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Yes, and as he said, the majority of the impact is from illegal opioids, not the ones being prescribed.


@wombatpm

The largest meta-study to date found that among long-term opiate pain patients without a prior history of abuse, only 0.19% developed any sort of addiction or abuse.

I do agree with you that many heroin users start with prescription opiates. But the vast majority are not themselves prescribed the drug. Surveys show that they're either getting the drugs from friends or relatives or buying it from the black market.

There's no evidence that doctors are "handing out oxycodone like candy", as demonstrated by the vanishingly small addiction rate among actual pain patients. If a kid raids his grandma's medicine cabinet and steals her pain medicine, how is that an indictment of the doctor or pharmaceutical company?

[1] https://www.ncbi.nlm.nih.gov/pubmed/18489635 [2] http://sci-hub.tw/https://www.tandfonline.com/doi/abs/10.108...


As someone who avoids pain medication for medical diagnostic reasons, I have had FAR too many prescriptions for opiates in my 20s and 30s. They were unnecessary 75% of the time that had automatic refills! There was no oversight or followup beyond what you get asked for a medical marijuana prescription (which is a joke). Oh, you have had some pain anywhere for anything? Here's your refill.

What did I do with the ones I didn't need, which I was originally sent home with? Sold them or gave them away for recreational use after my recovery was over.

Opiates, in general, were poorly managed for decades. Vicodin just happened to be the most popular product and the producer never bothered to be responsible about the use of it's own medicinal product, despite being in the business of medicine. I'm sure J&J aren't special, as a company that would end up being willfully negligent in the face of a successful pain medication empire, but they were.


And once you are hooked on the legal opioids, where to you go once your prescriptions run out? or your insurance? or your job. One does not start out shooting heroin laced with fentynal - one ends up there.

When you are encouraging doctors to prescribe oxycotin like it is tylenol, hiding research about the addictiveness and makeing sure its on the formulary of all insurance companies all the while making huge profits; then maybe there is smidge of responsibility to be shared by the corporations.


Most people addicted to opioids started with legally prescribed meds. Those meds may not have been prescribed to them, but that's the problem with the fucking stupidly large numbers of opioids being prescribed in the US: there are very many meds lying around to be diverted to recreational use.

So far almost every point you've made in this thread can be directly sourced to Purdue propaganda. Doesn't that worry you?

There was "The Letter that Started it all": https://www.bbc.co.uk/news/world-us-canada-40136881

That caused the VA to say "pain meds aren't addictive if used to treat pain": https://www.va.gov/PAINMANAGEMENT/docs/Pain_As_the_5th_Vital...

Here's the paper that rebuts this: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1924634/ (and note this is more than 10 years old)

Here's Purdue Pharma saying, as you are here, that pain meds aren't that addictive and don't we need to use opioids to treat pain (they are addictive, and they don't work for many types of pain): https://www.feinberg.northwestern.edu/sites/ipham/conference...




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