Had this innocent mother been wrongly accused of the same crime of trafficking opioids today, she could have very well been executed according to the administration"s new policy.
The post Innocent Mom Jailed for 5 Months As Cops Mistake Vitamins for Opioids appeared first on The Free Thought Project.
The U.S. Health Secretary has left little hope that the federal government will reclassify cannabis and acknowledge its medicinal value anytime soon.
The post Health Secretary Who Gave Cialis to Children Says There Is ‘No Such Thing As Medical Marijuana’ appeared first on The Free Thought Project.
As the FDA fearmongers over alleged Kratom associated deaths, documents on these deaths reveal that the American people are being lied to.
On Sunday, 60 Minutes interviewed several former U.S. Drug Enforcement Agency (DEA) employees who came forward to blow the whistle, accusing several Fortune 500 drug distributor companies for the epidemic opiate overdoses.
For many years, Joe Rannazzisi was the head of the DEA’s Office of Diversion Control the division responsible for investigating the pharmaceutical industry consisting of pharmaceutical companies, distributors, pharmacies, as well as doctors and clinics which prescribe the highly-addictive opiates.
After years of investigations, his team finally believed they’d pinpointed the source of the abuse in the supply chain; the distributors. The DEA uncovered unscrupulous shipping of opiates to pharmacies in towns with small populations.
He had harsh criticisms for the opiate drug industry. He told correspondent Bill Whitaker:
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This is an industry that’s out of control. What they wanna do, is do what they wanna do, and not worry about what the law is. And if they don’t follow the law in the drug supply, people die. That’s just it. People die. This is an industry that allowed millions and millions of drugs to go into bad pharmacies and doctors’ offices that distributed them out to people who had no legitimate need for those drugs.
Rannazzisi identified the big three he says are the major players who have been targeted by the DEA and who quickly learned how to push back, effectively winning their fight against the DEA’s oversight. He named Cardinal Health, McKesson, and AmerisourceBergen and claimed they control 90 percent of the opiate distribution in the U.S.
READ MORE: Judge Exposed as Serial Molester After Thousands of Nude Photos, Some of Children, Found on PC
The former DEA agent called it “a fact” that these companies are killing people by continuing to distribute dangerous opiates to crooked pharmacies which simply sell the goods to bad actors. Rannazzisi equated the distribution of the opiates to a band of drug dealers who were worse than street dealers:
These weren’t kids slinging crack on the Corner. These were professionals who were doing it. They were just drug dealers in lab coats.
Under the Controlled Substances Act, the distributors are supposed to report and stop shipments of suspicious orders (large shipments of opioids to people who have no legitimate need for those quantities of drugs).
Even after the distributors were fined millions of dollars by the DEA, little was done to curb the problem. The pharmaceutical distributors pushed back by recruiting lawyers from within the DEA to come and work with their companies. In essence, the drug companies recruited the very same lawyers who were writing policy for the DEA and who knew their loopholes and how to get the DEA off of their backs.
Linden Barber, who used to work for the DEA, jumped ship and went to work for the Quarles and Brady’s Health Law Group, helping clients navigate through compliance issues with the DEA.
Barber drafted the Marino Bill and lobbied Congress to introduce the bill with Tom Marino (R-PA). The bill became law, after passing without objection in both the House and the Senate and was signed into law in 2016 by President Barack H. Obama. It is known as the Ensuring Patient Access and Effective Drug Enforcement Act, a law which Rannazzisi claimed took away the DEA’s ability to reign in the unethical and illegal distribution of opiates to pharmacies which should not be receiving millions of pills of opiates only having a few residents to serve.
READ MORE: There"s a Cure for Hepatitis and the Pill Only Costs $4, But if You Live in America it Costs $1,000
According to the Washington Post:
The new law makes it virtually impossible for the DEA to freeze suspicious narcotic shipments from the companies.
Marino then turned his attention to Rannazzisi. He asked the DEA to open an investigation into the head of the office of diversion claiming he was attempting to intimidate Congress. Rannazzisi was ultimately stripped of his supervisory leadership and he eventually resigned.
Now, according to the former DEA agent, no one up the supply chain can be held accountable for increased diversion of dangerous and addictive narcotics. Rannazzisi said now no one in a drug company can be held liable for negligence in protecting the controlled substances.
Marino, the Congressman who made it all possible, has now been nominated to be President Donald Trump’s drug czar. In other words, the lawmaker who helped get the DEA off the backs of the drug distributors is now supposedly going to be responsible for safeguarding the nation’s supply of controlled substances and making sure the drugs are not abused. For those families who have lost a loved one to an opiate overdose, having Marino as the drug czar may not be very comforting. After all, he was lobbied by the very industry which manufactures and distributes the very drugs which killed their loved ones.
As TFTP has reported, more Americans died in opiate and related heroin overdoes in 2016 than in the entire Vietnam War. It is an epidemic. It is killing more Americans than guns or automobile accidents, and no one is doing anything about it. According to Rannazzisi, the DEA’s hands are now tied to plug the holes in the supply chain.
Collusion between Big Pharma and the federal government is to blame for the current opioid epidemic in the U.S., says a team of Harvard researchers.
The authors of “The Opioid Epidemic: Fixing a Broken Pharmaceutical Market” cite estimates from the American Society of Addiction of Medicine that over 2.5 million Americans now have an opioid use disorder.
The study outlines how Big Pharma’s fraudulent marketing practices combined with the federal government’s enabling of patent schemes have fueled an epidemic that costs society $80 billion/year.
