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KamaAina

(78,249 posts)
Fri May 6, 2016, 07:37 PM May 2016

More evidence that drug companies helped cause the opioid epidemic — for their own profits

http://www.vox.com/2016/5/5/11600276/opioid-epidemic-oxycontin-purdue-pharma

By now, it's well-known that opioid painkillers caused an overdose epidemic that has killed tens of thousands of Americans annually in recent years. But one aspect that's understated in reports is that these painkillers failed patients, too — not just by putting them at risk of addiction and overdose but by failing to treat their pain as the drugs were supposed to.

In the Los Angeles Times, Harriet Ryan, Lisa Girion, and Scott Glover investigated a striking example of this failure: OxyContin, an opioid, doesn't live up to its promise of 12-hour pain relief for many patients. Yet Purdue Pharma, producer of OxyContin, has stood by its claim, motivated by profit even as it puts patients at risk of addiction and overdose. The Los Angeles Times reported:

• Purdue has known about the problem for decades. Even before OxyContin went on the market, clinical trials showed many patients weren't getting 12 hours of relief. Since the drug's debut in 1996, the company has been confronted with additional evidence, including complaints from doctors, reports from its own sales reps and independent research....

Beyond this summary, you should read the Times's investigation in its entirety. It painstakingly goes through document after document, proving Purdue Pharma executives and marketers pushed OxyContin on doctors even as growing evidence showed that it didn't work as advertised. One memo was literally titled, "$$$$$$$$$$$$$ It's Bonus Time in the Neighborhood!"


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More evidence that drug companies helped cause the opioid epidemic — for their own profits (Original Post) KamaAina May 2016 OP
Yet, millions believe it is only way to treat their pain, and will shop until they Hoyt May 2016 #1
I don't have to shop, and I've tried everything from nerve blocks to lyrica cali May 2016 #3
Glad to see you are not blaming the pharmaceutical companies. Hoyt May 2016 #6
Oh, that they pushed these drugs is hardly a secret. cali May 2016 #7
Oh, so you don't need them. You are a victim of the drug companies and would be better off Hoyt May 2016 #9
And then there are the docs who over prescribe it nadinbrzezinski May 2016 #5
Very few docs prescribe them as first, or second choice My point is we are lucky to Hoyt May 2016 #8
You might want to go correct the federal government on this nadinbrzezinski May 2016 #10
Then, fine, ban them and listen to the whining. I'm sure drug companies would be fine with only Hoyt May 2016 #12
Then fine, this is a discussion at the global level now nadinbrzezinski May 2016 #13
I think we are going around in circles. Hoyt May 2016 #15
Nope we are not As usual you blame the patient in this case nadinbrzezinski May 2016 #16
They'd much rather sell more expensive non-opiods. Hoyt May 2016 #17
What part of medication adds should not be on the tv are you missing? nadinbrzezinski May 2016 #18
US docs prescribe so much of it that the rest of the world is having trouble getting it Recursion May 2016 #11
That is one of the issues nadinbrzezinski May 2016 #14
Surprise! Surprise! Big Pharma in it for the sheer profit?! Drug Dealers of a major size! Dont call me Shirley May 2016 #2
This is the scary part: Tsiyu May 2016 #4
this. and hey, its a win win, right? restorefreedom May 2016 #21
There's just something about that Old Tyme Religion Tsiyu May 2016 #23
"OxyContin, an opioid, doesn't live up to its promise of 12-hour pain relief for many patients." Ghost in the Machine May 2016 #19
When we treat addiction like the health issue it is Tsiyu May 2016 #24
I agree 100%! Ghost in the Machine May 2016 #25
It seems you've ventured into the Great State of Tennessee Tsiyu May 2016 #26
Why the surprise? They're drug dealers mindwalker_i May 2016 #20
there is no "opioid epidemic." nt TheFrenchRazor May 2016 #22
No? Then why is OxyContin called "hillbilly heroin"? KamaAina May 2016 #27
Not to mention, doctors and nurses insist to patients that these do stop pain! Thus, "it's in your . WinkyDink May 2016 #28
 

Hoyt

(54,770 posts)
1. Yet, millions believe it is only way to treat their pain, and will shop until they
Fri May 6, 2016, 07:58 PM
May 2016

find a doc to prescribe it. Some look to the street. We've got a problem with a lot of folks to blame (or empatize with).

 

cali

(114,904 posts)
3. I don't have to shop, and I've tried everything from nerve blocks to lyrica
Fri May 6, 2016, 08:29 PM
May 2016

My doctors know I need opiates and they know I don't take them when I don't need them. I'm not the only one.

 

Hoyt

(54,770 posts)
9. Oh, so you don't need them. You are a victim of the drug companies and would be better off
Fri May 6, 2016, 09:07 PM
May 2016

if they were not available.

