The War on Opioids - Time for Re-Evaluation..?

Just a quick question:

Are you speaking about how people are filing law suits against oxy maker?

DT

While I almost took that carrot, I am just not hungry today..

My answer to your question is NO.

So I pose a question back to you..:

Do you think the actions that the US Government has taken as the abrupt removal of opioids from the main stream medical market has made this country a better place..?

Everyone is allowed to choose how they manage their own health, and within applicable state and federal law/regulations, to whatever degree of responsibility he/she should wish to personally retain in conjunction with their physician's advice. And the last time I checked, anyone is free to initiate civil litigation, or even criminal charges against anyone they chose - merit proof pending. And haven't we shown our true hypocrisy as truly we are indeed apparently all guilty until proven innocent. So what was the point.. I would suggest the MATTER IS HONOR...

There is a reason people did not used to act like bitchez. This is the greatest country in the world if but alone due to our own fight, drive, and determination; and thus via virtues of moral code, honor, and decency. We didn't use to rat our neighbors out, or make petty public fools of our intra-familiar affairs. We forged our primary virtues as FREEDOM, which is supposed to be everything that Fascism, Communism, and Monarchy IS NOT - AND AS A REPUBLIC. A one of a kind. I would only suggest that some of this has come to question at this time. How far off of these tracks are you willing to veer? YES, clearly humans require some level of moderation and regulation. Grander societies have fallen over culminations of complacency in values. One after the next, they all add up... TRANSALATED: Negligence is a bitch and that missed extra point ALWAYS comes back to haunt....

Again, WHAT is it that folks are really suing about? The addiction to pain mitigating meds, or the immediate abrupt removal thereof? So even on a grand conspiracy level, anyone can see this is much bigger than a simple internal "corrective action". But again I am not going there today. Just get out your pen and pad and look around and take note. SPOILER ALERT!!! - It's the data that has not even been generated yet which should concern everyone the most...

A squirrel that is looking for a nut will eventually find one...

In conclusion for today and pointing you to the obvious ELEPHANT IN THE ROOM - THEY ARE SUING ABOUT THE LOSS OF ACCESS TO THE MEDS NOT their ADDICTIONS...!!!! Because clearly, dead men can't initiate litigation.. Else there would be liability for the countless lives lost since all this began... And WHY again did this all of the sudden become an issue after half a century of legitimacy??

HONESTLY. If you asked me would I feel safer at the possibility of one of my children getting addicted (or worse) to opioids thru legitimate -OR- illegal markets, I would not know which way to answer. NOTHING IS AS IT WAS. But if you tell me that they might get hurt via unintended illegal accidental exposure and because of poor public policies, you would give me cause to arms... I am not straying there either only adding I have a dog in the hunt too...

So that's a short one for today. And while I am always willing to generate a chestnut for thought, I always encourage reading in the forum as a mode to inspire your own investigation pathway. But your question was a good one and appreciated as solid thread participation. Thank you....:)
 
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This is not a pissing contest. I'd like to hear some real solutions to the illegal drug trade and problematic consumption in the US. The use that has gone from a little risky, to a possible death ticket to would-be kids at college? How is it that you propose to shut down illegal fentanyl laced drugs which have grown magnitudes out of all this righteous ending of opioid prescribing..? How exactly are things better. These are POWERFUL forces that are taking up roots right here. On your street too.. Or soon enough. This is a serious matter.. More people jobless in an increasing technological future equates to more idiots becoming drug slingers, mules, and victims...
Bro you got something going on far beyond whatever you claim this thread is about, opiates I guess. And opioids. So Ya, enjoy your answer with questions with a entire chapter per response Convo with yourself.

If you feel so strongly stop bitching and go run for office.
 
Bro you got something going on far beyond whatever you claim this thread is about, opiates I guess. And opioids. So Ya, enjoy your answer with questions with a entire chapter per response Convo with yourself.