Not surprisingly, the perpetrators of this medical, social and economic disaster are never held accountable:
But no one ever goes to jail; no one in top management is ever held to account. The persons in “personhood” conveniently disappear when corporations get in trouble. And the fines? Mere pocket change compared to the revenues already made from the drugs involved
Read ‘The Opioid Epidemic: Fixing a Broken Pharmaceutical Market’
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As the opioid epidemic rages on, those professing to seek “solutions” are willfully ignoring one of the most promising treatments – medical cannabis. When the Comprehensive Addiction & Recovery Act (CARA) was being debated in 2016, amendments to study medical cannabis were stripped out.
This happened despite studies showing that medical cannabis eases neuropathic pain, and the government’s own National Institutes of Health stating, “Medical marijuana products may have a role in reducing the use of opioids needed to control pain.”
There were also studies showing that deaths from opioids plummet in states with legal cannabis, and that 80 percent of cannabis users give up prescription pills. A Feb. 2017 study confirmed that opioid dependence and overdoses dropped significantly in medical cannabis states.
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In January 2017, the National Academies of Science published an exhaustive review of the scientific literature and found that one of the most promising areas in medical cannabis is for the treatment of chronic pain.
But all of this falls on deaf ears to those in the pockets of Big Pharma, which is largely to blame for getting America hooked on opioids, as described in a Harvard analysis.
Now, a new experimental study has shown exactly how cannabis works to treat opioid addiction – by actually blocking the opioid reward in the brain.
“This study sought to determine whether the cannabis constituent cannabidiol attenuates the development of morphine reward in the conditioned place preference paradigm. Separate groups of mice received either saline or morphine in combination with one of four doses of cannabidiol using three sets of drug/no-drug conditioning trials. After drug-place conditioning, morphine mice displayed robust place preference that was attenuated by 10 mg/kg cannabidiol. Further, when administered alone, this dose of cannabidiol was void of rewarding and aversive properties. The finding that cannabidiol blocks opioid reward suggests that this compound may be useful in addiction treatment settings.”
The use of cannabidiol (CBD), one of two major active ingredients in cannabis, is even more promising for legalization effiorts because it does not produce the high that THC does. So prohibitionists who demonize cannabis’ intoxicating effect have no ammo when it comes to CBD. CBD can even be extracted from hemp, which is grown for its fiber used in thousands of manufacturing applications.
READ MORE: Cops Fake Illegal Drug Checkpoints to Detain and Search Drivers who React to the Sign
Because it can’t get anyone high, CBD extracts are even being permitted for medical use in staunchly prohibitionist states such as Oklahoma and Utah, to treat children with intractable epilepsy.
States have been reluctant to approve opioid addiction as a valid condition for prescribing medical cannabis. Big Pharma, having already secured their grip on federal government, has undoubtedly been working over state governments to prevent cannabis from threatening their profits. They had a measure of success in Arizona, which failed vote for legalization after pharma companies donated heavily to anti-pot propaganda campaigns.
The new study showing how CBD blocks the opioid reward will certainly prompt more research. This, coupled with statistical evidence from medical cannabis states, should finally prove fatal to the irrationality of blocking cannabis for opioid addiction treatment.
Of the 1.1 million pregnant women enrolled in Medicaid in 2007, nearly one-quarter of them filled a prescription for an opioid drug.8 Not surprisingly, statistics9 reveal a disconcerting rise in neonatal abstinence syndrome (NAS). Between 2000 and 2009, the prevalence of NAS increased from 1.2 to nearly 3.4 per 1,000 live births.
According to Dr. Wilson Compton, deputy director of the National Institute on Drug Abuse in Bethesda, Maryland, 38 percent of adults (about 92 million people) in the U.S. were prescribed an opioid drug in 2015.10,11,12,13 Women, people over the age of 49 and those without college degrees were most likely to receive a prescription, and the unemployed, uninsured and adults with an annual family income below $50,000 had the highest prevalence of opioid misuse and addiction.
An estimated 5 percent of adults (11.5 million people) misused the drugs, and nearly 1 percent (some 1.9 million people) reported addiction. Interestingly, while women are prescribed opioids more frequently than men, men have a higher rate of misuse — 13 percent compared to 9 percent respectively. Of those misusing the drug:
According to Compton:16
“Overall, the results indicate that the medical profession is doing a poor job of appropriately prescribing opioid painkillers. Even though the rates have leveled off, we have a long way to go in improving medical care so these are not as overprescribed as they are currently … [T]here are a lot of leftover medications. In many cases, physicians could write smaller prescriptions, or avoid them completely for those who benefit from ibuprofen or acetaminophen.”
A recent paper17 hints at one of the reasons why opioids are still so vastly overprescribed. Between 2013 and 2015 alone, 68,177 physicians received in excess of $46 million in payments from drug companies marketing narcotic pain relievers.18 In all, that amounts to 1 out of every 12 doctors in the U.S. As noted by pediatrician Scott Hadland, who led the study, “The next step is to understand these links between payments and prescribing practices and overdose deaths.”
Dr. Karen Lasser, associate professor of medicine and public health at the Boston University School of Medicine’s Clinical Addiction Research & Education (CARE) Unit, told CBS News pain management needs significant revision:19
“Doctors need to adopt a stepped-care approach to pain management. With this approach, doctors would first try to manage pain using nondrug means — such as physical therapy, yoga or acupuncture — or prescribe milder pain medications, including aspirin, ibuprofen or acetaminophen.
There would be guidelines for all the medications you should try before you get to opioids. In addition, patients should have to sign an opioid treatment agreement outlining the risks and benefits of such therapy, so they understand the potential for addiction.”
Oral surgeons and dentists, in particular, need to reconsider their prescribing habits. Each year, about 3 million Americans, most under the age of 25, have their wisdom teeth removed, and most if not all receive a prescription for opioids. This, despite research20,21showing a combination of ibuprofen and acetaminophen actually works better than opioids for the treatment of pain following wisdom tooth extractions.
