Opioid Use Disorder

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UNDERTREATMENT OF CHRONIC PAIN.

The following American Article talks about promising non-opioid treatments on the horizon for chronic pain, however, of particular note the Author highlights the following: “We now believe that aggressive, appropriate treatment of acute pain after surgery may prevent persistent postoperative chronic pain.”

Why has this trend of “undertreatment” only been noticed & reported in relatively recent times? Perhaps the probability of developing chronic pain can be massively reduced IF pain is addressed early on, rather than left until it is too late?

In other words, the effective use of low dose opioids for post-operative pain when warranted [in those who DO NOT have a history of Opioid Use Disorder etc], should be “Best Practice”, instead of a last resort?
www.mdlinx.com/article/bold-advances-in-pain-management-incl...

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OPIOIDS ARE EFFECTIVE FOR CHRONIC PAIN

Contrary to what the mainstream media and "anti-opioid" lobbyists would have you believe, legally prescribed opioid painkillers DO actually work for chronic pain. Opioids have been used for thousands of years to provide relief from pain, so why is there a mis-perception or inference in recent times they should only be used for acute pain?

In America the CDC Opioid Prescribing Guidelines state there is "insufficient evidence to determine long-term benefits of opioid therapy for chronic pain" [SEE LINK BELOW], and in Australia we are told there is a "lack of evidence for opioids in the management of chronic non-cancer pain" [i.e. based on the International Assoc. for the Study of Pain Policy Document February 2018].

Many anti-opioid activists claim there is “no evidence” or "insufficient evidence" opioids work long-term, yet there are NO high quality, placebo controlled studies routinely conducted for longer than 3 months. Therefore, to say there is no evidence is "a misleading statement, because non-opioid pain medications and alternative treatments are not studied for long periods either."

IF there are no reputable or "good studies" that go beyond 3 months [i.e. due to funding and other regulatory and scientific restrictions], surely the absence of evidence is NOT evidence of absence? There is a silent majority of responsible chronic pain patients, using their opioid pain killers safely and successfully for many years, yet their voice is not being heard.

#research #CDC #IASP #OpioidCrisis #PainManagement #Opioids #Painrelief #prescriptionopioids #Dontpunishpain #ChronicPain #PainManagement #OpioidEpidemic #OpioidCrisis #opioidtapering #forcetapering #Dependence #Addiction #opioidprescribingguidelines #OpioidHysteria #fearofopioids #opioidrestrictions #chronicpainpatients #deprescribingopioids #abandonment #untreatedpain #OpioidUseDisorder #SubstanceAbuse #PainKillers #StopTheStigma #Holisticcare #qualityoflife #noonesizefitsall

Study Finds Opioid Medication Effective for Chronic Pain — P...

Study Finds Opioid Medication Effective for Chronic Pain — Pain News Network

By Pat Anson, Editor Opioids have been used for thousands of years to provide relief from pain. But are they an effective treatment? Are they worth the risk of addiction? And do they improve quality of life? Millions of chronic pain patients who use prescription opioids so that they can work,
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I’m new here!

Hi, my name is LorOfTheRings7. I'm looking for help dealing with being undiagnosed for certain things, while diagnosed for some and for help coping with those things while my kids have all been diagnosed with Fragile X Syndrome.

#MightyTogether #Anxiety #Depression #Migraine #BorderlinePersonalityDisorder #PTSD #ADHD #OCD #Grief #AutismSpectrumDisorder #SchizoaffectiveDisorder #OpioidUseDisorder #DegenerativeDiscDisease

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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

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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

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Debilitating Chronic and Acute Pain / Withdrawal / opioid dependence

For over a decade I was on
15 patches of fentanyl 50 mg
180 Dilaudid 8mg
120 Percocet
30 Bromazepam 6mg at bedtime
60 Diazepam 10mg
Every month on a continuous basis for over 10 years

Decades Prior to that I was on different types of pain medications ever since I had a bike accident when I was in my teens when I cracked a vertebrae and twisted my back.

