Opioid addiction

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Community Voices

I’m Fighting off a Relapse

The prescription bottles in my medicine cabinet are talking to me, my esophagus is craving the burn of alcohol, and every sharp edge gets a little too close to my skin.

The sun is a little too bright, and happiness is a little too sweet. Life is so boring without drugs.

My sobriety clock is haunting me. The numbers are holding me hostage and taunting me. I’m watching the seconds tick time away, counting down to when I lose this battle.

The chips in my drawer are a useless reminder of bad coffee and uncomfortable chairs. The months they represent have lost their meaning. I’d rather use them for poker.

I’m starting to forget why I’m sober. This isn’t what I thought it would be like. Were the nights I can’t remember really so bad? Do I really care about my damaged body? Do I really need any friends and family around to judge me? Was any of this worth it?

I don’t want to relapse… but it feels like everything that’s supposed to help is turning against me.

#AddictionRecovery #Addiction #Depression #Anxiety #Selfharm #OpioidAddiction #AlcoholDependence

7 people are talking about this
Community Voices

CHRONIC PAIN PATIENTS DID NOT CAUSE THE OPIOID CRISIS.

It seems Australia has not learnt from the dire situation in America, whereby prescriptions to patients for legitimate opioids have DROPPED 60% in the last 10yrs, yet overdoses have DOUBLED in that same timeframe! In fact, reputable studies indicate where there is “No previous or current history of abuse/addiction, the percentage of abuse/addiction [in chronic pain patients] was calculated at 0.19%."

Cracking down on legally issued prescriptions [as part of the failed War Against Drugs], in no way is a good outcome for those who have responsibly used their opioids for years, i.e. a cohort of people who are NOT addicted to their life-saving medications, & who ONLY use their legally prescribed pain relief as required!

www.linkedin.com/posts/kevin-james-971278190_opioidcrisis-op...

#opioidcrisis #OpioidEpidemic #opioidrestrictions #OpioidAddiction #OpioidUseDisorder #prescriptionopioids #opioidmedications #illicitdrugs #fentanyl #Addiction #Dependence #policymakers #StopTheStigma #ChronicPain #Chronicpainwarrior #chronicpainmanagement #overdoses

4 people are talking about this
Community Voices

CHRONIC PAIN PATIENTS DID NOT CAUSE THE OIPIOID EPIDEMIC.

It seems Australia has not learnt from the dire situation in America, whereby prescriptions to patients for legitimate opioids have DROPPED 60% in the last 10yrs, yet overdoses have DOUBLED in that same timeframe! In fact, reputable studies indicate where there is “No previous or current history of abuse/addiction, the percentage of abuse/addiction [in chronic pain patients] was calculated at 0.19%."

Cracking down on legally issued prescriptions [as part of the failed War Against Drugs], in no way is a good outcome for those who have responsibly used their opioids for years, i.e. a cohort of people who are NOT addicted to their life-saving medications, & who ONLY use their legally prescribed pain relief as required!

www.linkedin.com/posts/kevin-james-971278190_opioidcrisis-op...

#opioidcrisis #OpioidEpidemic #opioidrestrictions #OpioidAddiction #OpioidUseDisorder #prescriptionopioids #opioidmedications #illicitdrugs #fentanyl #Addiction #Dependence #policymakers #StopTheStigma #ChronicPain #Chronicpainwarrior #chronicpainmanagement #overdoses

Community Voices

Recovery4life

<p>Recovery4life</p>
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Community Voices

Guided meditation / hypnosis / relaxation/ sleep

<p>Guided meditation / hypnosis / relaxation/ sleep</p>
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Community Voices

Debilitating Chronic and Acute Pain / Withdrawal / opioid dependence

<p>Debilitating Chronic and Acute Pain / Withdrawal / <a href="https://themighty.com/topic/opioid-dependence/?label=opioid dependence" class="tm-embed-link  tm-autolink health-map" data-id="5b23cea500553f33fe999500" data-name="opioid dependence" title="opioid dependence" target="_blank">opioid dependence</a></p>
4 people are talking about this
Community Voices

