Prescribing Opioids for a Sprained Ankle? - New research report shows an increase in patients being prescribed opioids after experiencing an ankle sprain
This is of course only a US phenomenon I would imagine. My personal opinion, as someone that has had many opioids prescribed for broken bones and dental surgery, is that a >3 day supply should...
This is of course only a US phenomenon I would imagine.
My personal opinion, as someone that has had many opioids prescribed for broken bones and dental surgery, is that a >3 day supply should come with mandatory follow up of some sort. Possibly some drug testing and/or addiction counseling. I've had a few friends who became addicts and got them in bars after their scrips ran out.
Man, I've gotten in major injury accidents with broken bones, had dental work and outpatient surgery, with nothing stronger than NSAIDS and ice packs prescribed. The only occasions on which I...
Man, I've gotten in major injury accidents with broken bones, had dental work and outpatient surgery, with nothing stronger than NSAIDS and ice packs prescribed.
The only occasions on which I received opioids stronger than codiene were for catastrophic migraines, and a potential burst appendix. On those occasions, morphine mainly stopped the neuro or GI symptoms without enough analgesic effect.
That was just before opioids were prescribed like candy.
NSAID side effects like bleeding, liver/kidney injury, cardiovascular events, and severe allergic reactions are so undesirable that opioids appeared to be a better short-term solution. Aside from the nausea, addiction potential, and respiratory depression in overdose, opioids are relatively safe drugs.
[I miss the COX-2 inhibitor NSAID, Vioxx - it was a fantastic "nothing hurts now" drug, aside from the moderately increased heart attack and stroke risk.]
Professionally, I was acquainted with a couple of people who developed post-traumatic reflex sympathetic dystrophy, which basically causes a sensation similar to being on fire all the time. What worked for them was regular marijuana intake.
This is of course only a US phenomenon I would imagine.
My personal opinion, as someone that has had many opioids prescribed for broken bones and dental surgery, is that a >3 day supply should come with mandatory follow up of some sort. Possibly some drug testing and/or addiction counseling. I've had a few friends who became addicts and got them in bars after their scrips ran out.
Man, I've gotten in major injury accidents with broken bones, had dental work and outpatient surgery, with nothing stronger than NSAIDS and ice packs prescribed.
The only occasions on which I received opioids stronger than codiene were for catastrophic migraines, and a potential burst appendix. On those occasions, morphine mainly stopped the neuro or GI symptoms without enough analgesic effect.
That was just before opioids were prescribed like candy.
The truth is, opioids aren't vastly more effective in pain control than NSAIDS for most acute injuries, and NSAIDS are equally effective for chronic conditions like back pain.
NSAID side effects like bleeding, liver/kidney injury, cardiovascular events, and severe allergic reactions are so undesirable that opioids appeared to be a better short-term solution. Aside from the nausea, addiction potential, and respiratory depression in overdose, opioids are relatively safe drugs.
[I miss the COX-2 inhibitor NSAID, Vioxx - it was a fantastic "nothing hurts now" drug, aside from the moderately increased heart attack and stroke risk.]
Professionally, I was acquainted with a couple of people who developed post-traumatic reflex sympathetic dystrophy, which basically causes a sensation similar to being on fire all the time. What worked for them was regular marijuana intake.