• Select Your Topic Then Scroll Down
    Alcohol Bupe Benzos
    Cocaine Heroin Opioids
    RCs Stimulants Misc
    Harm Reduction All Topics Gabapentinoids
    Tired of your habit? Struggling to cope?
    Want to regain control or get sober?
    Visit our Recovery Support Forums

Opioids Why is America the largest consumer of opioid analgesics worldwide?

It's about availability. I'm pretty sure Iran has the highest percentage of opiate users worldwide by population, and this is due to the opium in Afghanistan coming west through Iran on its way to Europe.
 
Amricans jump to the final conclusion ever. If thye have chronic back pain, then you could treat her with pnaadeine Forte. If Jinnie esas dyingfg

Go and see a doctor: COmplai about back aopain, get OxyXionrin, Thatsbhwhhat these scum do every single day.

Some places are big consumer of benzos. Exhibit A. lol.

---------------

Ahem. Well, in my casual observations Americans (and I am one) are far more likely to see doctors for things other people would just ignore and let pass on its own if they have employer insurance and its only $10-$15 for a doctor visit. Not necessarily a bad thing. My mother would sometimes get three different Hydrocodone scripts in the same week due to seeing a doctor, and specialists separately for 3 different ailments. I was given 40 Percocet pre-op for gallbladder infection pending removal and 60 after the operation -- a time-frame of one week by the same prescribing doctor LOL. Didn't even ask for the 2nd set when he was writing the script I thought it was going to be for an antibiotic.

One theory I have is since our diets are generally much lower in quality than those in other first world countries, we have a lot more problems with things like gout, morbid obesity resulting in various chronic pain ailments when older, dental problems from all the soda resulting in necessary analgesics after invasive dental procedures, etc.

The lack of welfare as compared to Europe and Canada results in higher levels of people using opioids for mental augmentation for boredom, despair, etc from homelessness, unemployment, and other issues in inner cities.

Personally, I would love it if things were simple again in terms of opioids and Laudanum could be bought from the corner "Druggist" "Apothecary" "Chemist" for cheaper than beer or ordered from a SEARS catalog. lol. Ahh the age of innocence when the government stayed out of people's bodies in terms of medication and the news media didn't demonize inanimate mounds of powder as evil constructs that exist solely to hurt our children and promote communism or [insert scapegoat of the decade]. Though I do recognize that the development of fully synthetic opioids that were partially motivated by the squelching of opium production (and subsequent shortages during WW2) were necessary for all those whom have allergies to opiates and semi-synthetics. The famed silk road of Asia was also crippled by warfare during WW2 intentionally or unintentionally from Japanese occupation, totalitarian efforts, etc. Plus ultrapotent opioids like Fentanyl are ideal for certain cases with sky high tolerances (I read a case where a burn victim was up to 3mg IV fentanyl every few hours) and large mammals. So I recognize the value of fully synthetics being available partially as a result of the dark ages born with the Harrison Tax Act in the U.S. and other abominations that followed in this "only politicians are capable of determining whats good for you" era after the first quarter of the 20th century. This drug prohibition jizzfest culminating with the U.N. treaty restricting opium and cocaine use in the 1940s which was lobbied in favor of by every major religious denomination.

Crime from drug use is because of artificial inflation of the drug's price from government policies. It isn't expensive at all to maintain an addict for life instead of stigmatizing them and jailing them and forcing unwanted rehab, urinalysis, etc -- the ultimate and expensive exercise in futility also known as insanity in the neverending battle to control how common people experience pleasure in the name of morality.

In Appalachia regions, opioids for mental augmentation / recreational use (or if you insist... the prohibitionist term "abuse") spiked because of the decline in coal mining resulting in broken cities and tons of unemployed coal miners with a combo of chronic pain and broken emotional states.

The demand will always be high so long as humans by nature like to go after that which is forbidden, and also like to alter their consciousness. On a primal level we are all drug seeking persons IMO. It will always be an endless battle for the ruling elite to restrict pleasure, and its underclasses to take the risk of being persecuted in order to alter consciousness for pleasure or to satisfy curiousity until said underclasses are willing to stop said rulers from dictating morality.

Also, the famed baby boomer generation is getting into those golden years with cancers and chronic problems. Being a sizeable number, that also accounts for the consumption levels.
 
