Pain Medication-Roger Mason

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People are generally completely uninformed about pain medications.

Doctors are almost as completely uninformed. Pain medication is a blessing for the TEMPORARY relief of pain, or for people who are dying and suffering. All drugs were legal in America for almost 150 years, until the Harrison Narcotic Act of 1913.

There was not even an age limit!

Heroin, morphine, opium, cocaine, amphetamine, hashish, and marijuana were inexpensive, over the counter drugs. Only about 3% of Americans had a dependence problem.

There was simply no reason whatsoever to pass this act. All drugs should be legal for adults. Period. That’s right- all drugs for all adults. Anyone who commits a crime while under the influence of any drug (including alcohol) should get doubled penalties. People with drug problems are medical patients, not criminals. This would put an end to drug cartels, most organized crime, most gangs, and empty the prisons over-night. Police would be free to arrest real criminals. It would also take all the profit, false allure, and fake glamour out of illegal forbidden drugs. Drug dependence is Boring with a capital B.

If you have a headache, or other minor pains, try an ice pack. If that doesn’t help, try a heating pad. One or the other should help you very much. Only real world experience will tell you whether hot or cold helps relieve your pain. Aspirin is not toxic, if you take one or two , and only occasionally. It is simply the acetyl derivative of salicylic acid from willow bark. If you have regular headaches, or other pains, your body is telling you there is a problem you need to address. Americans swill down too many tons of aspirin to count every year.

Countless millions of clueless Americans also swill down acetominophen like candy. This drug is so toxic, so poisonous, and so so dangerous, it should be outlawed. Warning labels are not enough here. Acetominophen (aka paracetamol) will turn your liver into pudding. This is sold as Tylenol® and Anacin®.  Another dangerous toxin is ibuprofen. This is sold as Advil® and Motrin®. This is also toxic with many side effects. This should also be outlawed due to it’s toxicity.

If you have stronger pain, there are only a few good prescription options, and all are natural opiates or opiate derivatives. Codeine 60 mg is not strong, but is effective for mild pain. It has a “ceiling”, so if you take, say, 200 mg it will not be any more effective. The most you can take is about 60 mg AM, and 60 mg PM. Codeine is sold over the counter in many countries with no problems at all. The fact it is a prescription drug is ridiculous. It was sold over the counter in America in the 1960s with no problem. Never buy codeine with aspirin, acetaminophen, ibuprofen, or any other filler. Codeine cough syrup is very effective and safe.

Hydrocodone 10 mg is six times stronger than codeine, and much more euphoric. In November 2013 you can finally buy Zohydro® without acetaminophen. Do NOT use Vicodin®, which is full of toxic acetaminophen. Hydrocodone is the most commonly prescribed prescription drug of all, by far in America, but people are ruining their health with the acetaminophen in Vicodin®. Only use Zohydro®.

Oxycodeine 10 mg is also six times stronger than codeine, and just as euphoric as hydro-codeine. You get eurphoria plus energy. This combination makes it potentially addictive for weak minded people. This is the best pain killer known, and most people actually prefer it to morphine. For some reason, this is only sold in a very few countries. This is the best overall pain medication known to man. Believe it or not, this was invented in 1914, and only recently has become so popular. For almost 100 years it just sat on the shelf. Oxycontin® is high dose oxycodeine, up to 160 mg (!) for terminal patients. Per-coset® is full of toxic acetaminophen for no valid scientific reason.

Morphine 30 mg was considered the gold standard for pain relief, but most people prefer oxycodeine, due to the enhanced euphoria and feeling of energy. Morphine is basically only given to people with serious chronic pain, and the terminally ill. Morphine does not work for some people as they lack the enzyme necessary to metabolize it. Morphine is good for people who do not want the extra energy and euphoria, just pain relief. Using it intrarectally is 50% more effective. This does not work with any other pain medicine ex-cept morphine and it’s derivatives.

Hydromorphine 4 mg is known as Dilaudid®, and more than seven times stronger than morphine. It was invented in 1924. This is also only prescribed for very serious cases. There is really no basic difference between morphine and hydromorphine except dosage. 50% more effective when used intrarectally.

What about heroin (diacetyl morphine) 5 mg itself? This is a fine pain killer, and no more addictive than morphine. This is used in Europe but not in the U.S. It makes no sense at all to outlaw heroin as a pain medication. The only problem is that it cannot be taken orally, and that does make it impractical. Never inject any drug unless you are in the emergency room of a hospital. Oral opiates are far preferred. Heroin has been demonized for no reason at all.  The fact it must be injected makes it very impractical however.

Oxymorphine aka oxymorphone 5 mg (Opana®) is similar to hydromorphine, but for some reason is rarely used in the U.S. This has also been available for almost 100 years. This is a shame, as it is very strong and very effective. This just proves the ignorance of medical doctors to ignore a safe and effective drug like this. This is very underutilized. 50% more effective when used intrarectally.

Opium tincture is known as Paregoric®, but it very diluted and weak. Opium powder is not used in America for pain, and concentrated opium (Pantopon®) is almost never used. There are too many harmful alkaloids in unconcentrated opium to use safely. You do not want to take these alkaloids. Paregoric is sold over the counter in some countries. It was legal in America until the 1960s.