So, my ex, who I'm very close to, is addicted to street fentanyl. Watching him high breaks my heart and triggers me since I went through his addiction all throughout our relationship. In total, I've been dealing with his lies and addiction for 6 years. It hasn't been easy, since he's often cruel to me when he's high. Low blows come often. Watching him destroy himself kills my soul. If I try to explain how his addiction effects me, he tells me "way to make this all about you". I've explained that his addiction effects more than just him, and that's when he shuts down. He refuses to accept/acknowledge responsibility for stealing my meds, and that makes his betrayal 10x worse. I feel lost and don't know what to do. I'm so tired of crying about this situation.

6 people are talking about this
Community Voices

Opioids: Understanding Addiction Versus Dependence

It is really important that the poulation understands the difference between opiod addiction and deoendence. A lot if thus is tge fault if drug addicton treatment centers tgst eill pop up furst on a google search (because they want the money). They are oretty much paud click bait from SSRI's & rverything else & often have very misleading information about addiction. Chaps my hide!

Research shows that chronic pain patients rarely become addictided. Ygere are a large number if studies to back this. Opiod addiction is more caused by doctors that prescribe them incorrectly or too long for acute pain. Or acute pain patients that use them too long ir incorrectly after and injury or surgery.

A lot of people unknowingly use them interchangeably & it prepetuates that all chonic pain patients are 'addicted'.

I have excerpted from an article. Please read the link for full information. It is quite good.

www.hss.edu/conditions_understanding-addiction-versus-dependence.asp

Opioids: Understanding Addiction Versus Dependence

Many patients are often confused as to how they can be dependent on a drug, such as an opioid, but not be addicted to it. The distinction is essential for patients and caregivers to understand. This is why recent evidence-based literature clearly defines the difference between addiction and physical dependence in drug use.
Physical dependence is when the body requires a specific dose of a particular drug, such as a prescription opioid, in order to prevent withdrawal symptoms. This typically happens when a patient uses a drug long-term (six months or longer) to manage pain associated with a medical condition. In this time frame, the body builds up a natural tolerance to the medication and becomes dependent on it to maintain status-quo. .........While the patient who is physically dependent may experience some euphoria while using the drug, the reward center in the brain remains “offline,” and the patient is still capable of managing impulses and making decisions in their best interest. In other words, the patient still has control over their use....

Substance use disorder (SUD), or addiction, is classified as abnormal and is defined by the DSM-52 as a chronic, treatable illness. SUD can have devastating, life-long consequences if not addressed. SUD results in compulsive behaviors that manifest as cravings, an inability to control use, and continued use of the drug despite its harmful consequences. SUD can occur separately from physical dependence, although in the case of opioid use, a patient is also typically physically dependent on the drug. ......with SUD, a patient’s actions are directed primarily by an overwhelming need to accommodate the brain’s reward center, and the part of the brain that guides self-control and decision making is directly impeded. A patient with a SUD begins to lose the ability to effectively prioritize their well-being over the continued use of the drug....
#ChronicPain
#OpioidAddiction

6 people are talking about this
Community Voices

Cravings..

I have been of prescribed opioid medication for about 2 months now. I miss it. Despite how horrendous it was to come off them and all the difficulty I had... I still would happily have them again.
Does anyone else get this?
I feel crazy when I say I’d happily take them if I was offered them from a random stranger.. I didn’t think much to this until I saw the reaction of my closest friend when I said this.
Am I gonna always want them?
#Addiction #OpioidAddiction #Cravings