As noted by The New York Times,22 “dentists and oral surgeons are by far the major prescribers of opioids for people ages 10 to 19,” and even short-term use is associated with future opioid misuse and addiction among teens and young adults.
In fact, children who receive an opioid have a 1 in 3 chance of “lifetime illicit use.” According to recent research,23 of the people who received a mere 12-day supply of an opioid, 1 in 4 were still taking the drug one year later, and that includes all age groups. Children and teens are at higher risk for continued use once they’re exposed.24
While you certainly hear more about the dangers of opioids these days, growing awareness has yet to impact death statistics. According to the latest data from the National Center for Health Statistics, more Americans died from opioid overdoses in the first nine months of 2016 than in the first nine months of 2015. When broken down into quarters, you can see the death toll from drug overdoses steadily climbing, quarter by quarter.25
Other recent research drives home the severity of the problem, showing opioid deaths have been significantly underestimated. According to this report,26 published in the American Journal of Preventive Medicine, mortality statistics involving drug overdoses from 2008 through 2014 underestimated opioid-related deaths by 24 percent. Overdose deaths involving heroin was underestimated by 22 percent.
Overdose deaths are not the only problem associated with skyrocketing opioid use. It’s also causing people to die on our roadways. Statistics reveal driving under the influence of drugs now causes more fatal car crashes than drunken driving.
According to a report27,28,29 compiled by the Governors Highway Safety Association and the Foundation for Advancing Alcohol Responsibility, prescription and/or illegal drugs were involved in 43 percent of fatal car crashes in 2015, while 37 percent involved illegal amounts of alcohol.
Another recent report30 found drivers killed in car crashes while under the influence of opioids specifically rose sevenfold between 1995 and 2015. Among male drivers killed, the prevalence of prescription narcotics in their system increased from 1 percent in 1995 to 5 percent in 2015. Among women, narcotic pain relievers were implicated in 1 percent in 1995 and 7 percent in 2015.
According to lead author Stanford Chihuri, staff associate in the department of anesthesiology at the College of Physicians and Surgeons at Columbia University Medical Center in New York, “The significant increase in proportion of drivers who test positive for prescription pain medications is an urgent public health concern.31 ”
Co-author Dr. Guohua Li, professor of epidemiology at Columbia’s Mailman School of Public Health, added,32 “The opioid epidemic has been defined primarily by the counts of overdose fatalities. Our study suggests that increases in opioid consumption may carry adverse health consequences far beyond overdose morbidity and mortality.”
It’s important to realize that illegal drugs are far from the only drugs capable of impairing your judgment behind the wheel. Hundreds of medications can impair your driving ability, including some sold over-the-counter. Opioids are certainly part of that list. Drugs — both prescription and illegal — in combination with alcohol is particularly risky.
So, please, if you absolutely must take a prescription painkiller, carefully assess your ability to drive safely. Ideally, let someone else drive. And, if you know someone who is using an opioid, remember that just as with alcohol, “friends don’t let friends drive impaired.”
In related news, a government opioid commission recently called for President Trump to declare a state of emergency to force Congress to fund strategies to curtail and treat opioid addiction.33,34,35
The commission is chaired by New Jersey Gov. Chris Christie. Other members include Charlie Barker, governor of Massachusetts, North Carolina Gov. Roy Cooper, former U.S. Rep. Patrick Kennedy and Bertha Madra, a psychobiology professor at Harvard Medical School. In their White House report, the commission states:36
“According to the Centers for Disease Control (CDC) … 142 Americans die every day from a drug overdose … The opioid epidemic we are facing is unparalleled. The average American would likely be shocked to know that drug overdoses now kill more people than gun homicides and car crashes combined. In fact, between 1999 and 2015, more than 560,000 people in this country died due to drug overdoses — this is a death toll larger than the entire population of Atlanta …
In 2015, nearly two-thirds of drug overdoses were linked to opioids like Percocet, OxyContin, heroin, and fentanyl … [H]ere is the grim reality: Americans consume more opioids than any other country in the world. In fact, in 2015, the amount of opioids prescribed in the U.S. was enough for every American to be medicated around the clock for three weeks.
Since 1999, the number of opioid overdoses in America have quadrupled … Not coincidentally, in that same period, the amount of prescription opioids … quadrupled as well. This massive increase in prescribing has occurred despite the fact that there has not been an overall change in the amount of pain Americans have reported in that time period.
We have an enormous problem that is often not beginning on street corners; it is starting in doctor’s offices and hospitals in every state in our nation.”
President Trump declared the opioid epidemic a national emergency on August 10, saying, “The opioid crisis is an emergency … It is a serious problem, the likes of which we have never had … We’re going to spend a lot of time, a lot of effort and a lot of money on the opioid crisis.”37
According to recent research, half of all Americans are living with chronic illness,38 and many addiction specialists believe pain and hopelessness are driving the opioid crisis in the U.S. As noted in The Washington Post:39
“Fatal overdoses from prescription opioids have quadrupled since 1999 and heroin overdoses have gone up about six-fold since 2001. But other drugs also play a role. A Post analysis of federal health data found that white women are five times as likely as white men, for example, to be prescribed drugs for anxiety in tandem with painkillers, a potentially deadly combination.
Meanwhile, the suicide rate among middle-aged white women has risen in parallel with prescriptions for often-ineffective psychiatric drugs. Both have roughly doubled since 1999 … According to federal health officials, nearly 1 in 4 white women ages 50 to 64 are [sic] being treated with antidepressants. Binge drinking is also on the rise, as women close the gap with heavier-drinking white males.”
Limiting the availability of opioids and making overdose-reversal drugs (naloxone) and treatment for drug addiction more readily available are certainly part of the answer. But it’s not enough. We have to take a much deeper look at the root of the problem. What is causing all this physical and emotional pain in the first place?