If you feel so strongly stop bitching and go run for office.
HERE WE GO...
(is that short enough for ya??)
 
All you need to take from this is that Tianepine would have most like never took off if not for the current status of opioid prohibition. So what are they thinking of next. I'm sure its already cooked. They are just waiting for this one to get banned... As the market moves forward and on. Do you have kids.? And WHY THE FUCK IS THE A.T.F. not out fining retailers and rounding all this shit up. And Biden's dumb ass talking about more IRS agents. But that's what you get from the stupid senile ice cream eating hairy-legged crony the Obama (the man that incepted this opioid nightmare) administration manufactured. Ya know he could start with the whole tax scam where medical procedures and pharma products are falsely retail priced at 10,000% cost markup as a primary vehicle to never paying a dime in tax. I DIGRESS. Moving forward...

TIANEPINE
Here's a gas station drug sold in the US that I have heard of before described as highly addictive, and possibly acting on the Opioid MU Receptor in a similar fashion to hydrocodone or oxycodone per say (as portrayed by the press). However the effects as described do not look necessarily similar as I interpret the language used. I've never tried it but I think I have heard some forum posters comment on the extremely high potential for addiction and bad health outcomes..

POINT - WHY IS THIS DRUG EVEN NOW AVAILABLE ON THE MARKET.

So Tianepine is legal in all but 7 states now, but the morons that run states like Alabama (per say) had the all out STUPIDITY to ban Kratom.. And I can tell you I have known a few people that turned to alternatives to opioids as other drugs all together that cost them their lives ultimately. Those people would most likely have successfully navigated the BLACK HOLE that opioid prohibition has caused.. Why are there no studies of illegal opioid use, prescription opioid use, other drug use - and how that relates to markets where Kratom remains available (most of the US)... One might even ponder to speculate that one of the primary reasons that there has not been more public objection the the opioid prohibition is BECAUSE of the availability of Kratom..

POINT - TIANEPINE IS JUST ANOTHER BULLSHIT HARMFUL WAY TO GET INTO TROUBLE FOR THOSE SEEKING AN ALTERNATIVE PREVIOUSLY LEGAL OPIOIDS. But hey lets keep docs from being able to do their jobs and treat pain with opioids thus continuing to extend the influence and power and the concept MARKET DEMAND... Great job guys you running a stellar government... But the ER's are so much emptier and our children are so much safer...

WHERE IS THIS ALL HEADING AGAIN? How far has it gone?

WHY are we still having this conversation? WHO did this again?

Meanwhile, I'll start my day out with a couple of pain killing beers to help get back to sleep. "well good that's the lesser of the two evils as an outlet for treatment for this poor old fella"... Oh that's so much better? Really. I wonder just what the numbers are on liver deaths related to other ways to go. I used to just arbitrarily assume "why would society want to generate a bunch of alcoholic illness and death costs?". But actually thinking about the health care cost of shuffling a liver cirrhosis over the the Aether is probably not so pricey is it? Its probably also a fact that many financially stable or successful individuals with drink themselves to death if they were going to anyway right? Do the assholes making these rules and laws know that the Walker Blue they are sucking down is rotting their throats out especially in conjunction with those cigars.??

.
 
They simply will not veer off the agenda until anyone that is suspect is DEAD. And by then it will be WAY TOO LATE.. Illegal deadly drug markets are booming and inlaying pathways that can NEVER be undone... WHY CAN I NOT GET A DAMN HYDROCODONE FROM MY DOCTOR...!? I am starting to think they don't even care about the kids and potentially just justify those unfortunate deaths as bad seeds that would blossom into social blights anyway... So whoever is in pain and or makes a poor decision or two get ready to die...

MEDICAL OPIOID PROHIBITION HAS NOTHING TO DO WITH HELPING THIS NATION.!!!!! LOOK AT THE FUKING STATS SINCE 2015.!!!!!!!!!!!!!!!! RIDICULOUS....


