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AC: Adriamycin [doxorubicin] plus cyclophosphamide? ADEPT: Adalimumab Effectiveness in Psoriatic Arthritis Trail? Or the even larger number of deaths by medical misadventure and error – the third highest cause of death in the US?

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Cymbalta activating or sedating

But among that minority, opioids are a last resort and a necessary enabler of life.

Take them away, and you may contribute to a wave of suicides and a surge of people seeking street drugs out of desperation.

A huge majority of pain patients are not addicts or abusers.

Most do not get a high from taking prescription opioids, even if they become physically dependent on them for pain control.

As recently explained in by neuroscience journalist Maia Szalavitz , “Opioid Addiction is a Huge Problem, but Pain Prescriptions Are Not the Cause.” As Szalavitz points out, “efforts to reduce opioid deaths will fail unless we acknowledge that the problem is actually driven by illicit — not medical — use.” Likewise, “…according to the large, annually repeated and representative National Survey on Drug Use and Health, 75 percent of all opioid misuse starts with people using medication that wasn’t prescribed for them—obtained from a friend, family member or dealer.” The real problem is not chronic pain patients.

Part of the solution might be securing of potentially addictive medications under lock and key when used at home.

AICD: Automated Implantable Cardioverter-Defibrillator?

ALLHAT: Antihypertensive Lipid Lowering Heart Attack Trail?

Present public attitudes and assumptions toward chronic pain must change.

A fraction of the millions diagnosed with incurable pain conditions will be prescribed opioids.

I have previously written at MIA concerning the inappropriate application of psychosomatic medicine to people who are written off as “head cases.” (See “It’s NOT All In Your Head”) I would now suggest that a largely bogus “war on drugs” has also become a war against pain patients.

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