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The dragon that kills cannot be caught.

Well I wouldn't say that I have faith in the system. :p

With psychoactive drugs there is always a risk that people may abuse them but that should never be a reason not to prescribe a drug when it is indicated.

When taking into account the risk to benefit ratio, the possibility of a medication inducing a substance abuse disorder in a previously drug naive patient does need to be considered, but when you look at the empirical evidence the proportion of legitimate patients that subsequently turn into drug addicts is very low.

I've been prescribed benzodiazepines for a long time but don't use them on a daily basis as I find them somewhat unpleasant and flattening.

Yep I agree with all the above. Except not prescribing it! But I’m bias, I couldn’t live life without codeine, I’m sensitive to tramadol, find oramorph completely ineffective and anything stronger has such a sedating effect that I struggle to do anything.

I take up to 60mg, sometimes with diazepam, and taper off quickly and easily with little issue. I go months without it, but it’s a life saver when needed. I am particularly careful because I recognise how easy it would be to fall into a spiral.

I think I’ve come across as being anti prescription, but I hope this post belies that.

I was more angling towards ‘dependance will happen for a small percentage of people’ and I don’t think we’ll ever stop that.

It’s nice to see people discuss it, even in the thread of such a sad event.
 
Codeine actually works by being converted to morphine, so at long as a high enough dose is prescribed oramorph will produce the same analgesic effect. The danger with codeine is that what is a normal dose can produce toxic effects in ultra-rapid metabolizers of the drug where harmful amounts of morphine build up, this is a danger that most stronger opioids don't have.

But yes with regards to addiction, a Cochrane systematic review showed that less than 1% of people prescribed opioids develop a substance misuse disorder, demonstrating that it's very much a case of certain people who will end up getting themselves addicted to pretty much everything rather than it being an inherent danger of prescribing opioids.
 
Mother in law swigs oramorph like it’s a Diet Coke - why it’s continuously prescribed to her when she absolutely and categorically doesn’t need it is beyond me.

Her doctor should be utterly ashamed but keeps on giving it to her. The affects on a middle class, well off and otherwise completely normal human being are blindingly obvious to see for everyone apart from her. She went to my nephews school play and slept through the entire thing.

She is an addict and it’s this very health system that is inexplicably feeding it.

She will be dead within the decade. Hope I’m wrong.
 
I've had a couple of surgeries for which I've been prescribed tramadol or codiene. I've never been given any real directions for use. Just been told to take it if I'm in too much pain. I always do my research before taking anything the doctor gives me (which is rare).

After my first surgery I was given a box of 50 tramadol. Even if I just took a couple a day till the box ran out there's a good chance I would be a full on opiate addict (the side effects from withdrawal are horrific).

Now while agree we all have to take some personal responsibility a good chunk of people could just assume that they take it for a few weeks or until the box is empty and by that time they're are in a world of trouble.

How on earth medical professionals of the world can go getting people addicted to opiates while the government condemns things like marijuana is madness to me (I don't smoke it and don't like it but it's clear how effective it is for things like this).
 
How on earth medical professionals of the world can go getting people addicted to opiates while the government condemns things like marijuana is madness to me (I don't smoke it and don't like it but it's clear how effective it is for things like this).

Because if marijuana was legal and taxed then it's just another worthless vegetable and would be worth nothing and they would only see 20% of the money at the very most.

By making it illegal, it causes an artificial inflation of the price from £5-10 per KG (in line with other weed-like vegetation), to £10,000+ per KG. PLUS they automatically entitle themselves to 100% of the proceeds PLUS when a drug dealer spends his money the government automatically gets the 20% they would have gotten if it was legal. Drug laws are just another money making charade every way you look at it.
 
Because if marijuana was legal and taxed then it's just another worthless vegetable and would be worth nothing and they would only see 20% of the money at the very most.

By making it illegal, it causes an artificial inflation of the price from £5-10 per KG (in line with other weed-like vegetation), to £10,000+ per KG. PLUS they automatically entitle themselves to 100% of the proceeds PLUS when a drug dealer spends his money the government automatically gets the 20% they would have gotten if it was legal. Drug laws are just another money making charade every way you look at it.

Dont try and turn this into a weed thread please
 
Mother in law swigs oramorph like it’s a Diet Coke - why it’s continuously prescribed to her when she absolutely and categorically doesn’t need it is beyond me.

Her doctor should be utterly ashamed but keeps on giving it to her. The affects on a middle class, well off and otherwise completely normal human being are blindingly obvious to see for everyone apart from her. She went to my nephews school play and slept through the entire thing.

She is an addict and it’s this very health system that is inexplicably feeding it.

She will be dead within the decade. Hope I’m wrong.

Where the **** do you think the GP will get time to give your mother in law a second thought? I just spent 12 hours at work having been contracted for 8. I had 30 + patient encounters, how do you think that's safe? Youre mother in laws GP will be seeing a bucket load of patients? Why do you think doctors suicide rate is 2000% that of the normal population?
 
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