Fentanyl is dominating headlines, but there’s a more comprehensive drug problem happening in Texas​

Story by Stephen Simpson • 6h ago


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A group of counterfeit K56 pills, which contain fentanyl, is displayed as tests are conducted on seized drugs at the Houston Forensic Science Center in Houston on March 29, 2023. Credit: Callaghan O'Hare for The Texas Tribune
A group of counterfeit K56 pills, which contain fentanyl, is displayed as tests are conducted on seized drugs at the Houston Forensic Science Center in Houston on March 29, 2023. Credit: Callaghan O'Hare for The Texas Tribune© Provided by The Texas Tribune
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Fentanyl has been in the headlines across Texas, grabbing the attention of state leaders worried about the drug crossing over the state’s border with Mexico and overdose deaths among young people.
But often left out of the discussion is that the drug is one part of a broader addiction crisis in the state. The synthetic opioid is rarely taken alone, and health care and law enforcement officials are dealing with multiple deadly drugs at once.
The illicit use of fentanyl began increasing in Texas around 2015, quickly sparking a crisis. Obtained with a doctor’s prescription, the synthetic opioid can be an effective pain reliever. But there’s been a rise both in the illegal use of the drug and now the manufacture of counterfeit prescription drugs that contain fentanyl but are packaged to look like something else, in an effort to cause addiction and generate repeat buyers.
“It’s certainly, at this moment, the drug and the drug supply that is the most dangerous,” said Katharine Neill Harris, a drug policy fellow at Rice University’s Baker Institute for Public Policy.
Opioids, including heroin, prescription pills and fentanyl, have caused the most overdose deaths in Texas, according to a Texas Health and Human Services report that studied death certificate data from 2010 to 2019.
And because opioids are often mixed with other drugs, there’s been a rise in deaths known as polysubstance overdoses. The most recent state data shows those deaths reaching a rate of four per 100,000 people in 2019.
The most prevalent drug combinations were commonly prescribed pills, like hydrocodone and oxycodone, mixed with depressants like benzodiazepines and psychostimulants that include amphetamine and methamphetamine.
“That is the reason I caution very much against focusing on one drug,” Neill Harris said. “Fentanyl is certainly a big problem. But I don’t think it’s necessarily the last drug crime crisis that we are going to face.”
The role of methamphetamine in the illegal drug market has been pushed aside in headlines as images of drug use in the South turned from exploding meth labs to potentially deadly fentanyl pills. But drug experts say meth has made an unwanted comeback as meth manufacturers have begun making a stronger product.
“Meth is eating everybody’s lunch and nobody’s talking about it. Meth is crawling up on everybody,” said Peter Stout, president and chief executive officer of the Houston Forensic Science Center. “Meth fatalities are way up even if you look at the Texas numbers.”
Experts say if Texas wants to solve the overdose problem, officials here must fully realize the state has an overall drug issue that goes beyond fentanyl. Here’s a look at the broader drug situation across Texas.

What are the drug trends?​

When the University of Texas at Austin’s Addiction Research Institute studied calls made to poison control centers, admissions to drug treatment programs and drug seizures in 2021, researchers found the most common drugs flowing across the state’s southern border from Mexico were methamphetamine, heroin, cocaine, marijuana, fentanyl, benzodiazepines like Xanax, and synthetic cannabinoids more commonly known as “spice” or K2.
While marijuana is still popular in Texas, its role in the illegal drug market has diminished greatly as 25 states across the country so far have passed laws to legalize it. When Texas legalized hemp in 2019, the prosecution of low-level pot cases declined due to the costly testing needed to determine if a vape pen liquid or a gummy contains marijuana or hemp because both come from the same plant species.
But hemp contains less than 0.3% of tetrahydrocannabinol, or THC, the ingredient in marijuana that gets you high. Anything with less THC is hemp.
Synthetic narcotics like fentanyl, meanwhile, have shot up the ranks of causes of overdose deaths. In the past five years, deaths from synthetics have surpassed deaths from other opioids, heroin and depressants.

