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TexasTowelie

(112,204 posts)
Mon Jan 2, 2017, 09:05 PM Jan 2017

OxyContin's global drive: 'We're only just getting started'

OxyContin is a dying business in America.

With the nation in the grip of an opioid epidemic that has claimed more than 200,000 lives, the U.S. medical establishment is turning away from painkillers. Top health officials are discouraging primary-care doctors from prescribing them for chronic pain, saying there is no proof that they work long-term and substantial evidence that they put patients at risk.

Prescriptions for OxyContin have fallen nearly 40 percent since 2010, meaning billions of dollars in lost revenue for its Connecticut manufacturer, Purdue Pharma.

So the company’s owners, the Sackler family, adopted a new strategy: Put the painkiller that set off the U.S. opioid crisis into medicine cabinets around the world.

Read more: http://www.duluthnewstribune.com/news/crime/4190514-oxycontins-global-drive-were-only-just-getting-started

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OxyContin's global drive: 'We're only just getting started' (Original Post) TexasTowelie Jan 2017 OP
I had a tooth extracted a few weeks ago and the oral surgeon prescribed this crap. El Supremo Jan 2017 #1
I can't believe that they would prescribe OxyContin for a tooth extraction. TexasTowelie Jan 2017 #2
Alright, it was Norco. El Supremo Jan 2017 #3
Norco, Oxycontin, both a sythetic form of an opiate... Alex4Martinez Jan 2017 #6
Yea Sgent Jan 2017 #9
You all take advil/do yoga for a dying tooth, extraction or root canal - if it helps, be my guest Warren DeMontague Jan 2017 #13
Amen! Crunchy Frog Jan 2017 #17
what is this? bdamomma Jan 2017 #4
Is Rush their spokesperson? KamaAina Jan 2017 #5
There is a website HockeyMom Jan 2017 #7
yay! more opioid hysteria!! it's ok though, i don't mind just suffering until i die. nt TheFrenchRazor Jan 2017 #8
I couldn't even get any painkillers when I had my kidney stone. Crunchy Frog Jan 2017 #11
i am in search of the same because it sucks when doctors/gov't control whether i get pain relief or TheFrenchRazor Jan 2017 #12
But dont you feel righteous and godly? Warren DeMontague Jan 2017 #15
I think there was definitely a problem with overprescribing, and inappropriate prescribing. Crunchy Frog Jan 2017 #16
Yeah, I accept that there aren't any easy answers. And I don't mean to sound flippant to people who Warren DeMontague Jan 2017 #18
word; people should be able to do whatever they want with their own bodies. nt TheFrenchRazor Jan 2017 #19
i think you may be on to something... nt TheFrenchRazor Jan 2017 #20
Exactly. Warren DeMontague Jan 2017 #14
Maybe Rush Limbaugh can be their spokesman Yo_Mama_Been_Loggin Jan 2017 #10

El Supremo

(20,365 posts)
1. I had a tooth extracted a few weeks ago and the oral surgeon prescribed this crap.
Mon Jan 2, 2017, 09:10 PM
Jan 2017

I was in little pain so I didn't fill it.

My sister was hooked on this shit and Percodan. It led to her early death at 64 years.

TexasTowelie

(112,204 posts)
2. I can't believe that they would prescribe OxyContin for a tooth extraction.
Mon Jan 2, 2017, 09:23 PM
Jan 2017

My dentists always gave me hydrocodone instead (even after I had 11 teeth extracted from my lower jaw for dentures). I would need it for the first couple of days after I had teeth removed, but after the fourth or fifth pill I would stop taking them. I found myself getting too depressed if I stayed on hydrocodone more than a few days. The only time I received anything stronger was when I had my wisdom teeth removed and was given Halcion which left me in a semi-conscious state.

I've only seen one person on Oxycontin and will state that he was completely out of it while he using it. It seems appropriate only after some type of surgery, extreme emergency or extreme chronic pain. Prescribing it for something like a tooth extraction seems like overkill to me.

Alex4Martinez

(2,193 posts)
6. Norco, Oxycontin, both a sythetic form of an opiate...
Mon Jan 2, 2017, 10:31 PM
Jan 2017

"Hydrocodone, also known as dihydrocodeinone, is a semi-synthetic opioid synthesized from codeine, one of the opioid alkaloids found in the opium poppy. It is a narcotic analgesic used orally for relief of moderate to severe pain, but also commonly taken in liquid form as an antitussive/cough suppressant."

"Oxycodone is a semisynthetic opioid synthesized from thebaine, an opioid alkaloid found in the Persian poppy, and one of the many alkaloids found in the opium poppy. It is a moderately potent opioid analgesic, generally indicated for relief of moderate to severe pain.[8] Oxycodone was developed in 1917 in Germany[9][10] as one of several semi-synthetic opioids in an attempt to improve on the existing opioids.[1]"

So you aren't far off. Both are highly addictive.

Hope your tooth aches are all gone!