Clearly, the U.S. health care system is blatantly ineffective at treating chronic health problems. Whether ill health is promoting hopelessness or the other way around is difficult to ascertain, but the two appear to be closely intertwined and need to be addressed together. Somehow or another, we need to refocus our efforts to create lives worth living, and improve access to and information about basic disease prevention, such as healthy foods and foundational health-promoting lifestyle strategies.
It’s important to realize that in addition to the risk of addiction, opioids can also severely impair your health by suppressing your immune function. In fact, several studies show that one primary risk for HIV and AIDS is opiate exposure.40,41,42,43 In cancer patients, opiates have a tendency to produce a rapid decline in health as the drug causes their immune system to falter.
So please remember, opiates are highly immunosuppressive drugs that raise your risk of any number of diseases, as your immune system is your frontline defense against all disease. It’s particularly important to avoid opioids when trying to address long-term chronic pain, as your body will create a tolerance to the drug.
Over time, you may require greater doses at more frequent intervals to achieve the same pain relief. This is a recipe for disaster and could have lethal consequences. Following is information about nondrug remedies, dietary changes and bodywork interventions that can help you manage your pain.
Eliminate or radically reduce most grains and sugars from your diet Avoiding grains and sugars will lower your insulin and leptin levels and decrease insulin and leptin resistance, which is one of the most important reasons why inflammatory prostaglandins are produced. That is why stopping sugar and sweets is so important to controlling your pain and other types of chronic illnesses. |
Take a high-quality, animal-based omega-3 fat Omega-3 fats are precursors to mediators of inflammation called prostaglandins. (In fact, that is how anti-inflammatory painkillers work, by manipulating prostaglandins.) Good sources include wild caught Alaskan salmon, sardines and anchovies, which are all high in healthy omega-3s while being low in contaminants such as mercury. As for supplements, my favorite is krill oil, as it has a number of benefits superior to fish oil. |
Optimize your sun exposure and production of vitamin D Optimize your vitamin D by getting regular, appropriate sun exposure, which will work through a variety of different mechanisms to reduce your pain. Sun exposure also has anti-inflammatory and pain relieving effects that are unrelated to vitamin D production, and these benefits cannot be obtained from a vitamin D supplement. Red, near-, mid- and far-infrared light therapy (photobiology) and/or infrared saunas may also be quite helpful as it promotes and speeds tissue healing, even deep inside the body. |
Medical cannabis Medical marijuana has a long history as a natural analgesic and is now legal in 29 U.S. states. You can learn more about the laws in your state on medicalmarijuana.procon.org.44 |
Kratom Kratom (Mitragyna speciose) is another plant remedy that has become a popular opioid substitute.45 In August, the U.S. Drug Enforcement Administration issued a notice saying it was planning to ban kratom and list it as a Schedule 1 controlled substance. However, following massive outrage from kratom users who say opioids are their only alternative, the agency reversed its decision.46 Kratom is likely safer than an opioid for someone in serious and chronic pain. However, it’s important to recognize that it is a psychoactive substance and should not be used carelessly. There’s very little research showing how to use it safely and effectively, and it may have a very different effect from one person to the next. Also, while it may be useful for weaning people off opioids, kratom is in itself addictive. So, while it appears to be a far safer alternative to opioids, it’s still a powerful and potentially addictive substance. So please, do your own research before trying it. |
Emotional Freedom Techniques (EFT) EFT is a drug-free approach for pain management of all kinds. EFT borrows from the principles of acupuncture in that it helps you balance out your subtle energy system. It helps resolve underlying, often subconscious, and negative emotions that may be exacerbating your physical pain. By stimulating (tapping) well-established acupuncture points with your fingertips, you rebalance your energy system, which tends to dissipate pain. |
K-Laser, class 4 laser therapy If you suffer pain from an injury, arthritis or other inflammation-based pain, I’d strongly encourage you to try K-Laser therapy. It can be an excellent choice for many painful conditions, including acute injuries. By addressing the underlying cause of the pain, you will no longer need to rely on painkillers. K-Laser is a class 4 infrared laser therapy treatment that helps reduce pain, reduce inflammation and enhance tissue healing — both in hard and soft tissues, including muscles, ligaments or even bones. The infrared wavelengths used in the K-Laser allow for targeting specific areas of your body and can penetrate deeply into the body to reach areas such as your spine and hip. |
Chiropractic Many studies have confirmed that chiropractic management is much safer and less expensive than allopathic medical treatments, especially when used for pain such as low back pain. Qualified chiropractic, osteopathic and naturopathic physicians are reliable, as they have received extensive training in the management of musculoskeletal disorders during their course of graduate health care training, which lasts between four to six years. These health experts have comprehensive training in musculoskeletal management. |
Acupuncture Research has discovered a “clear and robust” effect of acupuncture in the treatment of back, neck and shoulder pain, and osteoarthritis and headaches. |
Physical therapy Physical therapy has been shown to be as good as surgery for painful conditions such as torn cartilage and arthritis. |
Foundation training Foundation training is an innovative method developed by Dr. Eric Goodman to treat his own chronic low back pain. It’s an excellent alternative to painkillers and surgery, as it actually addresses the cause of the problem. |
