do we really need a new opioid to choose from?

[chiver78]

the FDA has approved a new opioid for the market. is this really necessary? 

link

The Food and Drug Administration approved a powerful new opioid Friday, despite strong criticism and accusations that it bypassed its own advisory process to do it.

The new drug, Dsuvia, is a tablet that goes under the tongue. It is designed for use in the battlefield and in other emergency situations to treat intense, acute pain.
*******************************************************************************

this is just asking for more trouble. 

[buystoys]

I agree that it's potential trouble, but I know that I would have appreciated something like that when I went to the ER with back pain a couple of times. 

I don't know the answer.

[swamp]

We've got plenty of opioids now, thanks. 

[wvugurl26]

If it is very tightly held I could see uses for it. They should force registration and education to be able to prescribe it.

I fully understand there is a major problem with opioid addiction in this country. I've also seen loved ones die of cancer in horrible pain that not even fentanyl provided relief from.

The abuse potential is enormous which is why distribution needs to be very tightly restricted.

[happyhoix]

At least I hope with this one the drug company isn't launching a campaign about how this opioid is totally 'new' and non addictive, like they did with Oxy.

All those people took it and got hooked, because neither they or their doctors initially knew how very addictive it was.

It's criminal.

[Tennesseer]

Back in the eighties, my dad's best friend, painfully dying from liver cancer, twice attempted suicide by pain killer, but failed both times.  Had these pills been available back then, he would have been successful the first time and put out of his misery.

[OldCoyote]

I look at this from a different point.

After April 2018, No regular Dr. can proscribe opioids,  Only pain specialist.

Even the pain Dr, won't give me some,, He has me wearing handcuffs, both hands, day and night.  (handcuff are wrist braces) no they are not helping.

So here I sit with my degenerating kidneys, I can not take any anti-inflammatory.

I have neuropathy from chemotherapy, carpal tunnel, arthritis, and couple of other irritants.

I still have some Oxycodone left over from Colon Cancer surgery,,   I take one when I really need to get some rest.

I most certainly could take them a little more often, I am down to four tablets.. so I only take when I really need some relief.

if you think that I take too many,,, Colon surgery was in 2015

[teen persuasion]

That link was interesting, it put a much different spin on the risks than the piece I saw on ABC. So the military is fast-tracking the new drug for battlefield use, while medical professionals are afraid of other hospital staff stealing the pills to either sell or use themselves.

The ABC piece focused on the incredible strength of the drug, 100x fentanyl, and because it is used sublingually it takes effect immediately. The MD on ABC noted that it depresses the CNS, so the risk is that you stop breathing and die.

[wvugurl26]

I'm not aware of any laws that prevent a physician from prescribing if they have an appropriate, valid DEA license. What I have seen is physicians scared to prescribe due to increased scrutiny. If there is a valid, documented need there isn't an issue.

I've done audits of this. The people getting in trouble are running straight pill mills. Cash only, lines out the building and down the block.

Also what I'm seeing is a whole lot of bad information among physicians including my own pain doctor who does the Botox for my migraines. They hear things like recommendations to keep patients below 90 morphine milligram equivalents and think it's law.

[OldCoyote]

Nov 6, 2018 8:47:12 GMT -5 wvugurl26 said:

I'm not aware of any laws that prevent a physician from prescribing if they have an appropriate, valid DEA license. What I have seen is physicians scared to prescribe due to increased scrutiny. If there is a valid, documented need there isn't an issue.

I've done audits of this. The people getting in trouble are running straight pill mills. Cash only, lines out the building and down the block.

Also what I'm seeing is a whole lot of bad information among physicians including my own pain doctor who does the Botox for my migraines. They hear things like recommendations to keep patients below 90 morphine milligram equivalents and think it's law.

I had a talk with My Family Dr. I asked him, when I asked for a prescription , You gave me a flat out "no" Tell me about it.

That is when he said that the Feds sent out notice that there were no opioids to be given by regular Dr. I beleive he said it was April 30.

Only pain Dr.'s could do that.

[wvugurl26]

Trump unveiled a plan this spring to cut down on opioid prescriptions. I can't find anything about limiting doctor type though.

CDC had a plan for primary care physicians. They were recommendations though not law. This is what I'm talking about, they take these recommendations as law without considering what is appropriate. That is what I'm seeing over and over.

Arizona limits new prescriptions to a 5 day supply of opioids. So there might be state laws coming into play for you.