Warren DeMontague

(80,708 posts)
13. You all take advil/do yoga for a dying tooth, extraction or root canal - if it helps, be my guest
Tue Jan 3, 2017, 04:50 AM
Jan 2017

But please dont let moral panic over the so-called "drug crisis" keep those of us who require stronger pain management in those oft-shitty situations, from getting it.

 

HockeyMom

(14,337 posts)
7. There is a website
Mon Jan 2, 2017, 10:34 PM
Jan 2017

called FiercePharms.com that you can go on which will really open your eyes on the industry. There is a piece on this and how much money they are losing on the American market. So, to offset their loses, the manufacturer is planning on promoting it on the world markets instead. Addiction? They don't care.

It's all about profits and greed. Humanity has nothing to do with it.

Crunchy Frog

(26,587 posts)
11. I couldn't even get any painkillers when I had my kidney stone.
Tue Jan 3, 2017, 03:40 AM
Jan 2017

Not even when I was in the ER screaming from the worst pain I've ever experienced.

I have since discovered some...umm, natural alternatives. It's very liberating to know that I won't have to go to an ER if I get another kidney stone, or something similarly painful.

 

TheFrenchRazor

(2,116 posts)
12. i am in search of the same because it sucks when doctors/gov't control whether i get pain relief or
Tue Jan 3, 2017, 04:40 AM
Jan 2017

or not. it's total BS; unless these people are going to pay my bills for the rest of my life, they shouldn't be able to stop me from getting necessary medicine that i need to function and survive. the constant hysteria, as in this OP, only makes it worse.

Warren DeMontague

(80,708 posts)
15. But dont you feel righteous and godly?
Tue Jan 3, 2017, 04:52 AM
Jan 2017

You should take an advil and buck it up, because with marijuana legalization taking off the DEA really needs a new public "zomg drugs" hysteria to justify their 20 billion dollar slice of the discretionary pie.

Which is really what all this shit is about, of course.

Crunchy Frog

(26,587 posts)
16. I think there was definitely a problem with overprescribing, and inappropriate prescribing.
Tue Jan 3, 2017, 05:34 AM
Jan 2017

I've experienced that too, a couple of times. The problem is that TPTB are incapable of carrying out sensible and reasonable reforms in opiate prescribing, and instead swing wildly and mindlessly to the opposite extreme of denying pain control to people who genuinely need it.

This policy has been carried out with absolutely no thought to potential unintended consequences, hence the massive surge in heroin and fentanyl ODs, which they still end up blaming on pain medication. Well, who cares? At least it keeps the DEA employed.

I find it especially shameful that this is happening under a Democratic administration. I did alot of research into the current politics of pain management after my kidney stone experience, and based on what I've read on some chronic pain forums, some people in that community were desperate enough to vote for Trump over these barbaric policies. That is a really sad commentary on the degree to which these people have been thrown under the bus in this iteration of the War On Drugs.

Sorry for the babbling. I'm up too late. But yeah, the opioid hysteria sucks, and the DEA should be disbanded.

Warren DeMontague

(80,708 posts)
18. Yeah, I accept that there aren't any easy answers. And I don't mean to sound flippant to people who
Tue Jan 3, 2017, 06:02 AM
Jan 2017

have dealt with people close to them suffering through addiction- because I have seen that, too.

But, honestly, my dad died young from nicotine, basically. Some of the worst ravages to anyone that I've witnessed, have come from alcohol. But the prohibition of either of those substances not only clearly wouldn't/doesn't work from a public policy perspective, it wouldn't solve the problem, either.

I think part of it is, there's a certain percentage of the population that is going to get addicted to something like opiates, period, if they come into contact with them. Just like some people will with alcohol. A good other percentage can use them as directed and not have a problem. So what's the answer- try and keep everyone away from them, always, because some folks will have a problem if they're ever prescribed something like oxycontin or vicodin?

Or do we re-jigger our entire approach to substance use, abuse and addiction to look at it from a new perspective, whether that includes honest, fact-based education, treatment on demand, harm reduction, what-have-you? (Not to mention the fact that many opiate addicts have had success with everything from kratom to marijuana, in terms of progressing past their addiction, but that fact doesn't gel with the "just say no" mindset which says all "drugz" are equal)

Because what we're doing isn't working.

And when we swing back to the denying pain control, as you put it, you not only drive the addicts to the black market, you drive legitimate pain patients, there, too.

http://www.opb.org/news/article/oregon-heroin-opioid-prescription-addiction-treatment/

I make no secret, on this board, of my generally small-l libertarian views on the right of consenting adults to make their own choices about their own bodies, etc.- even bad ones. It can come off as insensitive to the concerns of people about things like addiction and overdoses, I'm sure.

And... if the prohibitionary approach, the one where we decide for other people what they should be "allowed" to put in their own bodies and bloodstreams- if it actually worked? Then maybe I would concede that folks promoting that long tried-and-failed mindset might have a point. But the thing is, it doesn't. So to my mind, it's long past time to start looking at these things differently, and if the price we pay for suffering people to get their pain adequately managed is that some other people will become addicted, the fact is some people were going to become addicted anyway, so maybe focus on helping those people through treatment or harm reduction rather than futilely trying to control the behavior of everyone else.

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