What is fentanyl?​

Illegally manufactured fentanyl is a perilous chemical experiment, a stew of synthetic opioids.
Opium derived from poppies has long been used as a painkiller and recreational drug. Opioids like fentanyl or oxycodone are chemical concoctions that duplicate those effects.
Fentanyl was created in 1960 and approved for use in America in 1968. It’s most commonly used as a sedative and pain reliever for patients. Legally obtained fentanyl is usually administered to patients through pills, intravenous therapy, skin patches or nasal spray.

But it can also be distilled and blended to produce a fine powder that can be easily added to other drugs.
Its potent molecules scurry straight to the brain, where thousands of receptors, similar to tiny satellite dishes, pull in signals from cells in the body. They have different jobs, some gathering information to control organ functions, others emotions or moods.
Fentanyl latches on to the receptors that signal pain and shuts them down. And when those receptors are turned off, the human body reacts in ways that can be fatal, including shutting down lungs and other vital organs.
The drug is considered 100 times more potent than morphine and 50 times more potent than heroin.
Fentanyl isn’t the only drug mixture that has the federal Drug Enforcement Administration concerned as the growing threat of xylazine is starting to make its way into Texas.

Xylazine: A new threat​

Xylazine is a tranquilizer, as opposed to a painkiller, doing its work by numbing nerves rather than switching off receptors in the brain. It targets the central nervous system, the nerve highways running in and out of the spinal column that carries messages to the rest of the body.
Developed in 1962, it’s used by veterinarians to keep elephants and horses calm enough to be examined or have their teeth cleaned. It mostly comes in liquid form and is sold in vials or preloaded syringes.
When tranquilizers are used, the spinal column sends messages to the brain to slow down a bit. This produces a sense of calm and elation, which is why tranquilizers are also used to treat anxiety, panic attacks and sleep disorders.
The Drug Enforcement Administration reported the first instances of this tranquilizer being used in illegal drug activity in the early 2000s by drug dealers in Puerto Rico when they began mixing it with other substances. The practice has now spread across the United States and has been found recently in Texas mixed with fentanyl.
Xylazine has been found in a growing number of overdose deaths across the country and is commonly encountered in combination with fentanyl, cocaine, heroin and a variety of other drugs.

Meth​

Methamphetamine is a white, odorless, crystalline powder that was developed early in the 20th century from its parent, amphetamine, and was originally used in nasal decongestants and inhalers. It can come in liquid form, which is easily made into a crystal form by drug traffickers. The highly addictive stimulant outpaced all others in the 2021 UT study of Texas drug trends.
The drug targets the brain and the spinal cord to create a sense of well-being or euphoria. Symptoms can include talkativeness, decreased appetite and a pleasurable sense of well-being. Meth also speeds up the body’s systems to sometimes lethal levels by increasing blood pressure and heart and respiratory rates.
Texas drug labs have recently started seeing meth being placed in counterfeit Adderall pills, meaning a segment of meth users might be unaware they are even addicted to the drug.

Heroin​

Heroin is made from morphine, a natural substance taken from the seed pod of an opium poppy plant typically grown in Asia, Mexico and Colombia. It’s often portrayed in film and television as a needle drug, but the substance can also be snorted or smoked. In the past, heroin was often mixed with crack cocaine, but fentanyl has become the primary substance being added to poppy plant extract. Dealers will often “cut” heroin with other substances to allow them to sell more of it at a higher price.
The 2021 UT study of drug trends showed that Texas has avoided the heroin overdose crisis seen in other states because Mexican black tar heroin is the most common version of the drug found in the state. Black tar heroin tends to have an average purity of 28% and cannot be easily mixed with fentanyl.
“Tar” heroin is usually sold in small balloons from which the user extracts the sticky substance from the balloon by mixing it with water over heat.

