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As someone who has had to deal with restrictions on other drugs I need to function, I’m always a bit reticent to go full in on “this drug is evil” narratives.

Is Oxycotin particularly addictive in itself in ways it could otherwise not be? Or is this about general painkiller addiction plus the pharmaceutical company taking advantage of this to push it out too much?

In other words, is there a way to tackle this problem that doesn’t cut access for people who actually need this stuff?

the problems with Purdue/oxycontin was their false and extreme marketing that falsely claim lower/tiny addiction rates, bribing doctors to prescribe, claiming 12 hour relief when many users got 8 hours, and the list goes on. perhaps a misleading shorter half-life could be 'more addictive' in that users took more than prescribed to keep effect going.

In general there seems to be a rule of thumb that shorter half-life drugs are more addictive - they hit you fast and wear off fast.

Within the same category of drugs, e.g. Benzodiazepines, it's pretty well established that the first step towards getting clean is to get the dose of low half-life drug swapped out for an equivalent dose of a long-acting drug, then taper down from there.

I believe this is also the theory behind the use of Subutex/Buprenorphine and Methadone as ways to get people off heroin and oxycontin.

So conversely, if Oxycontin had a shorter half-life than was advertised then one would expect it also to have a worse addiction profile.

Who needs that stuff?

I'm not sure about Oxycotin specifically, but people in severe pain generally should receive medication to alleviate it. I've had severe burning. Pain medication greatly reduced the amount of suffering that occurred.

The newer formulations - especially those that are slow release and combined with naloxone, are fine and have their use. The problem is the 20+ years of overprescribing straight up plain and crushable oxycontin that for a time was better than heroin

People with severe, chronic and often debilitating pain for one

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