 

nadinbrzezinski

(154,021 posts)
5. And then there are the docs who over prescribe it
Fri May 6, 2016, 08:37 PM
May 2016

and this is a well known problem, You blaming the users is not surprising though.

 

Hoyt

(54,770 posts)
8. Very few docs prescribe them as first, or second choice My point is we are lucky to
Fri May 6, 2016, 09:06 PM
May 2016

have these meds for those who need them. There are people who demand opioids when less addictive treatments would work. There are also addicts who refuse treatment

 

nadinbrzezinski

(154,021 posts)
10. You might want to go correct the federal government on this
Fri May 6, 2016, 09:13 PM
May 2016
?itok=RgZQnEZO


To illustrate this point, the total number of opioid pain relievers prescribed in the United States has skyrocketed in the past 25 years (Fig. 1).[4] The number of prescriptions for opioids (like hydrocodone and oxycodone products) have escalated from around 76 million in 1991 to nearly 207 million in 2013, with the United States their biggest consumer globally, accounting for almost 100 percent of the world total for hydrocodone (e.g., Vicodin) and 81 percent for oxycodone (e.g., Percocet).[5]


https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse

To be specific Nora Volkow MD, of the NIH
 

Hoyt

(54,770 posts)
12. Then, fine, ban them and listen to the whining. I'm sure drug companies would be fine with only
Fri May 6, 2016, 09:18 PM
May 2016

treatment options being drugs like Cymbalta.

 

nadinbrzezinski

(154,021 posts)
13. Then fine, this is a discussion at the global level now
Fri May 6, 2016, 09:21 PM
May 2016

and the Government has recommended tighter restrictions on prescription. Of course we cannot talk about the docs in Florida, shhh that is verbotten. that would prescribe this shit like candy, or the docs at ERs who do as well. They have appropriate uses, and when used CORRECTLY they have a much lower risk of addiction.

Example, when I was in a car wreck I needed this for a total of 36 hours ,I was given a ten day prescription. As a former medic I knew that though. So when I could tolerate the pain with mere tylenol...

 

nadinbrzezinski

(154,021 posts)
16. Nope we are not As usual you blame the patient in this case
Fri May 6, 2016, 09:28 PM
May 2016

not the drug companies that push this like candy. For example, all those medication adds, should be off the air. Oh and the American Medical Association agrees with me as well. Some of the medications on your tv adds are opiates.

 

nadinbrzezinski

(154,021 posts)
18. What part of medication adds should not be on the tv are you missing?
Fri May 6, 2016, 09:35 PM
May 2016

and yes, the companies should be held responsible for the rash of opiate addictions... and yes deaths.

I know, I know you would never blame corporations. They are always blameless in your mind...this is predictable with you

Oh and here is the one of many stories on the AMA stance

http://www.medscape.com/viewarticle/854651

Recursion

(56,582 posts)
11. US docs prescribe so much of it that the rest of the world is having trouble getting it
Fri May 6, 2016, 09:17 PM
May 2016

Though I thought the issue was that a very small number of physicians are writing a huge portion of the prescriptions?

 

nadinbrzezinski

(154,021 posts)
14. That is one of the issues
Fri May 6, 2016, 09:22 PM
May 2016

the other is that it is over prescribed at ERs. See above. I should have gotten 4 pills, not a ten day supply.

Tsiyu

(18,186 posts)
4. This is the scary part:
Fri May 6, 2016, 08:37 PM
May 2016

The lawmakers, pharmco and DEA have the little people by the balls.

While the pharmaceutical companies make bank off of opioid addiction, if you possess only four to six pills in Florida you serve a mandatory three year sentence.

Better think twice before taking a few painkillers from mom's stash.
http://novusdetox.com/prescription-drug-abuse.php

Four to six pills are dangerous enough to land one poor human behind bars and disrupt their life for three years, but the pharmaceutical companies' products have led to thousands of deaths, and not one goddamned son-of-a-bitch is doing a fucking minute of time.

Yeah. That's a great racket they got going. It makes me sick in the pit of my stomach how greed has twisted people's minds.

restorefreedom

(12,655 posts)
21. this. and hey, its a win win, right?
Fri May 6, 2016, 10:29 PM
May 2016

bigpharma AND bigprison make out.

something for everybody!

except the dead, pain wracked, and imprisoned, of course


Tsiyu

(18,186 posts)
23. There's just something about that Old Tyme Religion
Sat May 7, 2016, 04:20 AM
May 2016

By golly.

Pretty soon these medieval lawmakers and private prison co's will bring back the rack and public hangings.

It's wonderful to oppress people, stab them when they're down, "lay burdens upon them that you yourself will not help them carry," destroy families and watch them suffer from lack of health and dental care. The billionaire's dream life to see the poor suffer.

