0 Members and 1 Guest are viewing this topic.
What I want to know is what the danger is of being on opiates when using cocaine ...
Pete, cocaine and opiates are quite different types of drug; totally different family and mechanism.
... why put opiate users on a pain contract requiring urine screening? Patients are never placed on pain contracts when taking meds like Xanax and you can die from a Xanax overdoes.
I have a neighbor with severe chronic pain, who takes large amounts of very powerful opiates every day, and she gets drug tested routinely. But she ascribes this to her Dr. wanting to verify that she is in fact taking the drugs (instead of selling them), not necessarily to screen for other drugs in her system.
opiate-cocaine combo is a specific synergistic thing which people are known to indulge in.
If you want to talk about inhumane treatment of pain patients:My friend, having been diagnosed as having Weigners disease, was told she had 2 years to live.16 years later, having been inadvertently infected with Hep C 10 years earlier by the hospital conducting her care for all those years, and having been prescribed a steadily increasing dose of opiates for the pain associated with her crumbling facial bones and neck vertebrae - guess what?NHS brings in a zero tolerance policy regarding long term opiate prescription and during a hospitalization for a minor fall decided to put their Hep C patient into forced opiate withdrawal.For those of you who are not familiar, a forced opiate withdrawal is life threatening for a Hep C patient. Withdrawal exacerbates the Hep C. The exacerbated Hep C causes damage to the liver, and my friend 'the Weigners patient' that was requiring the pain killer was left unable to ingest opiates.I've never been so angry in all my life. I printed the Hep C info off the net and gave it to the doctor responsible for the decision who couldn't find enough nurses to put between us before he slunk off. I daresay he hadn't bothered to read my friends file that had built up over 16 years to require a trolley of it's own......but why would a trained doctor put a regular Hep C patient into forced withdrawal from a 16 year opiate prescription anyway?Based on the fact that a forced withdrawal will exacerbate Hep C and destroy the liver, what benefit could there be in forcing an opiate withdrawal on a Hep C patient?
The Other Victims of the Opioid Epidemic June 1, 2017, Glod S.A. N Engl J Med 2017; 376:2101-2102http://www.nejm.org/doi/pdf/10.1056/NEJMp1702188