Massage A systematic review and meta-analysis published in the journal Pain Medicine included 60 high-quality and seven low-quality studies that looked into the use of massage for various types of pain, including muscle and bone pain, headaches, deep internal pain, fibromyalgia pain and spinal cord pain.47 The review revealed massage therapy relieves pain better than getting no treatment at all. When compared to other pain treatments like acupuncture and physical therapy, massage therapy still proved beneficial and had few side effects. In addition to relieving pain, massage therapy also improved anxiety and health-related quality of life. |
Mind-body methods Methods such as hot and cold packs, aquatic therapy, yoga, cognitive behavioral therapy48 and various mind-body techniques, including meditation and mindfulness training can also result in astonishing pain relief without drugs. For example, among volunteers who had never meditated before, those who attended four 20-minute classes to learn a meditation technique called focused attention (a form of mindfulness meditation) experienced significant pain relief — a 40 percent reduction in pain intensity and a 57 percent reduction in pain unpleasantness.49 |
Grounding Walking barefoot on the earth may also provide a certain measure of pain relief by combating inflammation. |
Astaxanthin Astaxanthin is one of the most effective fat-soluble antioxidants known. It has very potent anti-inflammatory properties and in many cases works far more effectively than anti-inflammatory drugs. Higher doses are typically required and you may need 8 milligrams (mg) or more per day to achieve this benefit. |
Ginger This herb has potent anti-inflammatory activity and offers pain relief and stomach-settling properties. Fresh ginger works well steeped in boiling water as a tea or grated into vegetable juice. |
Curcumin In a study of osteoarthritis patients, those who added 200 mg of curcumin a day to their treatment plan had reduced pain and increased mobility. A past study also found that a turmeric extract composed of curcuminoids blocked inflammatory pathways, effectively preventing the overproduction of a protein that triggers swelling and pain.50 |
Boswellia Also known as boswellin or “Indian frankincense,” this herb contains specific active anti-inflammatory ingredients. |
Bromelain This enzyme, found in pineapples, is a natural anti-inflammatory. It can be taken in supplement form but eating fresh pineapple, including some of the bromelain-rich stem, may also be helpful. |
Cetyl myristoleate (CMO) This oil, found in fish and dairy butter, acts as a joint lubricant and anti-inflammatory. I have used this for myself to relieve ganglion cysts and carpal tunnel syndrome. I used a topical preparation for this. |
Evening primrose, black currant and borage oils These contain the essential fatty acid gamma-linolenic acid (GLA), which is particularly useful for treating arthritic pain. |
Cayenne cream Also called capsaicin cream, this spice comes from dried hot peppers. It alleviates pain by depleting the body’s supply of substance P, a chemical component of nerve cells that transmits pain signals to your brain. |
Low-dose naltrexone (LDN) Naltrexone is an opiate antagonist, originally developed in the early 1960s for the treatment of opioid addiction. When taken at very low doses (LDN, available only by prescription), it triggers endorphin production, which can boost your immune function and ease pain. – Sources and References |
Of the 1.1 million pregnant women enrolled in Medicaid in 2007, nearly one-quarter of them filled a prescription for an opioid drug.8 Not surprisingly, statistics9 reveal a disconcerting rise in neonatal abstinence syndrome (NAS). Between 2000 and 2009, the prevalence of NAS increased from 1.2 to nearly 3.4 per 1,000 live births.
According to Dr. Wilson Compton, deputy director of the National Institute on Drug Abuse in Bethesda, Maryland, 38 percent of adults (about 92 million people) in the U.S. were prescribed an opioid drug in 2015.10,11,12,13 Women, people over the age of 49 and those without college degrees were most likely to receive a prescription, and the unemployed, uninsured and adults with an annual family income below $50,000 had the highest prevalence of opioid misuse and addiction.
An estimated 5 percent of adults (11.5 million people) misused the drugs, and nearly 1 percent (some 1.9 million people) reported addiction. Interestingly, while women are prescribed opioids more frequently than men, men have a higher rate of misuse — 13 percent compared to 9 percent respectively. Of those misusing the drug:
According to Compton:16
“Overall, the results indicate that the medical profession is doing a poor job of appropriately prescribing opioid painkillers. Even though the rates have leveled off, we have a long way to go in improving medical care so these are not as overprescribed as they are currently … [T]here are a lot of leftover medications. In many cases, physicians could write smaller prescriptions, or avoid them completely for those who benefit from ibuprofen or acetaminophen.”
A recent paper17 hints at one of the reasons why opioids are still so vastly overprescribed. Between 2013 and 2015 alone, 68,177 physicians received in excess of $46 million in payments from drug companies marketing narcotic pain relievers.18 In all, that amounts to 1 out of every 12 doctors in the U.S. As noted by pediatrician Scott Hadland, who led the study, “The next step is to understand these links between payments and prescribing practices and overdose deaths.”
Dr. Karen Lasser, associate professor of medicine and public health at the Boston University School of Medicine’s Clinical Addiction Research & Education (CARE) Unit, told CBS News pain management needs significant revision:19
“Doctors need to adopt a stepped-care approach to pain management. With this approach, doctors would first try to manage pain using nondrug means — such as physical therapy, yoga or acupuncture — or prescribe milder pain medications, including aspirin, ibuprofen or acetaminophen.
There would be guidelines for all the medications you should try before you get to opioids. In addition, patients should have to sign an opioid treatment agreement outlining the risks and benefits of such therapy, so they understand the potential for addiction.”
Oral surgeons and dentists, in particular, need to reconsider their prescribing habits. Each year, about 3 million Americans, most under the age of 25, have their wisdom teeth removed, and most if not all receive a prescription for opioids. This, despite research20,21showing a combination of ibuprofen and acetaminophen actually works better than opioids for the treatment of pain following wisdom tooth extractions.
As noted by The New York Times,22 “dentists and oral surgeons are by far the major prescribers of opioids for people ages 10 to 19,” and even short-term use is associated with future opioid misuse and addiction among teens and young adults.
