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1. Many, even the ethical, doctors prescribed opioids for pain, and misery. 2. A very small percentage of Doctors set up shop to hook their patients. 3. I

1. Many, even the ethical, doctors prescribed opioids for pain, and misery. 2. A very small percentage of Doctors set up shop to hook their patients. 3. I just can't put all the blame on doctors. 4. People are miserable across this county. A lot of you are insulated from the misery, but it's there. The anti-drpepressant effects of opioids should not be hidden. They make you feel good. Plus--I don't think it's a coincidence that heterocyclic/tricyclic anti-depressants have come under extreme scrutiny. Basically--do they even work. Oh yea, that double blind study, in India, proved they work 62% over a huge Placebo response? Meaning 6 patients answered three positive questing, more that the control group, on that poorly worded psychological test. 5. Now the problem is the patient starts to develop a tolerance. The foolish run to the street, and buy bags of whatever. The responsible patient stays on the same dosage. (There are studies, done in nursing homes, that state that patients on opioids can stay on tge same dose of opioids for years, and don't feel the need go up their dose.) 6. O.K. we are blaming the doctors for the opioids crisis. They don't want to get sued, or have the FDA knocking on their door; so they cut off the patient. 7. Now, if the patient can't kick the stuff by themselves, they are labeled addicts. They go on bupenorpine, or methadone. They have to jump through hoops just to get that medication. Many, if in the right areas, just go to the street. I can see why they do. I don't understand anyone who just sticks a needle in their arm, and hopes for the best. 8. We are now stuck with a terrible system, and people in agony. Way to go America! (Excuse my attitude. My doctor got cold feet prescribing me bupenorpine, after a decade of taking it. It's not been easy getting off of. I am not happy with the system is the slightest. I don't blame the doctors though. Many of them know their patients do just fine on a on most controlled substances. Now--the doctors who are dragging in their patients for unnecessary office visits; those bastards should be exposed, and dealt with. The ethical doctors should be left alone to treat their patients, without any oversight. Yea--try finding a ethics, doctor. I do know they exist.)

DanBC 9y ago
US doctors are prescribing far more opioids that doctors in any other country. The US uses 99% of the world supply of hydrocodone, for example. The opioid crisis is far worse in the US than in any other country. > I don't think it's a coincidence that heterocyclic/tricyclic anti-depressants have come under extreme scrutiny. Basically--do they even work. Oh yea, that double blind study, in India, proved they work 62% over a huge Placebo response? Meaning 6 patients answered three positive questing, more that the control group, on that poorly worded psychological test. SSRIs are good at treating depression if you actually have depression. (something like 60% efficacy) If you don't have depression they don't work at all. The lack of efficacy of SSRIs is just US doctors again overdiagnosing and overtreating. The theme is US healthcare is not very good for very many people.. > There are studies, done in nursing homes, that state that patients on opioids can stay on tge same dose of opioids for years, and don't feel the need go up their dose.) Do you have a source? Because all the studies I've seen show that long term use of opioids causes tolerance, and doesn't work to treat pain.
- webnrrd2k 9y ago
  Re: over prescribing antidepressants (and various other medications), I think there is a real problem in America with getting an accurate diagnosis in the first place, which contributes to the overprescription problem. Also, most people are limited to a very small slice of office time, and I imagine that makes an accurate diagnosis difficult, too. In addition, American culture reinforces individualism, and tends to be isolating relative to many other cultures, which, I'm sure, contributes to the problem. This all just reinforces your larger point that US healthcare is not very good for very many people. It's great if you have the money (or insurance) to see whoever you need to, but not so good if you don't.
- TylerE 9y ago
  > The US uses 99% of the world supply of hydrocodone, for example. That's a very misleading statistic. It's because most everywhere else in the world doesn't prescribe it... they typically give smaller doses of _stronger_ opioids.

DanBC 9y ago

US doctors are prescribing far more opioids that doctors in any other country. The US uses 99% of the world supply of hydrocodone, for example. The opioid crisis is far worse in the US than in any other country. > I don't think it's a coincidence that heterocyclic/tricyclic anti-depressants have come under extreme scrutiny. Basically--do they even work. Oh yea, that double blind study, in India, proved they work 62% over a huge Placebo response? Meaning 6 patients answered three positive questing, more that the control group, on that poorly worded psychological test. SSRIs are good at treating depression if you actually have depression. (something like 60% efficacy) If you don't have depression they don't work at all. The lack of efficacy of SSRIs is just US doctors again overdiagnosing and overtreating. The theme is US healthcare is not very good for very many people.. > There are studies, done in nursing homes, that state that patients on opioids can stay on tge same dose of opioids for years, and don't feel the need go up their dose.) Do you have a source? Because all the studies I've seen show that long term use of opioids causes tolerance, and doesn't work to treat pain.

webnrrd2k 9y ago
Re: over prescribing antidepressants (and various other medications), I think there is a real problem in America with getting an accurate diagnosis in the first place, which contributes to the overprescription problem. Also, most people are limited to a very small slice of office time, and I imagine that makes an accurate diagnosis difficult, too. In addition, American culture reinforces individualism, and tends to be isolating relative to many other cultures, which, I'm sure, contributes to the problem. This all just reinforces your larger point that US healthcare is not very good for very many people. It's great if you have the money (or insurance) to see whoever you need to, but not so good if you don't.
TylerE 9y ago
> The US uses 99% of the world supply of hydrocodone, for example. That's a very misleading statistic. It's because most everywhere else in the world doesn't prescribe it... they typically give smaller doses of _stronger_ opioids.