Hmm, I (now) get some vicoprofin (NO APAP) because paracetamol is absolutely wonderful at damaging livers. Codeine doesn't do anything for my back pain. No sense in adding a toxic chemical to a useless one.
 
I would like to also point out that we don't have Universal Healthcare, and with our private insurance system, America is behind most other first world countries on PREVENTATIVE health care. In other words, Americans tend to wait until we are ill to go to the doctor. Many other countries cover things like therapy, drug rehabilitation, massage, etc. etc. Eastern medicine is at the forefront of preventative healthcare, with Europe adopting many of the Eastern practices (yoga, meditation, diet, vitamins). We Americans don't take care of ourselves (both because of cultural influences, and because of expense), then wonder why we get so sick later. The sad thing is that by not covering basic preventative medicine, the private insurance companies end up costing themselves billions of dollars in later expense. For instance, most private insurances in the USA barely, or don't, cover drug rehab. So instead of covering, say, two or three months of inpatient drug rehab for a opiate addict (cost of maybe $15,000-$30,000), they end up with someone in and out of emergency rooms, hospitals, with a much higher risk of HIV (Insurance cost of HUNDREDS of THOUSANDS of dollars), Hepatitis, seizure disorders and more.

I do have one question for our friends in Europe, Asia and Australia: What, if any, advertising do pharmaceutical companies have in your country? Here in the USA, you can't watch a TV show without watching half a dozen commercials telling you to "Ask your doctor about (insert name of new, expensive impotence/cholesterol/chest hair growth here)". So you end up with patients actually going to their doctors asking for certain drugs. As a matter of fact, until pretty recently, pharmaceutical companies could legally give doctors incentives to write scripts for their pills! In other words "hey doc! If you write X number of prescriptions for Oxycontin, we will send you on a two week golf vacation in Ireland!". Thankfully, our government put an end to incentive based pharma gifts, but it was going on until maybe 2 or 3 years ago! Personally I think it is just jaw droppingly amazing that it was allowed to go on at all. So my questions are: Does your country allow ads for medication? If so, what, if any, restrictions do they have? And last, can doctors be rewarded for writing prescriptions for medications (even narcotics)? I could very well be wrong, but I would have to imagine that the system we had in place is not allowed in most civilized countries, and if that is the case, it would drastically influence America's use of medication.
 
America's economy is based on Capitalism, health care business is for-profit.
Mainstream Media portrays drug use to the youth as "cool"
The drugs are READILY AVAILABLE in all socioeconomic classes, from drug cabinets to corner boys.
Supply & Demand - There are billions of dollars in profit annually from the trade of black market opiods in America.


I agree with what you said RoxicodoneKing, but to me it seems like America does not want preventive health care. There is more money to be made in treating the sick instead of putting money into preventing people from getting sick. From what I've seen so far in my life it is not about morals, but about the almighty dollar.
 
America is the largest consumer of opioids probably because Mommy's Little Helper seems to have evolved over the last few decades from amphetamines like Dexedrine to opiates like Vicodin, Percocet, etc. These compounded opiates are very easy to obtain from doctors, plus they're over prescribed anyways. (Isn't Vicodin the #1 most prescribed drug in the US?)

EDIT: an afterthought, I'm guessing the (albeit failing) war on drugs has caused adults to turn to prescription drugs because most people I know do not particularly enjoy looking to score drugs in the inner city, especially if you're a soccer mom.
 
I've been waiting for this topic for a long time. In my country oxycodone and hydrocodone etc don't exist. I have had many a surgical operation and the strongest I've been given is dihydrocodeine (which was strictly limited - can only buy it from a hospital) and we are talking severe pain here with complex surgery. I was mostly given tramadol and paracetemol drips. Now I'm just wondering whether your're a nation of pussies who can't take pain :), or just have greedy pharmacutical companies who want to make the most money they can. Don't get me wrong I wish we had those drugs down here - it would have made my life a lot easier - but were they entirely necessary - no.
 
Definitely not a nation of pussies who can't take pain.. I couldn't live according to the laws in your country without suffering unbearable pain. We have a huge per capita number of opiate abusers, but they shouldn't overshadow people like you or I who actually need these pain medications. I find it hard to believe that your country didn't offer you morphine for severe pain/complex surgery. It's on the World Health Organization list of most basic drugs that a country must have on hand at all times. So yeah, morphine is available in your country and if you really need better pain relief find a compassionate doctor.