I suppose over the years I did not realize how high of a dose I was getting used to. My doctor however did everything he could for me. He sent me to specialists, pain clinics and Saint Joseph’s Hospital in Toronto to the addictions centre to confirm whether I was addicted or dependent on opioids. They confirmed that because I never abused my medications and only used them for pain, I was determined not to be addicted however dependent on opiates and benzodiazepines. The opiates for pain and the benzodiazepines for muscle spasms and sleeping at night. I was living a successful and happy life, able to function properly during the day and get proper sleep at night. The sky was the limit. I was happy, content and believe that I could’ve lived the rest of my life like that as my mother did. She also had a dependency on the same types of medications and I had no issues because she never abused them. My mother had suffered a severe car accident when she was young and the doctors did not think she would survive as she broke many of her ribs and had several broken bones. It was a miracle. Otherwise healthy, she recently died peacefully in a hospital at a ripe old age of 94 years old

At the end of 2019, my family physician was reprimanded by the College of Physicians and surgeons of Ontario and stopped working at the clinic in Toronto, Ontario, Canada that I was going to for over 10 years

That clinic no longer had a family physician as they were waiting for a doctor from the U.S. and therefore could not refill any of the prescriptions I was taking. They remained a walk-in clinic only.

I ended up in an addiction walk-in clinic and forced to take Suboxone. Did I have a choice? It was that or buy drugs illegally.
The main problem is, Suboxone is meant to treat addiction and not for long-term pain management. I have been on Suboxone since January 2020. It DOES NOT HELP WITH MY PAIN. It only gets me to fall asleep, temporarily.

All night every night, I wake up with pain between 10 and 20 minutes apart. I cannot get a proper night sleep. I end up crawling out of bed at 3 or 4PM on average. By the time I wake up and have my coffee, offices that I need to call ie. to find a new doctor are closed. So I am unable to get anything done. I feel 100% useless, helpless & HOPELESS.
I cannot live like this!!
HELP

Has Anyone else experienced this type of thing? Taken off high doses of both Opioids and Benzodiazepines at the same time?

#withdrawal #coldturkey #opioiddependence #OpioidAddiction #opioidstigma #opioidusedisorder #fentanyl #benzodiazepines #benzos #opioidcrisis #overdose #Addiction

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Opioid dependence/ withdrawal/ extreme PAIN

For over a decade I was on
15 patches of fentanyl 50 mg
180 Dilaudid 8mg
120 Percocet
30 Bromazepam 6mg at bedtime
60 Diazepam 10mg
Every month on a continuous basis for over 10 years

Prior to that I was on different types of pain medications ever since I had a bike accident when I was in my teens when I cracked a vertebrae and twisted my back.

I suppose over the years I did not realize how high of a dose I was getting used to. My doctor however did everything he could for me. He sent me to specialists, pain clinics and Saint Joseph’s Hospital in Toronto to the addictions centre to confirm whether I was addicted or dependent on opioids. They confirmed that because I never abused my medications and only used them for pain, I was determined not to be addicted however dependent on opiates and benzodiazepines. The opiates for pain and the benzodiazepines for muscle spasms and sleeping at night. I was living a successful and happy life, able to function properly during the day and get proper sleep at night. The sky was the limit. I was happy, content and believe that I could’ve lived the rest of my life like that as my mother did. She also had a dependency on the same types of medications and I had no issues because she never abused them. My mother had suffered a severe car accident when she was young and the doctors did not think she would survive as she broke many of her ribs and had several broken bones. It was a miracle. Otherwise healthy, she recently died peacefully in a hospital at a ripe old age of 94 years old

At the end of 2019, my family physician was reprimanded by the College of Physicians and surgeons of Ontario and stopped working at the clinic in Toronto, Ontario, Canada that I was going to for over 10 years

That clinic no longer had a family physician as they were waiting for a doctor from the U.S. and therefore could not refill any of the prescriptions I was taking. They remained a walk-in clinic only.

I ended up in an addiction walk-in clinic and forced to take Suboxone. Did I have a choice? It was that or buy drugs illegally.
The main problem is, Suboxone is meant to treat addiction and not for long-term pain management. I have been on Suboxone since January 2020. It DOES NOT HELP WITH MY PAIN. It only gets me to fall asleep, temporarily.

All night every night, I wake up with pain between 10 and 20 minutes apart. I cannot get a proper night sleep. I end up crawling out of bed at 3 or 4PM on average. By the time I wake up and have my coffee, offices that I need to call ie. to find a new doctor are closed. So I am unable to get anything done. I feel 100% useless, helpless & HOPELESS.
I cannot live like this!!
HELP

Has Anyone else experienced this type of thing?
Taken off high doses of both Opioids and Benzodiazepines at the same time?

#withdrawal #coldturkey #opioiddependence #opioidaddiction #opioidstigma #opioidusedisorder #fentanyl #dilaudid #benzodiazepines #benzos #opioidcrisis #overdose

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