In fact, children who receive an opioid have a 1 in 3 chance of “lifetime illicit use.” According to recent research,23 of the people who received a mere 12-day supply of an opioid, 1 in 4 were still taking the drug one year later, and that includes all age groups. Children and teens are at higher risk for continued use once they’re exposed.24
While you certainly hear more about the dangers of opioids these days, growing awareness has yet to impact death statistics. According to the latest data from the National Center for Health Statistics, more Americans died from opioid overdoses in the first nine months of 2016 than in the first nine months of 2015. When broken down into quarters, you can see the death toll from drug overdoses steadily climbing, quarter by quarter.25
Other recent research drives home the severity of the problem, showing opioid deaths have been significantly underestimated. According to this report,26 published in the American Journal of Preventive Medicine, mortality statistics involving drug overdoses from 2008 through 2014 underestimated opioid-related deaths by 24 percent. Overdose deaths involving heroin was underestimated by 22 percent.
Overdose deaths are not the only problem associated with skyrocketing opioid use. It’s also causing people to die on our roadways. Statistics reveal driving under the influence of drugs now causes more fatal car crashes than drunken driving.
According to a report27,28,29 compiled by the Governors Highway Safety Association and the Foundation for Advancing Alcohol Responsibility, prescription and/or illegal drugs were involved in 43 percent of fatal car crashes in 2015, while 37 percent involved illegal amounts of alcohol.
Another recent report30 found drivers killed in car crashes while under the influence of opioids specifically rose sevenfold between 1995 and 2015. Among male drivers killed, the prevalence of prescription narcotics in their system increased from 1 percent in 1995 to 5 percent in 2015. Among women, narcotic pain relievers were implicated in 1 percent in 1995 and 7 percent in 2015.
According to lead author Stanford Chihuri, staff associate in the department of anesthesiology at the College of Physicians and Surgeons at Columbia University Medical Center in New York, “The significant increase in proportion of drivers who test positive for prescription pain medications is an urgent public health concern.31 ”
Co-author Dr. Guohua Li, professor of epidemiology at Columbia’s Mailman School of Public Health, added,32 “The opioid epidemic has been defined primarily by the counts of overdose fatalities. Our study suggests that increases in opioid consumption may carry adverse health consequences far beyond overdose morbidity and mortality.”
It’s important to realize that illegal drugs are far from the only drugs capable of impairing your judgment behind the wheel. Hundreds of medications can impair your driving ability, including some sold over-the-counter. Opioids are certainly part of that list. Drugs — both prescription and illegal — in combination with alcohol is particularly risky.
So, please, if you absolutely must take a prescription painkiller, carefully assess your ability to drive safely. Ideally, let someone else drive. And, if you know someone who is using an opioid, remember that just as with alcohol, “friends don’t let friends drive impaired.”
In related news, a government opioid commission recently called for President Trump to declare a state of emergency to force Congress to fund strategies to curtail and treat opioid addiction.33,34,35
The commission is chaired by New Jersey Gov. Chris Christie. Other members include Charlie Barker, governor of Massachusetts, North Carolina Gov. Roy Cooper, former U.S. Rep. Patrick Kennedy and Bertha Madra, a psychobiology professor at Harvard Medical School. In their White House report, the commission states:36
“According to the Centers for Disease Control (CDC) … 142 Americans die every day from a drug overdose … The opioid epidemic we are facing is unparalleled. The average American would likely be shocked to know that drug overdoses now kill more people than gun homicides and car crashes combined. In fact, between 1999 and 2015, more than 560,000 people in this country died due to drug overdoses — this is a death toll larger than the entire population of Atlanta …
In 2015, nearly two-thirds of drug overdoses were linked to opioids like Percocet, OxyContin, heroin, and fentanyl … [H]ere is the grim reality: Americans consume more opioids than any other country in the world. In fact, in 2015, the amount of opioids prescribed in the U.S. was enough for every American to be medicated around the clock for three weeks.
Since 1999, the number of opioid overdoses in America have quadrupled … Not coincidentally, in that same period, the amount of prescription opioids … quadrupled as well. This massive increase in prescribing has occurred despite the fact that there has not been an overall change in the amount of pain Americans have reported in that time period.
We have an enormous problem that is often not beginning on street corners; it is starting in doctor’s offices and hospitals in every state in our nation.”
President Trump declared the opioid epidemic a national emergency on August 10, saying, “The opioid crisis is an emergency … It is a serious problem, the likes of which we have never had … We’re going to spend a lot of time, a lot of effort and a lot of money on the opioid crisis.”37
According to recent research, half of all Americans are living with chronic illness,38 and many addiction specialists believe pain and hopelessness are driving the opioid crisis in the U.S. As noted in The Washington Post:39
“Fatal overdoses from prescription opioids have quadrupled since 1999 and heroin overdoses have gone up about six-fold since 2001. But other drugs also play a role. A Post analysis of federal health data found that white women are five times as likely as white men, for example, to be prescribed drugs for anxiety in tandem with painkillers, a potentially deadly combination.
Meanwhile, the suicide rate among middle-aged white women has risen in parallel with prescriptions for often-ineffective psychiatric drugs. Both have roughly doubled since 1999 … According to federal health officials, nearly 1 in 4 white women ages 50 to 64 are [sic] being treated with antidepressants. Binge drinking is also on the rise, as women close the gap with heavier-drinking white males.”
Limiting the availability of opioids and making overdose-reversal drugs (naloxone) and treatment for drug addiction more readily available are certainly part of the answer. But it’s not enough. We have to take a much deeper look at the root of the problem. What is causing all this physical and emotional pain in the first place?
Clearly, the U.S. health care system is blatantly ineffective at treating chronic health problems. Whether ill health is promoting hopelessness or the other way around is difficult to ascertain, but the two appear to be closely intertwined and need to be addressed together. Somehow or another, we need to refocus our efforts to create lives worth living, and improve access to and information about basic disease prevention, such as healthy foods and foundational health-promoting lifestyle strategies.
