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Old 03-20-2017, 10:30 AM   #1 (permalink)
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With A 10 Day Supply Of Opioids, One In Five Become Long Term Users

With a 10-day supply of opioids, 1 in 5 become long-term users
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Old 03-20-2017, 11:54 AM   #2 (permalink)
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there's a slight problem with that meta study... it doesn't track reason for continuing or discontinuing use... cost rises for patients on shorter cycles due to deductible costs (which are usually per refill), as well as ability to consistently refill. I'm quite sure both of those have an effect on continuation that depresses the lower end bar
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Old 03-20-2017, 11:54 AM   #3 (permalink)
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This surprises me, it really does.

When I was receiving radiotherapy for cancer in my throat (a horribly painful treatment) I was given fentanyl patches that released 25 mcg/hr, plus liquid morphine for spike relief (as I think it's called) as and when I needed it, which was about every 4 or 5 hours.

This regime lasted for about 3 months, and took about 1 month to come off. That seems to be pretty standard, at least according to both my oncologist and the discussion boards for the UK cancer support groups I used.
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Old 03-20-2017, 01:30 PM   #4 (permalink)
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What percentage were actual long term pain sufferers? I didn't see any attempt to correct for that. My own experience with opiates is that if you're taking them for more than a day or two you're probably dealing with something you're going to be a while getting over, so the possibility that 20% of people needing more than a couple of doses are legitimately needing long term pain relief doesn't seem terribly unreasonable.

As an aside, one problem in the US is that there's systematic mis-prescribing of opiates due to marketing. Not over-prescribing, but prescribing higher doses instead of more frequent doses.
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Old 03-22-2017, 05:21 PM   #5 (permalink)
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I need my brain serviced. It keeps wanting to read the headline as "Win a 10 Day Supply of Opioids"..
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Old 03-22-2017, 06:43 PM   #6 (permalink)
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It doesn't surprise me at all. I got a five day supply of opioids after having my wisdom teeth removed. It was the best rest of my life, taking one of those. Perhaps I was in a vulnerable state due to untreated panic disorder and insomnia at the time, but by the end of day 3 I was cutting them in half to make them last longer. I realized what I was doing and haven't taken anything stronger than Advil since. I really do genuinely fear what will happen if I'm ever in a situation where I'm going to need serious pain relief.
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Old 03-22-2017, 07:24 PM   #7 (permalink)
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It's a good thing I seriously do not like oxycodone, which is the thing that I get prescribed the most.

After the car crash I walked out with a prescription for Tylenol with codeine. Unfortunately codeine is a happy fun drug for me. Between that and not wanting to spend any money, I didn't bother to fill it. Now if I had recent tooth surgery or a bad ear infection I would have filled it. But knee pain is a signal you're doing it wrong, so I figured I'd rather tough it out and have a better chance of healing by not being stupid. This is working.
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Old 03-22-2017, 07:27 PM   #8 (permalink)
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Quote:
Originally Posted by Innula Zenovka View Post
This surprises me, it really does.

When I was receiving radiotherapy for cancer in my throat (a horribly painful treatment) I was given fentanyl patches that released 25 mcg/hr, plus liquid morphine for spike relief (as I think it's called) as and when I needed it, which was about every 4 or 5 hours.

This regime lasted for about 3 months, and took about 1 month to come off. That seems to be pretty standard, at least according to both my oncologist and the discussion boards for the UK cancer support groups I used.

When I was at MD Anderson Cancer Center, they were very open about being willing to prescribe for pain relief and considered it part of the care. They had to make me take oxycodone because I was in enough pain I had stopped eating very much and didn't fully realize it.

Maybe the U.S. is swinging too much the other way now? Too many drug scares and not enough sensible management.
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Old 04-02-2017, 11:38 PM   #9 (permalink)
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I was in the ER with chest pain. Once we determined my heart was okay, I was given Ibuprofin for the pain, when I later noted that the pain was still present, they gave me an injection of morphine! I was told that was pretty standard pain management protocol, but I could not help but think that was going from first gear to fifth in a fairly quick manner. The next eight hours were AWESOME though.
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Old 04-04-2017, 11:00 PM   #10 (permalink)
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As some of you may recall I crushed my L2 vertebrae Dec 1st and did the opiode dance for a few weeks. I knew it was time to flush them when I was washing them down with a whiskey chaser. Man that shit is dangerous.
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