4 ms·

> but instead we standardize on oxyconton and opiates That's because oxycontin and opiates work for relieving pain. > But in states that have embraced cannabi

> but instead we standardize on oxyconton and opiates That's because oxycontin and opiates work for relieving pain. > But in states that have embraced cannabis we don't see this level of crisis . That's a baseless claim that couldn't be further from the truth. Take a walk around SF, LA, Seattle, Portland, etc, there are tons of strung out junkies laying around on the streets surrounded by needles. The existence of painkillers are not the reason we have drug addicts.

DanBC 9y ago
> That's because oxycontin and opiates work for relieving pain. They do not work for relieving long term pain. https://www.fpm.ac.uk/faculty-of-pain-medicine/opioids-aware https://www.fpm.ac.uk/faculty-of-pain-medicine/opioids-aware > > 1. Opioids are very good analgesics for acute pain and for pain at the end of life but there is little evidence that they are helpful for long term pain > > 2. A small proportion of people may obtain good pain relief with opioids in the long-term if the dose can be kept low and especially if their use is intermittent (however it is difficult to identify these people at the point of opioid initiation). > The existence of painkillers are not the reason we have drug addicts. This is just untrue. Please provide a valid source.
- notadoc 9y ago
  Your own citation disputes your opinion and claim. > This is just untrue. Oh are you saying this from your own research or clinical experience? Do you work directly with persistent pain patients? Are you an anesthesiologist? Or are you just Doctor Google?
  - DanBC 9y ago
    > Your own citation disputes your opinion and claim. I'm confused, please can you point out where my citation disputes my claim? Also, can you provide a citation?
- Powerofmene 9y ago
  It seems that if opioids and opiates did not relieve long term pain the entire pain management industry would implode because health insurance would not pay for the millions of prescription pain management doctors write. I have my own opinions about pain management doctors but that aside' insurance companies are very quick to deny something with no medical benefit or no medical basis for the prescription/procedure. I know people with debilitating pain that have been on pain melds for over a decade and while the medications do not make the pain disappear it makes it manageable. Some people are not candidates for surgery and have to manage with medications. Bottom line though, individuals who have been using these drugs for so long whether for a legitimate reason or not suffer from memory issues, fatigue, irritability, impulse control, etc and those factors can certainly have an impact on children.

DanBC 9y ago

> That's because oxycontin and opiates work for relieving pain. They do not work for relieving long term pain. https://www.fpm.ac.uk/faculty-of-pain-medicine/opioids-aware https://www.fpm.ac.uk/faculty-of-pain-medicine/opioids-aware > > 1. Opioids are very good analgesics for acute pain and for pain at the end of life but there is little evidence that they are helpful for long term pain > > 2. A small proportion of people may obtain good pain relief with opioids in the long-term if the dose can be kept low and especially if their use is intermittent (however it is difficult to identify these people at the point of opioid initiation). > The existence of painkillers are not the reason we have drug addicts. This is just untrue. Please provide a valid source.

notadoc 9y ago
Your own citation disputes your opinion and claim. > This is just untrue. Oh are you saying this from your own research or clinical experience? Do you work directly with persistent pain patients? Are you an anesthesiologist? Or are you just Doctor Google?
- DanBC 9y ago
  > Your own citation disputes your opinion and claim. I'm confused, please can you point out where my citation disputes my claim? Also, can you provide a citation?
Powerofmene 9y ago
It seems that if opioids and opiates did not relieve long term pain the entire pain management industry would implode because health insurance would not pay for the millions of prescription pain management doctors write. I have my own opinions about pain management doctors but that aside' insurance companies are very quick to deny something with no medical benefit or no medical basis for the prescription/procedure. I know people with debilitating pain that have been on pain melds for over a decade and while the medications do not make the pain disappear it makes it manageable. Some people are not candidates for surgery and have to manage with medications. Bottom line though, individuals who have been using these drugs for so long whether for a legitimate reason or not suffer from memory issues, fatigue, irritability, impulse control, etc and those factors can certainly have an impact on children.