[BRAH]

What's scary is how people online are offering advice how to take fentanyl in an iv.

[Freakinoldguy]

raydan raydan:

Sure, pain is one motivator, but addiction to pain killers (from legitimate prescriptions) is another.

One extreme to the other. Over prescribe, have a rush of shit to the brain and under prescribe. There has to be a happy medium, unfortunately the medical profession is just like the rest of society.

Reactionary rather than logical.

[Freakinoldguy]

BRAH BRAH:

What's scary is how people online are offering advice how to take fentanyl in an iv.

Fuck the iv, apparently it's the new gummy bears for users.

$1:

Fentanyl stolen from pharmacies typically comes in patch form, which some users either cut up and suck on or scrape off and smoke.

[andyt]

Freakinoldguy Freakinoldguy:

raydan raydan:

Sure, pain is one motivator, but addiction to pain killers (from legitimate prescriptions) is another.

One extreme to the other. Over prescribe, have a rush of shit to the brain and under prescribe. There has to be a happy medium, unfortunately the medical profession is just like the rest of society.

Reactionary rather than logical.

Over prescribing doesn't mean making the doses too large, but prescribing it for pain that isn't that severe or prescribing it for too long a period. We use far more opioids in Canada than Europe does - are we really that much more in pain or do we run to the doctor for minor or moderate aches that the docs prescribe opioids for in Canada?

The other problem of course is tolerance, opioids just don't seem that well suited for long term pain relief because they lose their effectiveness and require ever larger doses. Lots of people report having success with marijuana for pain - maybe that should be investigated more. Or just learning to deal with it, the way I suspect Europeans do. I'm not saying we shouldn't use opioids in medicine, but we should definitely look at why we use such large amounts vs the Europeans.

[BRAH]

Freakinoldguy Freakinoldguy:

BRAH BRAH:

What's scary is how people online are offering advice how to take fentanyl in an iv.

Fuck the iv, apparently it's the new gummy bears for users.

$1:

Fentanyl stolen from pharmacies typically comes in patch form, which some users either cut up and suck on or scrape off and smoke.

Holy shit!

[Freakinoldguy]

andyt andyt:

Freakinoldguy Freakinoldguy:

raydan raydan:

Sure, pain is one motivator, but addiction to pain killers (from legitimate prescriptions) is another.

One extreme to the other. Over prescribe, have a rush of shit to the brain and under prescribe. There has to be a happy medium, unfortunately the medical profession is just like the rest of society.

Reactionary rather than logical.

Over prescribing doesn't mean making the doses too large, but prescribing it for pain that isn't that severe or prescribing it for too long a period. We use far more opioids in Canada than Europe does - are we really that much more in pain or do we run to the doctor for minor or moderate aches that the docs prescribe opioids for in Canada?

The other problem of course is tolerance, opioids just don't seem that well suited for long term pain relief because they lose their effectiveness and require ever larger doses. Lots of people report having success with marijuana for pain - maybe that should be investigated more. Or just learning to deal with it, the way I suspect Europeans do. I'm not saying we shouldn't use opioids in medicine, but we should definitely look at why we use such large amounts vs the Europeans.

The reason we have more opiod use in North America is because the Europeans are using in large doses synthetic opiods like Tramadol which they don't consider a narcotic for pain treatment.

Trouble is that Tramadol despite what doctors tell you has just as bad a reputation for addiction as some of the other narcotics.. As the matter of fact the US has finally put it on the scheduled drug list because of the problems it's causing which include severe addiction issues, and overdoses.

Remember these doctors are the same people who told us that Oxycontin wasn't addictive and handed it out like candy.

[andyt]

I can't find a really good link that refutes what you said here, but I have my doubt that what you say is true. Have you got a link to back up your statement? When I google Tramadol, it is designated an opioid.

[Freakinoldguy]

andyt andyt:

I can't find a really good link that refutes what you said here, but I have my doubt that what you say is true. Have you got a link to back up your statement? When I google Tramadol, it is designated an opioid.

Not in Canada and it just was in America for the decades preceeding it wasn't.

http://drugabuse.com/library/tramadol-h ... tatistics/

$1:

1. Tramadol is now a controlled substance in all 50 U.S. states.

On July 7, 2014 the U.S. Drug Enforcement Administration (DEA) announced that tramadol has been placed into schedule IV of the Controlled Substances Act (CSA) effective August 18, 2014. The new scheduling applies to all forms of tramadol. The rescheduling of tramadol comes at a time of growing concern related to abuse, misuse, addiction and overdose of opioid analgesics. Previously tramadol was a controlled substance in only a few states.

https://www.drugs.com/article/tramadol- ... -know.html

Here's a list of scheduled drugs in Canada and you won't find Tramadol on the list.

https://en.wikipedia.org/wiki/Controlle ... Schedule_I


Hell, in Europe you can order the stuff online.

http://intercaremarket.com/product/tram ... merata.com

So does that answer your questions about the crap?

[Delwin]

Anyone catch this?

I think this is the right approach.

Canada has just approved prescription heroin


https://www.washingtonpost.com/news/wor ... on-heroin/

[andyt]

Yep, the NAOMI and SALOME trials showed that this is effective. However they found that hydromorphone (Dilaudid) is just as effective, costs a lot less and was already legal, so I'm not sure what the fuss is about.

But good for the Liberals for having an open mind instead of the closed mind knee jerk responses of the Conservatives. "Oooooo, can't give junkies drugs, throw the in prison, that will solve the problem."