Stop pushing drugs on our kids

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Stop pushing drugs on our kids
Deirdre Imus Published September 16, 2015

Pain is a persistent problem in this country. It affects more Americans than diabetes, heart disease, and cancer combined, according to the U.S. National Institutes of Health.

Pain can be chronic or acute, and can be a precursor to or consequence of a wide range of medical problems. The NIH also notes that chronic pain affects approximately one of every four people in this country. Some of them are children, and now these children will have access to a powerful and addictive painkiller.

Last month the U.S. Food and Drug Administration approved the use of the narcotic drug OxyContin in children as young as 11 who regularly experience chronic pain that has not responded to other treatments. FDA officials have noted that the drug has been “massively” used off-label since the 1990s to treat children in severe pain – except with no specific instructions on usage, dosage, timing, or side effects. So, in their view, this latest development is a win.

Except…is it? We live in a country where every day, 2,500 American youth abuse a prescription pain reliever for the first time, and nearly 1 in 20 high school seniors has abused OxyContin, according to the American Society of Addiction Medicine.

Enough prescription painkillers were prescribed in 2010 to medicate every American adult every four hours for one month, notes the National Institute on Drug Abuse (NIDA). What’s more, NIDA statistics from 2010 also found that almost 1 in 20 adolescents and adults in the U.S. used prescription pain medication when it was not prescribed for them.

The FDA’s new ruling on OxyContin is for children between the ages of 11 and 16 – the exact window during which young people are most likely to try drugs or alcohol for the first time.

There is a conception that because a doctor prescribes a medication, it is safe. And if it is safe for you – hey, it’s probably also safe for your friend, right?

The FDA’s new ruling on OxyContin is for children between the ages of 11 and 16 – the exact window during which young people are most likely to try drugs or alcohol for the first time. And as the National Council on Alcoholism and Drug Dependence notes on its website, after marijuana the next three most commonly used drugs by teens are prescription pain medications: Vicodin, OxyContin, and Adderall.

The American Pain Society estimates, conservatively, that 20 to 35 percent of children around the world are affected by chronic pain. It is a very real, very difficult problem facing parents, physicians, and of course the patients themselves.

Pain in kids can cause emotional and social consequences for the entire family. And I’m sure many families will take great care to ensure their child who needs it uses the OxyContin responsibly. But can we guarantee they ALL will?

For children and for anyone living with chronic pain, strong, addictive prescription medication should be a final and reluctant option after trying other, more integrative paths.

In adults, these may include spinal manipulation, acupuncture, yoga, and the use of certain herbal products. It can also consist of certain dietary modifications, or talk therapy.

Treating pain in kids may include some of these holistic methods, and other ones too. For instance, at Seattle Children’s Hospital cognitive-behavioral approaches to pain are incorporated into treatment plans. Children learn self-regulatory strategies that may distract them from pain, or change their pain experience through breathing techniques, muscle relaxation, guided imagery, and self-hypnosis. The pain medicine staff at Seattle Children’s also helps kids to adapt and do regular activities despite having pain.

No one should have to live with pain, and yet countless do. But often the pain that is temporarily relieved through painkillers like OxyContin causes more physical and emotional pain down the road: according to NIDA, one in 15 people who take non-medical prescription pain relievers will try heroin within ten years.

Sanctioning the use of this drug for children during their most experimental years does not seem like a risk worth taking – for our kids, and the adults they will become.

