I went through open heart surgery two years ago April and opioid over-prescription was already a concern. After discharge I received a six day script for the lowest dose of fentanyl and a month of Lyrica. I have a freakishly high pain tolerance so I managed to 'stretch' the fentanyl patches out to nearly one month (each patch lasted roughly three days). Hindsight being what it is - I obviously made it through. Being down in it though, it was far far less than pleasant. Especially that I was supposed to be active and all the usual recovery stuff. It was a bit of no joke as far as pain load goes. I didn't expect to be completely pain free as that isn't life as far as I am concerned, it would have been nice to have taken a little bit more of the edge off. Round the pain off some.

Agreed.

I too have had a major surgery several years ago. I was given morphine and than Oxycodone when discharged, but not at high enough dosage for adequate relief - 3 or 4 days of pure misery. There is no reason, when short-term opiate use is easily available, for patients to suffer like this.

It seems like the medical establishment was really pushing opiates for years, even when they probably weren't needed. Now they're swung too far in the other direction: under-prescribing them for fear of overdosage, addiction, and even punishment by the DEA and government. Wish we could find some middle ground.

People generally say that over-prescription leads to harder opioid usage because it does. I have had co-workers familiar with the neurological effects of the drugs they've been given balk at it. I've also known community members who had injuries slide into the obscurity of addiction.

A very real factor of this crisis is the pain aversion, people working in dentistry have higher rates of depression and suicide due to the psychological effects of inflicting pain on people (unless the dentist is played by steve martin ofc) and it's a problem without clear solutions. Legalization of marijuana would probably help reduce the mild-moderate pain classes in a non-addictive manner, but for extreme pain there isn't a good solution.

Anyways... there are plenty of first-hand accounts and plenty of studies showing the connection here, please do a little research before posting unsupported claims.

It's important to note that the epidemic that people refer to is the overdose epidemic, often labelled the opiate epidemic for whatever reason.

I haven't seen any evidence that actual rates of heroin abuse increasing year over year. Just wealthier people dying from poorly cut drugs at a more alarming rate.

This was the most recent report I could find: https://www.samhsa.gov/data/sites/default/files/NSDUH-FRR1-2...

That is not true, first dentist have a higher suicide rate not because of the pain on people but because so many people hate to see them. It is never a pleasant experience. You also should be aware of the suicide rate in pain patients because their pain cannot be under control. this is a direct result of the war on drugs. the fentanyl and carfentanil coming from china are responsible. before these two were being imported at such high rates opioid deaths were 4,000 per year vs 400,000 for alcohol. Which at first was being blamed on fentanyl being prescribed legally, but was incorrect data. Check the numbers yourself at wonder cdc. attached is the screenshot form cdc data. https://imgur.com/a/fFBTe

What makes him say that is that it is a well documented problem. Many other people recognize it and treat it accordingly.

My father is a Anthologist and they are very careful with how much they give. It is a major issue.

For some reason, the US, including doctors, have developed a anti-pain philosophy where they oversubscribe these drugs and it is know to cause addiction.