Cocaine/crack​

Cocaine, the highly addictive stimulant made from coca leaves, was used more than a century ago to treat a wide variety of illnesses and was often used by early surgeons to block pain before local anesthetics were developed. Frequent use can alter brain structure and function. Users can inject or snort the powdered version of cocaine. “Crack” is the term often given to cocaine after it has been refined into a smokable substance.

What can be done?​

Lawmakers in Texas have recently tried to tackle the state’s overdose problem by aggressively attacking fentanyl distribution and use by means of enforcement and awareness.
Last week, Gov. Greg Abbott signed four bills to combat the growing fentanyl crisis, including House Bill 6, which classifies overdoses from the synthetic opioid as “poisonings,” triggering murder charges for those convicted of giving someone a fatal dose of the synthetic opioid.
“These four laws will forever change Texas through new protections that will help save lives,” he said in a press release. “In 2022, more than 2,000 people died from fentanyl in Texas — more than five a day. It is the No. 1 killer of Americans ages 18-45.”
Other measures signed by Abbott will establish a Fentanyl Poisoning Awareness Month in October and require public schools to provide students with staff to assist with fentanyl abuse prevention and drug poisoning awareness. A fourth law will allow the distribution of Narcan or other opioid antagonists to Texas colleges and universities.
However, bold substance abuse measures like legalizing test strips were once again rejected by lawmakers.
Neill Harris, the drug policy fellow at Rice University’s Baker Institute for Public Policy, said to combat fentanyl and the next impending drug crisis, the state must increase access to medical substance abuse treatments over enforcement measures.
“Until we have policies that address the demand, we’re going to continue to have a problem with drug use,” she said. “Law enforcement has always had problems with reducing the drug supply. We look back over decades and it has never been effective at slowing down the supply. Because there’s always a demand. It’s just simple economics.”
Michele Steeb, a senior fellow at the Texas Public Policy Foundation, a conservative think tank, said their organization views addiction as a complex brain disorder disease.
“Well-supported scientific evidence shows that brain disruptions reduce brain function which inhibits the ability to make decisions and regulate one’s actions, emotions, and impulses,” she said. “... Diseases require treatment.”
If the state can’t control the supply, Neill Harris said, it’s time to focus on reducing the harm of drug use by legalizing testing strips, making substitute drug treatment like methadone more available and giving more substance use options to the uninsured.
Go behind the headlines with newly announced speakers at the 2023 Texas Tribune Festival, in downtown Austin from Sept. 21-23. Join them to get their take on what’s next for Texas and the nation.
 
While I am dropping in here tonight to just check in on a couple of threads I just want to point out. There are so many articles about people dying from illicit drugs DUE TO THE PLAIN AND SIMPLE ARBITRARY WITH EVIL PURPOSE DEMONIZATION OF HYDROCODONE. I just want to say fuck all you cocksukkers trying to destroy this nation... I am not even suggesting putting an oxy-bonded opioids back in mainstream play.. BUT COME ON HOW FAR IS THIS GOING TO GO.. Really?!?!?!? Not even worth an excerpt...

We are going on TEN YEARS OF ABOLISHMENT AND WHAT HAVE YOU ACCOMPLISHED??? Oh yea not enough. The published opioid death rated increase is only up to 120K folks a year. You are still missing you mark. We get it... But forget about all the tangents like alcohol, car accidents, and down the food chain. But hey that makes the municipal unconstitutional payday dont it now... I hope its not your kids next eating that bext skank pill.
 
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I wonder what's for christmas this year? A light dusting of fentanyl on EVERY FUKING THING?!?!?!?

Just some of the latest press highlighting the Government's incredible success at increasing drug deaths... And guess what THERE IS NO END IN SIGHT...

Perhaps the "pill mill docs" serving time should receive a MERIT BADGE for managing a drug crisis far better than the govt appears to be able to do.....

Toke up on that Cheech-N-Chong govt. GMO lizzad-weed,,, sukkas....

RANT OUT...

LINK TO MSN ARTICLE "nearly a dozen fentanyl overdoses involving children".....
 
