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re: Fentanyl deaths up 540% in three years

Posted on 9/5/17 at 1:14 pm to
Posted by pleading the fifth
Member since Feb 2006
3991 posts
Posted on 9/5/17 at 1:14 pm to
I use fentanyl daily in my anesthesia practice. It's a great pain medicine when administered properly but it is extremely potent. It's dosed in micrograms so if a large amount is administered it's deadly.

Law enforcement is likely ODing from encounters with other synthetics like carfentanil which is 100 times even more potent than fentanyl.
Posted by RogerTheShrubber
Juneau, AK
Member since Jan 2009
299716 posts
Posted on 9/5/17 at 1:16 pm to
Probably wouldn't happen if safer shite was readily available.
Posted by MSMHater
Houston
Member since Oct 2008
23366 posts
Posted on 9/5/17 at 1:17 pm to
quote:

It's very easy to tell your doc you will not accept an opiate prescription from them. Prescribe something else or I'll just take OTC aleve/aspirin.


Knee replacement? Hip replacement? Bone marrow transplant? Lumbar puncture?

Just give you the Advil, right?
Posted by REG861
Ocelot, Iowa
Member since Oct 2011
38380 posts
Posted on 9/5/17 at 1:17 pm to
quote:


It's very easy to tell your doc you will not accept an opiate prescription from them. Prescribe something else or I'll just take OTC aleve/aspirin.


you underestimate how much the average american trusts their doctors on medical issues. Doctors in the 90's started prescribing oxy for all sorts of injuries. The average patient had no clue what it is. It was brand new and the pharma maker falsely advertised that it wasn't addictive. Since then opioids (and opiate abuse) have been ubiquitous.

I know people such as yourself want to make lazy assumptions in lieu of any nuanced discussion but it's far more than your average dumbass college kid wanting to get his hands on pills. While I do know a fair share of morons who were always destined for heavy drug use, it's a much more complex problem than you are presenting.
This post was edited on 9/5/17 at 1:19 pm
Posted by DirtyMikeandtheBoys
Member since May 2011
19467 posts
Posted on 9/5/17 at 1:21 pm to
quote:

it's a much more complex problem than you are presenting.


Admittedly I will never come around to the other side of thinking because I do not see this as a problem. I'm hateful and evil, I believe it is for the betterment of the human race for addicts to all kills themselves so as not to propagate their addictive genes.
Posted by tigerfoot
Alexandria
Member since Sep 2006
61725 posts
Posted on 9/5/17 at 1:22 pm to
quote:

on't any of you think there's an underlying reason that all of a sudden tens of thousands of americans are using opiates? You know, some explanatory factors

Americans didn't just start turning to opiate use in masse because they listened to too much heavy metal or because they took God our of our schools, etc.


Its because pot became more accepted.
Posted by lsu480
Downtown Scottsdale
Member since Oct 2007
92903 posts
Posted on 9/5/17 at 1:24 pm to
quote:

don't any of you think there's an underlying reason that all of a sudden tens of thousands of americans are using opiates? You know, some explanatory factors

Americans didn't just start turning to opiate use in masse because they listened to too much heavy metal or because they took God our of our schools, etc.



Yes and a HUGE reason that nobody talks about is legalized/decriminalized/medical marijuana. at people thinking the cartels and other high level drug dealers were just gonna be ok with losing a multi-billion dollar revenue stream without finding a way to replace it.
Posted by shotcaller1
Member since Oct 2014
7501 posts
Posted on 9/5/17 at 1:36 pm to
Good. Let's see it climb higher. Need to weed all the useless druggies out
Posted by BuckeyeFan87
Columbus
Member since Dec 2007
25249 posts
Posted on 9/5/17 at 1:39 pm to
quote:

Why do we even make shite that's so powerful that cops have OD'd just from the shite seeping into their skin?

Isn’t it made for elephants or something like that? Elephants shouldn’t suffer because humans are trashy
Posted by ksayetiger
Centenary Gents
Member since Jul 2007
70472 posts
Posted on 9/5/17 at 1:45 pm to
quote:

meant just humanity as a whole





People will do/make anything for money, as a whole
Posted by leveedogs
Levee
Member since Jan 2016
276 posts
Posted on 9/5/17 at 1:58 pm to
quote:

Doctors handing out opiates when you stub your toe and the kickbacks they receive for doing so has nothing at all to do with this.