But what you said about the drug companies is 100% correct. Whether they admit it or not, they're glad for people like us who do not have the option of going without medication. They make billions and billions of dollars by pushing doctors to give out "safer" "less abusable" drugs like hydrocodone/oxycodone, get the patient hooked, and that's a lifetime of revenue for the pharmaceutical company, considering how most pain patients will inevitably need stronger medicines, and more of them. OR they make lifetimes of revenue off the people who AT THE BEGINNING of pain treatment require huge doses of opiates, and will only need more and more. They make bank of the time release, they make bank off the breakthru meds. They take our money hoping they'll take our pain too, but these companies don't give two shits about you.
If Purdue cared, would they put carcinogens in Oxycontin? If Endo cared, would they have THEIR ONLY Opana manufacturing plant shutdown for "improvements" causing a nationwide panic for people who least deserve it? Nah, it's all about their Holy Dollar.
 
Tricomb--I don't think Endo was given a choice about the shutdown, but you are right about them not caring. By the end of March all Opana ER will be the new "abuse resistant" formula. But that is good right? WRONG. So far every pill that has been switched to abuse-resistant has been a DISASTER for honest pain patients, like myself. The efficacy goes way down, they almost all cause horrible stomach problems, headache and their onset time is 1 to 3 hours (in other words, you take your meds, then have to wait two or sometimes three hours before you get any relief. Last but not least, some of us can't take these meds. I have a VERY short intestinal tract (had much of my intestines removed). Once Opana ER goes "abuse resistant", I will pass the pill before much of it absorbs (I am not speculating, i am going by the experiences of other people in my situation who were switched to "crush-proof" tablets. Since Opana ER is the only drug that has allowed me to live a somewhat normal life, I am pretty much just FUCKED. I am trying to come up with a bucket list for the last month or two of my life as a functional, walking, person. So why would Endo do this to their pain patients? Why? because Opana ER was set to go generic this year, so Endo made a deal with the FDA that if they switched their formula, they could keep exclusive rights for another 10 years. Fuck the patients.....show them the money. I truly pray that I find some way of getting the pain relief that has given me some semblance of a normal life. Since that is almost certain not to be a reality, I hope that I get the courage to end my life so I don't have to live decades more trapped in a body that gives me so much pain that I can't walk, cant sleep, can't concentrate enough to read a single page, much less a book. I am so tired and fighting just takes too much that i just dont have.
 
Yeah they always gave me morphine post op, but then it was tramadol 4 hourly shots and paracetemol drips and paracetemol and tramdol to take home. According to my surgeons pain releases endorphins lol. They do the same for end stage cancer patients too. Maybe the compassion was a bit lacking in hindsight.
 
My point is from what I see - I see hard core meds being prescribed for relatively minor pain and procedures over there. I mean I've heard of Oxycontin being prescribed for a knee operation... Which leads me to believe your doctors are "over-compassionate" - a little bit of pain isn't bad for you.
 
Probably because we have such a large disposable income in this country that people can waste money on a medicine that does something silly like "killing pain" whereas people the rest of the world have to debate whether to spend their 1$ on a medicine that will keep them alive or on food.
 
well, I didn't read through every thread in this post but in response to the Original Post I would say OxyContin coming to market has alot to do with the current situation in the states. I was just reading the Fortune article where a BL'er was quoted as saying something about not being able to defeat the timerx on the new OP's and they were also saying that there was a huge increase in prescribing of opiates when purdue marketed OxyContin as being a "safe narcotic for pain treatment" because of the time release formulation or whatever other bullcrap they spewed. Since then prescriptions for opiates have skyrocketed. This is where the capitalism argument comes in because purdue didn't give a shit and knew what they were doing, but within the company the only right thing to do was increase the market for OxyContin therefore increasing profits. I am pretty sure that anybody who does a little research will find that there was a huge surge in the prescribing of narcotics for chronic pain when OxyContin came to market opposed to the prior use of opiates for primarily end-of-life, disease (cancer, cirrhosis etc.) associated pain.
 
Top