What about the synthetic non-opiate drugs like Tramadol®, Demerol®, fentanyl, methadone, ketamine, and propoxyphene? Don’t use these, since you have more effective, less toxic opiates to use. Tramadol® is weak and toxic. Demerol® is very effective, but more toxic than real opiates. Fentanyl is best used as an anesthetic for surgery. Patches are available. The Russians use it as a military aerosol to incapacitate crowds. (The problem is many people die when it is used that way.)   Methadone is illegal in the U.S. and very toxic. Ketamine is a deleriant anesthetic drug with psychedelic properties. The ketamine patches do not cause disorientation. Propoxyphene (Darvon®) is toxic and simply should not be used.   

This leaves codeine, hydrocodeine, and oxycodeine for most people. Serious pain can require morphine or hydromorphine, since oxymorphine is rarely used. This is a short but effective list. Do not let the doctor, in his ignorance, dictate your pain management. Demand real opiates with no fillers.

For pet lovers, the same is true for our beloved companions. Codeine is weak and rather ineffective. This leaves hydrocodeine, oxycodeine, morphine, and dilaudid as the only real choices. Veterinarians are stupid beyond belief, and will give your beloved pet inef-fective Tramadol® and other such drugs. Demand proper pain medication if your pet needs it, and find a new vet if he won’t do it. Some pets cannot metabolize morphine.

The drugs laws have turned America, and most of the whole world, into police states. America has 5% of the world population, but 25% of the world prison inmates!!! One third of American prisoners are locked up for drugs. The drug laws make pharmacists, doctors, and pharmaceutical companies rich. Opiates would literally cost no more than candy bars if legalized. Again, pain medication is for the TEMPORARY relief of suf-fering, unless you  have an incurable chronic condition, or are terminal. You need to be educated about pain relief because your doctor certainly isn’t.  

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Why Do Clinics Deny Painkillers To Medical Marijuana Patients?

By Steve Elliott ~alapoet~

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Should health care facilities have the power to make lifestyle decisions for you — and punish you when your choices don’t measure up to their ideals? More and more hospitals are making exactly those kinds of decisions when it comes to people who choose to use marijuana — even legal patients in medical marijuana states. Apparently, these places don’t mind looking exactly as if they have more loyalty to their Big Pharma benefactors than they do to their own patients.

A new policy at one Alaska clinic — requiring patients taking painkilling medications to be marijuana free — serves to highlight the hypocrisy and cruelty of such rules, which are used at more and more health care facilities, particularly the big corporate chains (the clinic in question is a member of the Banner Health chain).

Tanana Valley Clinic, in Fairbanks, started handing out prepared statements to all chronic pain patients on Monday, said Corinne Leistikow, assistant medical director for family practice at TVC, reports Dorothy Chomicz at the Fairbanks Daily News-Miner.


"We will no longer prescribe controlled substances, such as opiates and benzodiazepines, to patients who are using marijuana (THC)," the statement reads in part. "These drugs are psychoactive substances and it is not safe for you to take them together." (This statement is patently false; marijuana has no known dangerous reactions with any other drugs, and in fact, since marijuana relieves chronic pain, it often makes it possible for pain patients to take smaller, safer doses of opiates and other drugs.)

LIAR, LIAR: Corinne Leistikow, M.D. says "patients who use opiates and marijuana together are at much higher risk of death." We’d love to see the study you’re talking about, Corinne.

"Your urine will be tested for marijuana," patients are sternly warned. "If you test positive you will have two months to get it out of your system. You will be retested in two months. If you still have THC in your urine, we will no longer prescribe controlled substances for you."

TVC patient Scott Ide, who takes methadone to control chronic back pain, also uses medical marijuana to ease the nausea and vomiting caused by gastroparesis. He believes TVC decided to change its policy after an Anchorage-based medical marijuana authorization clinic spend three days in Fairbanks in June, helping patients get the necessary documentation to get a state medical marijuana card.

"I’m a victim of circumstance because of what occurred," Ide said. "I was already a patient with her — I was already on this regimen. We already knew what we were doing to get me better and work things out for me. I think it’s wrong."

Ide, a former Alaska State Trooper, said he was addicted to painkillers, but medical marijuana helped him wean himself off all medications except methadone.

Leistikow admitted that the new policy may force some patients to drive all the way to Anchorage, because there are only a few chronic pain specialists in Fairbanks. Still, she claimed the strict new policy was "necessary."

The assistant medical director is so eager to defend the clinic’s new policy that she took a significant departure from the facts in so doing.

"What we have decided as a clinic — we’re setting policy for which patients we can take care of and which ones we can’t — patients who use opiates and marijuana together are at much higher risk of death, abuse and misuse of medications, of having side effects from their medications, and recommendations are generally that patients on those should be followed by a pain specialist," Leistikow lied.

Patients who use opiates and marijuana together are NOT in fact at higher risk of death, abuse, misuse and side effects; I invite Ms. Leistikow to produce any studies which indicate they are. As mentioned earlier, pain patients who also use marijuana are usually able to use smaller, safer doses of painkillers than would be the case without cannabis supplementation.

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