1 person is talking about this
Dez Nelson
Dez Nelson @naac_hq
contributor

CDC Guidelines Are Harming Pain Patients Amid National Opioid Crisis

The National Academies released a new consensus report on December 19, 2019, and the Federal Drug Administration (FDA) released an announcement the same day communicating their intention to “develop the evidence” for a new practice guideline for the treatment of acute pain. This announcement comes on the heels of an ongoing public health disaster that the Centers for Disease Control & Prevention (CDC) caused by implementing recommendations from the National Academy of Medicine and ignoring dissenting specialists in the field, and that the Drug Enforcement Agency (DEA) has perpetuated via SWAT-style raids on doctor’s offices across the country. The National Academies There are three bodies under the National Academies: The National Academy of Engineering (NAE) The National Academy of Sciences (NAS) The National Academy of Medicine (NAM) All of these bodies are non-governmental organizations (NGOs) and they’re responsible for providing advice to the federal government in regard to science and technology, among other important topics. It may be of import to note that the National Academies were exempted from the bulk of the Federal Advisory Committee Act of 1972 (FACA). They say, to ensure their autonomy. The Federal Advisory Committee Act FACA is an important piece of legislation that governs how advisory committees operate. The purpose of the legislation was to provide transparency in federal rule-making based on advisory committees’ recommendations. In 1997, amendments were passed to the law, which exempted the National Academies from many of FACA’s requirements. The Recommendations and the Public Relations Campaign That Shaped a National Crisis The Institute of Medicine (IOM) (which was recently renamed to the National Academy of Medicine or NAM) released a torrent of studies in the early 2010s with recommendations to public health agencies to undertake a couple of massive public health projects, including the development of the National Pain Strategy (NPS) and the CDC Guideline. The National Pain Strategy & The CDC Guideline To ensure that a federal pain strategy was implemented nationwide, the NAM released the report Relieving Pain in America (2011) and its recommendations are the foundation of the NPS. The report Living Well with Chronic Illness (2012), on the other hand, was largely the catalyst to the controversial CDC Guideline, which was based on recommendations the IOM made in this subsequent report. The CDC Guideline is the tool necessary to make the provisions of the NPS a national reality. It’s important to note here that there was no “opioid crisis” at the time the National Pain Strategy was commissioned (the CDC Guideline included). In fact, a curious statement can be found in some of the first pages of the NPS: “The actions in this strategy would be undertaken in the context of the dual crises of pain and opioid dependence, overdose, and death in the United States.” The so-called “opioid crisis” was not even a blip on the radar when the NPS or CDC Guideline were commissioned: As you can see, it wasn’t until 2011 that rumblings about drug overdoses and an “addiction epidemic” can be seen spiking ever so slightly in a quiet echo through the news cycle. You can see in the trend graphic that there was no known crisis (of pain and opioid dependence, overdose and death in the United States) until federal agencies in partnership with certain NGOs — such as the IOM and Physicians for Responsible Opioid Prescribing (PROP) — began getting heavily involved in attempting to create these massive public health initiatives. Fast forward barely a couple of years, and the CDC begins spending an undisclosed amount of taxpayer money on a public relations campaign for their guideline that was published on March 15, 2016, despite a cacophony of dissent. Interestingly, the NPS was also released in March 2016, only days after the CDC guideline. Similarly, in the same period, we can see a significant increase in how often the terms “drug overdose,” “opioid crisis,” “addiction epidemic” and “opioid epidemic” are referred to in the press. Taxpayer money shouldn’t be used for coordinated PR campaigns to convince us that an unpopular guideline is beneficial, despite never officially tracking outcomes, even after harms have become clear. The above trend graphic also demonstrates how often the crisis is framed as one catalyzed by patients and their physicians, something the NPS alluded was an objective for how they wanted to frame these crises before the crises were known to exist. Remember, the IOM made their recommendations for all of this back in 2011 and 2012, recommendations these initiatives are based on. The CDC inflated overdose statistics, exploited known systems failures in the death investigation process and they exploited popular misconceptions of the process in an attempt to justify their unpopular, unscientific guideline. All of this created the appearance of the guideline as a national necessity, because the crisis has been repeatedly framed as a prescription drug crisis that doctors are responsible for, this isn’t the case. Instead, we’re in the midst of an illicit drug and polypharmacy crisis. Please see