No one should have to die in pain either, and opioid painkiller use in children should be restricted to palliative care.

http://www.foxnews.com/opinion/2015/09/16/stop-pushing-drugs-on-our-kids.html

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Good lord has heaven fallen.. I find myself agreeing with Fox fkn News 8(
 
Why do you agree? As said, it already has been used without scientific or rigorous clinical evidence, so how will this really change? It is not like every pediatrician will now say, ok its approved for kids, all my patients in pain are getting Oxycontin. The indication states pts 11-17 can only be prescribed Oxycontin if they demonstrate they can tolerate 20mg oxycodone or equivalent for 5 consecutive days. If a child in chronic pain is already on oxy or morphine or whatever, could they not just as easily divert those? And usually every option of treating pain is exhausted before jumping kids on opioids. The authors statements about using other modalities already happens. This simply give physicians an approved option to give to suffering children. I seriously doubt a kid recovering from traumatic injury or with juvenile rheumatoid arthritis is the one to worry about sharing his pills. Sure it could occur or siblings or friends could steal them but that happens already. This is just some scare tactic shit from the wife of a former opiate and cocaine abuser who probably is a little biased to say the least.
 
They certainly do use opioids in children. Its mostly confined to hospital or rehab settings but it is not something new. It surely is more restrictive than how adults get them prescribed and dont see how this will change much of anything.
 
For children and for anyone living with chronic pain, strong, addictive prescription medication should be a final and reluctant option after trying other, more integrative paths.

In adults, these may include spinal manipulation, acupuncture, yoga, and the use of certain herbal products. It can also consist of certain dietary modifications, or talk therapy.


Why don't you visit the 50+ page long thread on Pain Management in the Other Drugs forum? You could suggest to the people on that thread - who frequently post begging for advice on how to access medication that will enable them to work, sleep, or just not kill themselves - should try talk therapy instead. You might not get very polite responses, tho.

It's really obvious that people who make statements like this don't live with chronic pain themselves.
 
Its not like they are giving these drugs for back pain or something. We are talking about kids who are suffering from painful terminal diseases. Lets let the FDA and doctors do there jobs ok.
 
It's just something for people to look at, this is really just part of the bureaucratic process. Eleven-to-sixteen year olds were receiving OxyContin before this, they were just receiving it off-label. And like crimsonjunk said, this is for cancer and terminal diseases. Until these kids can safely access cannabis oil I have no problem with them receiving opiates for pain.
 
How much did the manufacturers of oxy have to pay in fines for blatently lying about how addictive oxy was?

The manufacturers of oxy are directly responsible for the "heroin epidemic"

The FDA is funded by the people it regulates.
 
How much did the manufacturers of oxy have to pay in fines for blatently lying about how addictive oxy was?

The manufacturers of oxy are directly responsible for the "heroin epidemic"

The FDA is funded by the people it regulates.
What does that have to do with giving pain relief to kids with horrible diseases?
 
How much did the manufacturers of oxy have to pay in fines for blatently lying about how addictive oxy was?

A shitload. 500 million maybe? Maybe even a billion.

And is OxyContin even the best medicine for them? Maybe, maybe not.

Do those factors affect whether kids in pain should get proper treatment? I would say no.
 
^ a billion dollars is a lot. But... One key aspect; Is it really more than a drop in the bucket of profits the pharma companies who pushed OxyContin on millions of Americans? I think it is nothing to those mega corporations.

And in regards to the OP, well , I agree that terminally ill patients of any age ( over like, 10 yrs old) should have access to proper pain management meds and treatment. Long term opioid analgesic therapy is not the most safe or sustainable path for pain treatment over a lifetime. I think if doctors are truly and fully aware of both the pros and cons of opioids, their long term effects/effectiveness, then they can reasonably be trusted to go person by person and decide what route is best for the long term well being of the patient. But I think they are definitely overprescribing by doctors who know little about he very powerful narcotic drugs they themselves are giving to patients regularly... It is a little worrying to say the least.
 
Opioid prescribing practices among adolescents is nothing like that of adults. It is ridiculously strict and an infinitesimally small percentage of children will be prescribed medication like this. This is really just another drug frenzy story, and it kinda broke a while ago..

As someone pointed out, it really is just an administrative kinda thing.

Also, having to guarentee that ALL prescribees of pain medication use it exactly as intended is an impossible, extraordinarily unrealistic standard. In fact, it's counter productive. It's one of those policy goals that helped prohibition of opioids get really underway in the first 40 years of the 20th century.
 
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