It’s important to realize that in addition to the risk of addiction, opioids can also severely impair your health by suppressing your immune function. In fact, several studies show that one primary risk for HIV and AIDS is opiate exposure.40,41,42,43 In cancer patients, opiates have a tendency to produce a rapid decline in health as the drug causes their immune system to falter.
So please remember, opiates are highly immunosuppressive drugs that raise your risk of any number of diseases, as your immune system is your frontline defense against all disease. It’s particularly important to avoid opioids when trying to address long-term chronic pain, as your body will create a tolerance to the drug.
Over time, you may require greater doses at more frequent intervals to achieve the same pain relief. This is a recipe for disaster and could have lethal consequences. Following is information about nondrug remedies, dietary changes and bodywork interventions that can help you manage your pain.
Eliminate or radically reduce most grains and sugars from your diet Avoiding grains and sugars will lower your insulin and leptin levels and decrease insulin and leptin resistance, which is one of the most important reasons why inflammatory prostaglandins are produced. That is why stopping sugar and sweets is so important to controlling your pain and other types of chronic illnesses. |
Take a high-quality, animal-based omega-3 fat Omega-3 fats are precursors to mediators of inflammation called prostaglandins. (In fact, that is how anti-inflammatory painkillers work, by manipulating prostaglandins.) Good sources include wild caught Alaskan salmon, sardines and anchovies, which are all high in healthy omega-3s while being low in contaminants such as mercury. As for supplements, my favorite is krill oil, as it has a number of benefits superior to fish oil. |
Optimize your sun exposure and production of vitamin D Optimize your vitamin D by getting regular, appropriate sun exposure, which will work through a variety of different mechanisms to reduce your pain. Sun exposure also has anti-inflammatory and pain relieving effects that are unrelated to vitamin D production, and these benefits cannot be obtained from a vitamin D supplement. Red, near-, mid- and far-infrared light therapy (photobiology) and/or infrared saunas may also be quite helpful as it promotes and speeds tissue healing, even deep inside the body. |
Medical cannabis Medical marijuana has a long history as a natural analgesic and is now legal in 29 U.S. states. You can learn more about the laws in your state on medicalmarijuana.procon.org.44 |
Kratom Kratom (Mitragyna speciose) is another plant remedy that has become a popular opioid substitute.45 In August, the U.S. Drug Enforcement Administration issued a notice saying it was planning to ban kratom and list it as a Schedule 1 controlled substance. However, following massive outrage from kratom users who say opioids are their only alternative, the agency reversed its decision.46 Kratom is likely safer than an opioid for someone in serious and chronic pain. However, it’s important to recognize that it is a psychoactive substance and should not be used carelessly. There’s very little research showing how to use it safely and effectively, and it may have a very different effect from one person to the next. Also, while it may be useful for weaning people off opioids, kratom is in itself addictive. So, while it appears to be a far safer alternative to opioids, it’s still a powerful and potentially addictive substance. So please, do your own research before trying it. |
Emotional Freedom Techniques (EFT) EFT is a drug-free approach for pain management of all kinds. EFT borrows from the principles of acupuncture in that it helps you balance out your subtle energy system. It helps resolve underlying, often subconscious, and negative emotions that may be exacerbating your physical pain. By stimulating (tapping) well-established acupuncture points with your fingertips, you rebalance your energy system, which tends to dissipate pain. |
K-Laser, class 4 laser therapy If you suffer pain from an injury, arthritis or other inflammation-based pain, I’d strongly encourage you to try K-Laser therapy. It can be an excellent choice for many painful conditions, including acute injuries. By addressing the underlying cause of the pain, you will no longer need to rely on painkillers. K-Laser is a class 4 infrared laser therapy treatment that helps reduce pain, reduce inflammation and enhance tissue healing — both in hard and soft tissues, including muscles, ligaments or even bones. The infrared wavelengths used in the K-Laser allow for targeting specific areas of your body and can penetrate deeply into the body to reach areas such as your spine and hip. |
Chiropractic Many studies have confirmed that chiropractic management is much safer and less expensive than allopathic medical treatments, especially when used for pain such as low back pain. Qualified chiropractic, osteopathic and naturopathic physicians are reliable, as they have received extensive training in the management of musculoskeletal disorders during their course of graduate health care training, which lasts between four to six years. These health experts have comprehensive training in musculoskeletal management. |
Acupuncture Research has discovered a “clear and robust” effect of acupuncture in the treatment of back, neck and shoulder pain, and osteoarthritis and headaches. |
Physical therapy Physical therapy has been shown to be as good as surgery for painful conditions such as torn cartilage and arthritis. |
Foundation training Foundation training is an innovative method developed by Dr. Eric Goodman to treat his own chronic low back pain. It’s an excellent alternative to painkillers and surgery, as it actually addresses the cause of the problem. |
Massage A systematic review and meta-analysis published in the journal Pain Medicine included 60 high-quality and seven low-quality studies that looked into the use of massage for various types of pain, including muscle and bone pain, headaches, deep internal pain, fibromyalgia pain and spinal cord pain.47 The review revealed massage therapy relieves pain better than getting no treatment at all. When compared to other pain treatments like acupuncture and physical therapy, massage therapy still proved beneficial and had few side effects. In addition to relieving pain, massage therapy also improved anxiety and health-related quality of life. |
Mind-body methods Methods such as hot and cold packs, aquatic therapy, yoga, cognitive behavioral therapy48 and various mind-body techniques, including meditation and mindfulness training can also result in astonishing pain relief without drugs. For example, among volunteers who had never meditated before, those who attended four 20-minute classes to learn a meditation technique called focused attention (a form of mindfulness meditation) experienced significant pain relief — a 40 percent reduction in pain intensity and a 57 percent reduction in pain unpleasantness.49 |
