Keith Humphreys points out that the problem with the explosion of prescriptions for opioids isn't just addiction and overdose. They are often just not good medicine. Opioids typically have a miraculous effect on acute pain, but this does not necessarily translate to chronic pain relief, particularly as tolerance sets in over time. Even more disturbing, … Continue reading Overprescription of opioids is bad medicine
Tag: Health
Women, Alcoholism and AA
An interesting new blog has a great post on Women, Alcoholism and AA. Admitting that I was an alcoholic has had a profound effect on my life. Most of my friends from the old days are not around anymore; they didn’t want to hear about my alcohol problem and some understood it so little that it … Continue reading Women, Alcoholism and AA
no hint of opinion here
From an article about a new report on medications for opiate treatment: The report also examined studies that evaluated buprenorphine, methadone, injectable naltrexone, and oral naltrexone and concluded a benefit in patient outcomes as well as costs. "I can say with no hint of opinion here, it's simple fact, they are all effective," McLellan said. … Continue reading no hint of opinion here
Family, Secrecy and Addiction
The NY Times recently had a personal piece on the impact of addiction on parents: Addiction is, as we have learned, a family disease. The number of stories we’ve heard of wives, daughters, fathers, sons, nieces, nephews, brothers and sisters – not in counseling or therapy scenarios, but from people who recognize our … Continue reading Family, Secrecy and Addiction
Sentences to ponder
"I had a doctor who I greatly respect who said, 'We thought the great problem with these drugs [opioids] is addiction. What we didn't realize [was] that the people who take them would opt out of life.' And you see it across the spectrum: One of the more startling things is in the area of … Continue reading Sentences to ponder
Ten Percent in Recovery – NOT
Here's the headline at Partnership for a Drug-Free America: Survey: Ten Percent of American Adults Report Being in Recovery from Substance Abuse or Addiction Very interesting news, right? How did they arrive at that number? With a poll that asks, "Did you once have a problem with drugs or alcohol, but no longer do?" Does that measure … Continue reading Ten Percent in Recovery – NOT
Addiction Inbox
I've been too busy to post very much, but wanted to put out a quick note about Dirk Hanson's new printed collection of his blog posts from his blog of the same name, Addiction Inbox. For some reason, I find that his writing lends itself to the printed format. There's so much bad information out … Continue reading Addiction Inbox
24 month outcomes
Another study supports the effects of twelve step participation over 24 months. (I know the abstract says "self help", but the pay-walled article makes it clear that they were looking at twelve step participation.) Abstract The goal was to identify factors that predicted sustained cocaine abstinence and transitions from cocaine use to abstinence over … Continue reading 24 month outcomes
Sentences to Ponder
“The expectation that we can be immersed in suffering and loss daily and not be touched by it is as unrealistic as expecting to be able to walk through water without getting wet. This sort of denial is no small matter. The way we deal with loss shapes our capacity to be present to life … Continue reading Sentences to Ponder
The benefits of harm reduction are not as obvious as they seem
Theodore Dalrymple points out the inconsistency in the British Medical Journal's vigorous advocacy for harm reduction where heroin is concerned and its squeamishness with harm reduction for nicotine. He pulls a passage from BMJ and inserts comments: What, then, does the BMJ, so much in favour of harm reduction for heroin addicts, say about harm reduction … Continue reading The benefits of harm reduction are not as obvious as they seem