Ain't no kickbacks for any prescribed drugs. Not sure where this myth came from but if you believe this you clearly know nothing about the practice of medicine. And therefore you should probably STFU on this topic rather than blaming doctors for drug addicts overdosing on narcotics obtained from the street.
Posted by EyeTwentyNole
Member since Mar 2015
4199 posts
Posted on 9/5/17 at 2:07 pm to
What kind of medical procedure or aftercare requires something however many times stronger than morphine? And what would require something even stronger than Fentanyl? I'm not challenging you I'm just genuinely curious
Posted by lsuoilengr
Member since Aug 2008
5473 posts
Posted on 9/5/17 at 2:11 pm to
legalize pot and shrooms. WOOOOOO WOOOOOO
Posted by REG861
Ocelot, Iowa
Member since Oct 2011
38380 posts
Posted on 9/5/17 at 2:14 pm to
quote:


Ain't no kickbacks for any prescribed drugs. Not sure where this myth came from


probably from the bevy of highly publicized lawsuits concerning illegal kickbacks

https://www.chicagotribune.com/news/local/breaking/chi-reinstein-kickback-plea-20150213-story.html

LINK

thanks for letting us know you are completely full of shite though
This post was edited on 9/5/17 at 2:17 pm
Posted by MSMHater
Houston
Member since Oct 2008
23366 posts
Posted on 9/5/17 at 2:18 pm to
quote:

Ain't no kickbacks for any prescribed drugs. Not sure where this myth came from but if you believe this you clearly know nothing about the practice of medicine. And therefore you should probably STFU on this topic rather than blaming doctors for drug addicts overdosing on narcotics obtained from the street.



You probably shouldn't come off so arrogantly and confident about a practice that wasn't even against Pharma policy until 2009, and not documented via The Sunshine Act until 2010. Many of the legal claims (by states) against pharma's marketing practices go back to the early 2000's where such regs wouldn't even apply.

Sure, there are no direct "kickbacks" any more, but what will Pharma company X give me to speak to other physicians about their drug? $1000 per talk. All expenses paid trips to deliver those talks. All expenses paid trips to participate in advisory boards re: their drug. All expenses paid trip to speaker training on their drug. All legal. All above board. All highly influential re: prescribing habits.

quote:

STFU on this topic rather than blaming doctors for drug addicts overdosing on narcotics obtained from the street.

I still blame the patients, our litigious society, and defensive medicine more than the individual doctor. But they are not without blame. Pill mills exist.

This post was edited on 9/5/17 at 2:21 pm
Posted by vengeanceofrain
depends
Member since Jun 2013
12465 posts
Posted on 9/5/17 at 2:25 pm to
i've tried Heroin before and that was so fricking strong i knew whhen i was high i can't do this anymore this is TOO good. plus i don't like down i like up.


i am terrifed to even look at Fentanyl i could only imagine how powerful it is
Posted by MSMHater
Houston
Member since Oct 2008
23366 posts
Posted on 9/5/17 at 2:27 pm to
My 3 month experiment with Oxy 10 years ago served the same purpose.

Anything stronger than a vicodin these days and I'm nope, nope, nope....
This post was edited on 9/5/17 at 2:27 pm
Posted by pleading the fifth
Member since Feb 2006
3991 posts
Posted on 9/5/17 at 2:28 pm to
Carfentanil is used for veterinary purposes where the dosage per kilogram makes more sense. I use remifentanil and other fentanyl derivatives as infusions on occasion because the effect is so potent it can keep the patient completely still and the vital signs stable which may be necessary for certain procedures. Of course the patient is constantly monitored and ventilated so it's fine.

An example would be a major spine surgery where the surgeon wants to make sure he isn't damaging the spinal cord. We don't want to paralyze the patient or use certain anesthetic drugs that may mess up the signals being monitored. So we use these very potent narcotics which allow for better monitoring.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27875 posts
Posted on 9/5/17 at 2:30 pm to
Opiate abuse was/is a problem. They treated it like a spider. They killed it with a shoe (making Vicodin triplicate) and turning off the tap. Well now it's like u smashed a spider carrying babies. Killed the problem but a hundred problems you didn't think of popped up.

Mexican heroin, Chinese fentanyl, heroin becoming "cool" again and a cheaper alternative.

It is near prohibition. Prohibition never works.

The problem needed fixing but it will take a couple of generations before we will be like the rest of the world in our prescribing of opiates.
Posted by vengeanceofrain
depends
Member since Jun 2013
12465 posts
Posted on 9/5/17 at 2:34 pm to
heroin makes roxy 30's feel like tic tacs. and roxy 30's are fricking nothing to frick around with. at all.
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