8 million people in the United States who successfully use opioids for long-term pain management.Medscape

No one says everyone with chronic pain should be on opioids. But some could be as part of their pain management strategies. And that isn’t wrong.

“Do they think everyone is going to be helped if we stop using opioid therapy because everyone’s scared? No, and it’s not commensurate with the evidence or ethical care of a human being.”

Individual patient differences must be factored into treatment approaches, said Dr Argoff. Practitioners must use their clinical judgment and experience, as well as their knowledge of available study results, in deciding how to treat and manage individual patients. Medscape

 

It is common sense really. Common sense we are currently ignoring for Fear. Fear of addiction in patients. Doctors Fear of prescribing for what will be said to them if they do… they are intimidated. Societies Fear based of medias presentation of opiates in the world.

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7 comments

  1. I don’t take opioids at all yet! But being stupid about a helpful drug or drugs won’t stop the criminal or addicts from getting it. It will only hurt the pain sufferers!

    Liked by 1 person

    1. I take them for now. They will be reduced as my other treatments, hopefully, improve things enough that I don’t need them. Just tramadol which I don’t find to be particularly strong.

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    2. I am from Michigan, but suffer chronic pain and been on medication for more than half my life. I have passed every test and screening, and have Narcan handy for just in case. A poster child for doing exactly as the doctor says and communicating with my pain management doctors. Recently have been completely cut from Percocet and morphine decreased so substantial I cannot function! Read your article and see how this epidemic affecting people like myself. We are suffering because doctors are literally afraid to treat us the way we have been managing our pain for years. Had a tumor in my knee and had 3 or 4 operations to try and correct. Walking around with the tumor still between knee (they removed as much as they could without risking losing the leg) and severe back issues. I have osteoporosis and weak bones and this epidemic is having me think of illegal drugs to manage this pain because the doctors say they cant help due to the dea restrictions. I can assure you suicide rates will be the next epidemic and other bad things will surely follow as people simply want to imagine a life that doesn’t involve severe pain or complications. The fact I was afraid of medication to begin with and convinced this would give me quality of life.. Took the doctors advice and have seen the difference these medications have made, is surly something you don’t read about.. They always post the bad, but never seem to post or talk about the people life that this medication has changed for the good, and now this stuff (opioid epidemic) how they are basically throwing us to the wolfs to fend for ourselves, or just simply do without at the mercy so they don’t get labeled a pill mill doctor!!! OUTRAGED I am just one chronic pain patient that simply cannot believe we the patients that actually need this medication are being looked down at now because of this whole thing

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      1. Being on medication for pain has helped me a great deal. The unmanaged pain, well, it just made me suicidal. I live in Canada so it isn’t as bad here as in the states. We do not need to have tests or screening for pain medication. But they are very wary about prescribing it. The fact remains society thinks if you are on painkillers you are an addict. It is disgusting. Because many of us need them to just barely function in the world. We don’t get a voice apparently in this opiate epidemic. We don’t get to talk about the fact there is a pain epidemic, that is far greater in number and extremely poorly treated… and that is now getting significantly worse in treatment.

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      2. Wow then I need to move to Canada. Going to mail my doctor 2 pennies and tell him without medication needed to manage my pain, going to pain management isnt worth 2 cents

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      3. It is getting tricky here as well, but not nearly as bad as the US. But pain management at a pain clinic does usually involve pain killers along with other things.

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  2. Love was my therapy! It not only got me off all these meds. But it forced me to push myself to the limit. 3 surgeries, therapy, and other attempts failed. Woke up one day after talking to her and just quit. The withdrawl was bad but I wanted her to experience love like I hoped for and in doing that she helped me overcome some serious stuff! They dont educate people on the addiction part of medications a dr gives you, but this is my story and hope someone reading this that is fighting withdrawl reads it and it helps. It makes you feel sick like you have the flu, legs kick, your body feels like its being attacked from the inside. I did cold Turkey detox no help..if that’s not willpower I dont know what else is more powerful then that. I will forever be thankful that I met her because i thought the only way out would be suicide, but her showing me love made me love myself enough to go through it. Pain is a sign your living, and trust me I now feel like I am living now

    Liked by 1 person

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