GOVT: We need some sleazy no-count doc hacks to run organizations pretending to care about patient health and well being.... We are going to call them - POST 2015 PAIN CLINICS.. You will have to have a hallway with many doors to handle the number or crackheads you will see. And guess what there is no risk to you because you are going to turn down 90% of you patient prospects while at the same time billing them and their insurance shitless... It's the new fad and it's called PATIENT INSURANCE SCAM MILLS....

SHITTY DOCs: We're In.!!!!

PATIENT: HI..! I'm here for my preliminary appt to determine which pain meds are right for me. I was referred by my neurologist for my legitimate conditions. BTW I take Xanax for the stress of the conditions I have, and I have a drink or two for the pain. But that's only because I am not properly medically treated and medicated. I do have some cervical vertebra that look like smashed ass on film.. So my neurosurgeon says.... Can you help me?

SHITTY DOC: Sounds GREAT! We see that you come with (2) previous MRIs qualifying your medical conditions, but we'll just run you through at battery of unnecessary x-rays and whatever else we can think of to bill you. So let us get busy running some unnecessary tests to make you feel like a criminal, and we will get back with you in a week. You've disclosed and we see on our communist state computer system that you are currently taking benzos and drinking a bit for your pain. We also expect to see a plethora of illegal drugs in your drug addled system anyways. But for the sake of above board, we'll take a look and you will have to cut down on alcohol and eliminate xanax if we are going to write you opioids.

PATIENT: OK, lets move forward. Light me up with a few more millisieverts for the sake of posterity. I love it...!

INSURANCE COMPANY: Oh, I see we have another SHIT TON SIZED invoice from a pain management crooked doctors' office. Pay it well for it will save us 40K in potential rehab indemnification that we may not be able to get out of, and besides the govt told us to. We're all in too..!!!!

SHITTY DOC: Prank calls the patient the following Monday morning hanging up after 3 rings and leaving no voice mail.

PATIENT: Hmm, surely that could not be right and they will try to call me again shortly.

---- three more weeks pass ----

PATIENT: Calls the SHITTY PAIN MANAGEMENT CROOKED DOC'S OFFICE. Hi, I was calling to determine the status of my appt and request for pain meds..???

SHITTY DOC: RIng Ring. Oh you tried to call us last week? My notes show we called you over three weeks ago! Well sorry, we have an elaborate phone system that trashes your mind, makes you feel stupid and insignificant, and disconnects you arbitrarily. We also keep less than bankers hours, and we are closed on Fridays not unlike a cheap Asian massage parlor is always closed on Mondays. But we are glad you managed to get thru.!! We've reviewed you labs and due to Xanax and alcohol in your system, we would not be able to write you opioids at this time.

PATIENT: Well I thought we discussed all this and determined the conditions required to proceed forward with opioid treatment??

SHITTY DOC: Well, we don't even acknowledge that sentence, nor any of the previous context of any prior conversations. But we will be happy to refer you on for neck shots and alternative treatments. Perhaps we can pull you and shuck you a bit with one of our medically certified chiropractors in so many words.?? If you ask right, there might even be a happy ending.

PATIENT: I'm disappointed, I would not have gone thru all that had I known you were not even interested in following thru with any of our discussion. If I had known that you were only after my money with intent of further degrading my psyche, I could have skipped all this and gone to work... I guess I was just another mark on your income statement, huh?

SHITTY DOC: Yea well.. You are a whip and starting to catch on. So now that you feel like a common criminal after swearing your life away on all the dope abusing forms we had you fill out, and been put thru our patient ringer to make you feel like a shitbag, perhaps you understand that you can go away and die would suit us all in a best case scenario. Thanks for stopping by..!!!!!
 
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Just kill em all. They must love it if it is not someone dying from Covid or Vax then its SOMEONE FROM ALL THESE DRUG ANALOGS. Just insanity..

How long did alcohol prohibition last again..?
 
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