The role of Opioids in treatment shouldn’t be ignored

Eliminating Opioids for Chronic Pain Unwise?


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.



  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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