FDA Restricts Long-term Opioid Use to Combat Abuse

slimvictor

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Extended-release and long-acting (ER/LA) opioid pain relievers are no longer indicated for merely moderate pain, the US Food and Drug Administration (FDA) announced today as part of a sweeping move to stem the deadly misuse and abuse of the drugs.

Previously, the labels for ER/LA opioid analgesics stated that they were indicated for "moderate to severe pain in patients requiring continuous, around-the-clock opioid treatment for an extended period of time." The labels now will state that the drugs are indicated "for the management of pain severe enough to require daily, around-the-clock opioid treatment and for which alternative treatments are inadequate." The new labeling emphasizes first considering potentially less addictive measures.

The new wording is designed to make a clinician go beyond a pain-intensity scale to consider what an individual patient needs to "live and function better," said Douglas Throckmorton, MD, deputy director of regulatory programs in the FDA's Center for Drug Evaluation and Research, in a press conference today.

"What could be moderate to me could be severe to you, or mild," Dr. Throckmorton said.

In addition, the labels will include a boxed warning stating that long-term maternal use of ER/LA opioid pain relievers can result in potentially fatal neonatal opioid withdrawal syndrome.

The FDA will require manufacturers of these drugs to perform more studies and clinical trials to "further assess the known risks" of misuse, abuse, hyperalgesia, addiction, overdose, and death.

"The FDA is invoking its authority to require safety label changes and postmarket studies to combat the crisis of misuse, abuse, addiction, overdose, and death from these potent drugs that have harmed too many patients and devastated too many families and communities," said FDA Commissioner Margaret Hamburg, MD, in a news release.

cont at
http://www.medscape.com/viewarticle/810732
 
I say make the Drs who prescribe these drugs responsible for also treating any addictions that are created by the therapy. As it is now they are free to just kick these people to the curb when problems surface. Thanks for all the money.. sorry you are stuck with a life long addiction.. good luck with that.. oh and if you come to the office we will have you arrested for trespassing.

Other entities that are making billions of this are the pharma companies.. Pretty sure they should be required to chip in as their products are the ones everyones getting addicted to.

Addiction certainly is going to be one hell of a world wide plague.. it's just a little pathetic that a group of professionals who are IMO are one of the front runners for creating and benefiting from addiction dont seem to know shit about it. Maybe requiring doctors to take a comprehensive course on addiction as a required portion of their continuing education credits would make more sense then changing some loosely followed parameters for prescribing.

Oh and in case no one has told them.. when they cut meds to people already used to that level.. they often switch to herion.. and labels haven't been shown to be that effective.. just look at cigarettes in Canada.. Opiates have been around forever , if you need more studies to determine if they are addictive your not addressing the problem your in denial.. just in case this is news for you all at the FDA.
 
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You can blame the irresponsible greedy doctors that were giving 180 80mg OC's to every buff, athletic 20 year old thug looking kid covered in tats that would walking into their office with an MRI that said they had a bulge on a disk. They went overboard with writing scripts (in FL) and now people that actually need the meds can't get them because of the crackdown by the FDA/and the lawyers suing these MDs (as they should be suied)....but now somebody with chronic pain, is just a liability that a Dr. is not worth risking his career over a
 
The availability is the problem from the start. It will get worse as the availability goes down. The less there is going around on the street, the more expensive it will be.

The higher the price, and the more fraudulent greed will take place.

If you didn't have an underground market based on how greedy the pharmaceutical companies/and drug dealers are, we wouldn't see this problem...

If these drugs were freely available, and not a medical commodity, we wouldn't see this problem....

If so much money were not involved, we wouldn't have this problem.

But since the government are not getting dibs on a lot of cash from a cash cow, it's an issue... A money issue, not a public health issue.

America needs to play catch-up on it's drug policies.

Amending drug laws over and over is beyond pointless...

Enforcing laws on shit that can always be circumvented from a source is retarded...



They just need to make cheap high-quality drugs available legally to everyone.
It would be so cheap, that no one needs to steal,kill or fraud their way into a high...
 
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I say make the Drs who prescribe these drugs responsible for also treating any addictions that are created by the therapy. As it is now they are free to just kick these people to the curb when problems surface. Thanks for all the money.. sorry you are stuck with a life long addiction.. good luck with that.. oh and if you come to the office we will have you arrested for trespassing.

Other entities that are making billions of this are the pharma companies.. Pretty sure they should be required to chip in as their products are the ones everyones getting addicted to.

Addiction certainly is going to be one hell of a world wide plague.. it's just a little pathetic that a group of professionals who are IMO are one of the front runners for creating and benefiting from addiction dont seem to know shit about it. Maybe requiring doctors to take a comprehensive course on addiction as a required portion of their continuing education credits would make more sense then changing some loosely followed parameters for prescribing.

Oh and in case no one has told them.. when they cut meds to people already used to that level.. they often switch to herion.. and labels haven't been shown to be that effective.. just look at cigarettes in Canada.. Opiates have been around forever , if you need more studies to determine if they are addictive your not addressing the problem your in denial.. just in case this is news for you all at the FDA.


/thread


i was put on oxycodone for pain after a fucked up car accident. within a month or two i was up to 180mgs per day. 6 months later i tested dirty for weed and i was cut cold turkey from 180mgs oxy per day. 180 oxy per day isnt a ton, but it sure isnt a small habit either

after a day of panicking and dreaming of suicide, i met with an old contact who was rumored to be involved with heroin, and promptly started shooting up heroin for the next couple years

these doctors take no responsibility for their bullshit, they amp up your habit to no end, and cut you off the second they feel like it ,with no regard to what the consequences might be. shit im surprised more people dont kill themslves when that happens, i might have if i didnt find that heroin connect

doctors are incredibly cold and unsympathetic when it comes to maintaining addictions theyve started. a few times when it was time to refill my prescription, id go to the pharmacy and find out that the dr. hadnt faxed over 'prior authorization' whatever that is, and have to wait till the next day to get it filled, even if i had a legit script in hand. and once this happened on a friday, i was sick friday, saturday, and sunday before i could fill on monday, just because some doctor was too goddamn lazy to send a fax before he left the office for the day!! he couldnt spend 2 seconds sending a fax when he knew it would result in me kicking 180mgs of oxy getting into 3rd day kicks
 
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I think its funny the fda still hasnt learned about the laws of unintended consequences. They got a whole generation of kids in there 20s hooked on diverted pharms. Now they think they will just turn off supply and solve the problem! Oh if only i could buy stock in heroin.

I also feel sorry for the legit patients who have quote "moderate" pain whatever the fuck that means. Only the honest patients will be hurt by this the scammers will simply scream that there in severe pain. And we all know pain is extremely subjective.
 
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