Grounding Walking barefoot on the earth may also provide a certain measure of pain relief by combating inflammation. |
Astaxanthin Astaxanthin is one of the most effective fat-soluble antioxidants known. It has very potent anti-inflammatory properties and in many cases works far more effectively than anti-inflammatory drugs. Higher doses are typically required and you may need 8 milligrams (mg) or more per day to achieve this benefit. |
Ginger This herb has potent anti-inflammatory activity and offers pain relief and stomach-settling properties. Fresh ginger works well steeped in boiling water as a tea or grated into vegetable juice. |
Curcumin In a study of osteoarthritis patients, those who added 200 mg of curcumin a day to their treatment plan had reduced pain and increased mobility. A past study also found that a turmeric extract composed of curcuminoids blocked inflammatory pathways, effectively preventing the overproduction of a protein that triggers swelling and pain.50 |
Boswellia Also known as boswellin or “Indian frankincense,” this herb contains specific active anti-inflammatory ingredients. |
Bromelain This enzyme, found in pineapples, is a natural anti-inflammatory. It can be taken in supplement form but eating fresh pineapple, including some of the bromelain-rich stem, may also be helpful. |
Cetyl myristoleate (CMO) This oil, found in fish and dairy butter, acts as a joint lubricant and anti-inflammatory. I have used this for myself to relieve ganglion cysts and carpal tunnel syndrome. I used a topical preparation for this. |
Evening primrose, black currant and borage oils These contain the essential fatty acid gamma-linolenic acid (GLA), which is particularly useful for treating arthritic pain. |
Cayenne cream Also called capsaicin cream, this spice comes from dried hot peppers. It alleviates pain by depleting the body’s supply of substance P, a chemical component of nerve cells that transmits pain signals to your brain. |
Low-dose naltrexone (LDN) Naltrexone is an opiate antagonist, originally developed in the early 1960s for the treatment of opioid addiction. When taken at very low doses (LDN, available only by prescription), it triggers endorphin production, which can boost your immune function and ease pain. – Sources and References |
A survey released by the federal Substance Abuse and Mental Health Services Administration (SAMHSA) shows that more people in the U.S. use opioid painkillers than tobacco, highlighting the tragic opioid crisis gripping the country. [1]
A federal review published in the spring showed that opioid prescriptions in the U.S. decreased for the 1st time in 2 decades, which suggests that doctors are finally starting to heed warnings about the drugs’ addictive properties. However, that decrease has not translated into fewer deaths. The SAMHSA report illustrates just how widespread the problem remains.
The problem is especially severe in Tennessee, where there are more opioid prescriptions written than people actually living in the state. There are 1.18 opioid prescriptions per every resident of Tennessee. More people died from overdoses in the state in 2014 than from car crashes or shootings. [2]
Source: CDCNationally, 37.8% of American adults are using some type of opioid painkiller, while 31.1% of U.S. adults use tobacco problems.
According to the 2015 National Survey on Drug Use and Health (NSDUH), a division of the Department of Health and Human Services (DHHS), more than 91.8 million Americans 18 and older used prescription painkillers last year. By comparison, 75.4 million U.S. adults used tobacco products. [1]
Those numbers creep even higher when children 12 and older are included; to 97.5 million and 78.3 million, respectively. And more than 12.5% of those users admitted to misusing the painkillers.
Danny Winder, director of the Vanderbilt Center for Addiction Research in Nashville, said:
“You’d like to think that is good news and reflects a reduction of tobacco use, but unfortunately that’s not the case. It’s a particularly pernicious problem because of its prevalence…Anytime you have a substance that is legally available and has addictive properties, that’s setting up the problem.” [2]
Actually, smoking rates have declined significantly in the U.S. in the last 50 years. From 2005 to 2015, smoking among adults declined from 20.9% to, or 45.1 million, to 15.1%, or 36.5 million. In the last year alone, the overall smoking rate fell 1.7 percentage points, resulting in the lowest prevalence since the CDC began collecting data in 1965.
However, you don’t generally associate tobacco use with hard drugs, yet many people who die from heroin overdoses begin with a dependence on prescription opioids. Even in those who don’t overdose or graduate to heroin, painkiller addiction can be devastating. In 2015, approximately 40% of unemployed people in the U.S. used a prescription opioid. [2]
Another disturbing finding from the survey is that in 2014, 27.0 million people aged 12 and older had reported using an illicit drug (10.2%). This percentage in 2014 was higher than those in every year from 2002 to 2013. [1]
The 2nd most common type of illicit drug use remained nonmedical painkiller use, but the percentage of people aged 12 or older in 2014 who were current nonmedical users of pain relievers (1.6%) was lower than the percentages in most years from 2002 to 2012.
The 2014 NSDUH estimated 66.9 million people aged 12 or older were tobacco users.
Dr. Richard Soper, chief at the Center for Behavioral Wellness in Nashville, said:
“We require tobacco companies to put warning labels on tobacco products; you don’t really see that in opioid products. As long as the FDA is continuing to approve opioids, there will still be access to it. There will still be doctors writing prescriptions.” [3]
In early 2016, the U.S. Food and Drug Administration (FDA) published draft guidelines outlining testing standards for generic drugs that have been produced to be harder to crush and dissolve or snort. The agency requires that generic drug makers be able to prove that their product is bioequivalent to the name brand drug. But under the new guidelines, manufacturers will also have to prove that their generic drug has the same anti-abuse properties as its name brand equivalent.
However, this is the same agency that approved OxyContin for use in children in August 2015.
Sources:
[1] Newsmax
[2] The Tennessean
[3] The Daily Caller
 | Julie Fidler is a freelance writer, legal blogger, and the author of Adventures in Holy Matrimony: For Better or the Absolute Worst. She lives in Pennsylvania with her husband and two ridiculously spoiled cats. She occasionally pontificates on her blog. |
