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The legal use of opioids was thus placed entirely in the hands of physicians, who were, and still are, liable to lose their medical licenses and risk criminal prosecution if they prescribe these drugs inappropriately. The immediate effect of such strict regulatory control was that physicians became reluctant to prescribe opioids, and as a result pain was woefully undertreated.
The recognition that opioid therapy can relieve pain and improve mood and functioning in many patients with chronic pain has led experts on pain to recommend that such patients not be denied opioids. Despite this recommendation, many physicians remain uncertain about prescribing opioids to treat chronic pain and do not prescribe them.
Physiological tolerance does occur rapidly with opioids ... http://en.wikipedia.org/wiki/Opioid#Tolerancei.e. increasing doses are required to produce the same [analgesic] effect, so tolerance will inevitably become an issue if opioids are used daily to manage a chronic condition.
To the people who donít believe that patients with chronic pain should be allowed to take opiates is why do you believe that itís worse than living with moderate to severe and thus untreated chronic pain?
Are you a person who doesn't believe that a patient with chronic pain should be allowed to take an opioid for the pain, etc.?
Quote from: Pmb on 20/05/2013 06:43:14Are you a person who doesn't believe that a patient with chronic pain should be allowed to take an opioid for the pain, etc.?If it were used to treat very painful episodes of short duration, [ "breakthrough pain" ], weeks apart, within the course of a chronic illness, then it seems feasible. But if used daily, tolerance will occur within a few weeks : the dose then be insufficient to provide pain-relief and you will be back at square one, but now with opiate side-effects and the prospect of withdrawal symptoms if you were to reduce the dose.
FUN FACT! - It's estimated around 5 million people abuse prescription drugs in the US. It's also estimated that 116 [million] people suffer from chronic pain in the US. What should be more important, stopping the abusers, or treating the sick who outnumber the abusers over 20 to 1?
Whose life is it?IMHO every adult should be allowed to shoot, sniff or swallow any damn thing he likes. If the pain gets too bad, the law won't object to your jumping off a bridge or blowing your brains out, so why should anyone object to selfmedication that prolongs your useful life?