Fudin et al. on illicit fentanyl and its analogs which continue to proliferate on the street and drive overdose rates. This is why interventions continue to fail; we’re focusing on the wrong premise. It’s Possible History Will Repeat Itself Despite Harms We may be headed down a path of further assaultive crises in the future due to continued mismanagement by some involved in developing and justifying these interventions. It’s not just patients with complicated chronic medical problems and their doctors who will be forced to suffer under a regime of poorly designed policies, now acute care patients are being thrown into the mix. “In August 2018, the U.S. Food and Drug Administration contracted the National Academies of Sciences, Engineering, and Medicine (NASEM) to help advance the development of evidence-based guidelines for opioid analgesic prescribing for acute pain resulting from specific conditions or procedures” (NASEM 2019). While it’s great that NASEM may be employed in this endeavor, we’ve heard this all before. The Consensus Report NASEM released states: “Trustworthy guidelines help clinicians translate current research in basic science and diagnostic and therapeutic interventions into clinical practice, with the goal of improving patient health and societal outcomes.” Only, the CDC’s 2016 practice guideline is anything but “trustworthy,” and the “evidence” they continue to push is either extremely low or non-existent, as the Agency for Healthcare Research & Quality (AHRQ) recently admitted and as I’ve detailed in-depth in Part I and Part II of this series and in Systems Thinking: How It Can Solve The Overdose Crisis. Patients have not experienced “improvements” in their health, and society has not seen improved outcomes despite premature announcements of “success” by self-proclaimed experts. What’s more, none of these federal agencies, NGOs or anyone else involved have bothered to call for or develop any control systems that would track patient-reported outcomes due to their interventions and recommendations, despite emerging evidence of their harms. If recent history is any kind of guide for future trajectories, we could be well on our way to forcing similarly unscientific practice standards onto every single doctor that treats American citizens, something millions of Americans were already contending with via the release of the first guideline aimed at chronic care that the CDC even admitted was misapplied. It was “misapplied” because the environment remains punitive. The DEA continues to meddle in the practice of medicine with SWAT-style force. The FDA, CDC and HHS have all released announcements acknowledging the public health disaster the guideline’s application has caused, but those announcements will remain moot, and the DEA is sure to continue increasing its interference if guidelines on acute care are published. Summary It appears federal agencies have not only been ignoring important stakeholders’ dissent to these low evidence interventions, but they also continue to barrel forward with their strategy in partnership with many others no matter the cost — even if the cost is American lives. The CDC Guideline was the result of recommendations provided by the National Academy of Medicine, and the history of this crisis and how it’s been managed doesn’t provide any reassurance that anyone at NASEM can do any better in these endeavors. It also appears as if we may actually be in the grips of a largely inflated crisis that continues on with no remediation, while trillions in taxpayer money continue to be spent on a failed drug war that now includes patients and their doctors. Federal agencies and their collaborating NGOs have failed to mitigate continued harm to Americans with complex chronic conditions. A new practice standard for acute care is not likely to add any benefit to sick or injured Americans and all of this continues despite addiction being rather uncommon and overdoses rare under the care of a licensed physician. Conclusion This simply cannot be allowed to continue without some serious remedial steps. Thousands (at least) have died due to these policies. Millions more have been left to suffer pointlessly. All due to how this crisis has been framed using taxpayer dollars to convince the American people that we need to spend billions on interventions that have shown no return on investment for the American people. Overdoses continue to climb unabated despite the interventions already employed and yet, Americans are expected to accept further restrictions on legal access to these life-saving medications. As long as we don’t have the full data on the harms these agencies and others are causing to the public via their public health interventions, and the longer they can continue developing practice standards that continue to trump individualized care without the participation of more moderate voices, the more people could potentially be harmed. It’s time the American people demanded that these projects be brought to a halt until appropriate controls can be put in place for the public’s safety, and an emergency review of the Drug Enforcement Agency’s conduct over the last several decades can be scrutinized by the appropriate stakeholders, including Congress. For a more in-depth view of this piece, please see the extended version.