Jesus says it's all cool, because the bobble sez if God wanted them to have decent lives, he would have given them rich parents. The poor are filthy sinners who get nothing and they like it. Wealthy Christians in every state are salivating and getting hard-ons just thinking about the misery of the poor.

Praise the low-word.


Ghost in the Machine

(14,912 posts)
19. "OxyContin, an opioid, doesn't live up to its promise of 12-hour pain relief for many patients."
Fri May 6, 2016, 10:00 PM
May 2016

I had the same results with Oxymorphone (generic Opana), and told my doctor every month that I was lucky to get 7 to 8 hours of relief.... AFTER the 1 1/2 to 2 hours that it took for the outer shell to break down and they started kicking in. I was on the 40mg tablets, the highest legally made in the US. I got 2 per day, with 2 15mg Roxicodones for "break through pain".

Therein laid the problem.... when you wake up stiff and hurting, you have to take one of your "break throughs" just to get out of bed, leaving you just one more for the day.

My Neurosurgeon will only write opioids after a major surgery, and only 3 to 4 months worth, tops..... while weaning you down the whole time. This was back in 2004, and he still holds that policy today! He calls the drug company Reps "the drug pushers", but will refer you to pain management if he feels you need it after he has done all he can for you, and release4s you.

The drug companies offer free samples to give out, price breaks for people with no insurance... and kickbacks to the greedy doctors who prescribe a certain quota each month.

I would not be able to function without the help of opioids, and they give ME a better QUALITY OF LIFE, which is important to fight off depression in people who suffer from chronic pain. It's actually the addicts, and the frauds who sell their meds, that make it harder on legitimate patients like me, and many others on here...

Peace,

Ghost

Tsiyu

(18,186 posts)
24. When we treat addiction like the health issue it is
Sat May 7, 2016, 04:38 AM
May 2016

rather than as a method to raise money for the state and private corporations -- not to mention making everyone from newscasters with coke habits to DAs with drinking habits (and guts the size of satellite dishes) to the ancient couple down the street with a cheeseburger-and-pizza addiction feel oh-so-morally superior -- we can set up better programs for pain management.

As long as pharmcos are allowed to spew out their drugs, and little people can't get legal access if they do become addicted, you'll have a black market that fucks up the whole system. Violence happens because people don't want to go to jail. Lives and careers are ruined. That same Florida law mandates 25 years for like 60 to 100 pills. Twenty-five years. What desperation will people resort to in order to avoid a sentence like that?

We don't arrest people for cheeseburger addiction even though the addict is killing himself, increasing insurance rates and adding to dangerous driving conditions (as a driver he's more likely to have a heart attack at the wheel.) So why do we lock up any other addict? It's just a game, I know, and I am such a foolish idealist to think that authoritarian, God-complex-suffering, greedy people will allow it to change.

But you could have what you need to keep you comfortable and functioning, the black market could be nearly eliminated, and addicts could receive treatment and recover their lives. It could happen if Good Wealthy Christians really wanted it to happen.

They don't want that to happen.

I am very sorry to hear about your pain issues.

Ghost in the Machine

(14,912 posts)
25. I agree 100%!
Sat May 7, 2016, 05:11 AM
May 2016
That same Florida law mandates 25 years for like 60 to 100 pills. Twenty-five years. What desperation will people resort to in order to avoid a sentence like that?


The laws in our State are WORSE, though.. a Felony count for EACH PILL you're caught with if selling, plus a Felony charge of Medicare/caid fraud, ot insurance fraud.... and if you are on Disability or Social Security, you can lose your benefits just for being CHARGED with a crime that has a sentence of 1 year, or more... you don't even have to be CONVICTED yet!

Peace,

Ghosr

Tsiyu

(18,186 posts)
26. It seems you've ventured into the Great State of Tennessee
Sat May 7, 2016, 05:22 AM
May 2016

Those laws sound mucho familiar.

I am not a pill taker, unless you count ibuprofin and vitamins, but I know of addicts who need real help without stigma, chronic pain sufferers who need more appropriate levels of relief, and good people who have overdosed because of misuse and deadly interaction of their prescribed drugs. We are not managing addiction here AT ALL, no matter how draconian our inbred lawmakers make their dirty drug laws.

I, too, am stuck here, but had someone ask to buy the place today, which is a good sign. I may be getting out soon, and moving to a place where people are less paralyzed by their abject greed or their fear of the greedy.









mindwalker_i

(4,407 posts)
20. Why the surprise? They're drug dealers
Fri May 6, 2016, 10:12 PM
May 2016

Huh, wonder whether we could have a "war on drugs" directed at pharma

 

WinkyDink

(51,311 posts)
28. Not to mention, doctors and nurses insist to patients that these do stop pain! Thus, "it's in your .
Sat May 7, 2016, 02:20 PM
May 2016

mind."

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