There's an excellent article in the NY Times magazine about the problem of opiate addiction. One of the problems when distinguishing between patients and doctors who are trying to manage pain versus those who are dealing opiates is that there is no easy way to regularly track opiate prescribing.
I've discussed before how national databases, when privacy issues are properly addressed, are important for drug safety. One of the serious impediments to national health databases is that our healthcare system is so fragmented that electronic surveillance becomes very difficult (e.g., interconnecting all those IT systems).
One more reason why we need a national healthcare system.
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This is an archived post from September, 2005, posted here and now because I am away on vacation.
As
I go about my days, I get the impression that there is a lot of
confusion out there about the treatment of opiate abuse and dependence.
Most people who have known a drug addict, or have watched Trainspotting or ER, know that one of the more insidious parts of addiction is the need for more and more drug to achieve a "high." This leads the addict into a spiral of drug-seeking behavior, and brain changes, which lead to the person j
Carfentanil is an absurdly strong opiate - ca 10^4 times stronger than morphine.