Please... This is not a post for the discussion of Alternative Treatments (Chiropractic, Acupuncture, Massage, etc.), your opinions on the use of opiates, and for goodness sakes if you don't have Chronic Pain or have been a specialist in palliative care save your comments for discussion of those topics or start your own. This is about and for people who have legitimate medical reasons for taking these drugs. Thank you in advance.
Reference prior threads: bit.ly/SH9kUW Pain Medication AND bit.ly/NzkYO0 OxyContin
If you, as I, require maintenance Class II narcotic drugs you may want to contact your pain doctor immediately.
On Monday, 16 July, I met with my Pain Specialist, Dr. Ornelas Arechiga, for my script of Methadone. I know that many out there also use Dr. Arechiga because I've met y'all in the waiting room. Dr. Arechiga has been my palliative care physician for more than 6 years and I have never seen him so upset. What he shared with me is; the sole importer of Methadone and Oxycontin type medications is completely out/inventory depleted. The reason for this seems to be a mystery, but shortages have also been cropping up in the U.S.. Dr. Arechiga went on to share that he has been having to switch his patients to Morphine, which is still in good supply. He also shared that most of his Mexican patients have cancer and he is upset because Morphine is not the best solution to their needs. Dr. Arechiga is working with his lawyer to get answers about the shortage/outage, but at this point Methadone and Oxy type drugs are extremely scarce.
Again, I suggest you contact your Pain physician well before you run of your medications.
Mike in Joco
Dr. Guillermo Aréchiga Ornelas
Medicina del Dolor y Paliativa
Justo Sierra 2460 Col. Ladrón de Guevara
Guadalajara, Jalisco
Tel: (333) 615 4440 y (333) 615 7779
Medicina del Dolor y Paliativa - U.S. Board Certified in Anesthesiology & Palliative Care
For those requiring narcotic pain medication
Started by deGimp, Jul 18 2012 12:28 PM
oxycodone methadone hyro
5 replies to this topic
#1
deGimp
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Posted 18 July 2012 - 12:28 PM
There is nothing more galling to angry people than the coolness of those on whom they wish to vent their spleen.
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#2
Malaya
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Posted 18 July 2012 - 04:56 PM
Thank you for the information. No concerns on pain meds being used...there is a big difference between addiction and dependance for a normal life of quality. Adults have choices here...thank god.
#3
Marty
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Posted 19 July 2012 - 01:37 AM
Approximately ten years ago a group of US pain treatment physicians and anesthesiologists noting the decease in availability of narcotic based pain relieving drugs requested the University of Utah to undertake a multi-year study to determine the cause which was recently released. It indicated that there was a drastic reduction in the manufacture and availability of narcotic based pain relieving drugs in the US, particularly escalating from 2004-2010. The reason for the decrease in availability was explained as due to a multitude of factors.
During 2004-2010 there was a huge decrease in raw narcotic based plant products grown in other counties largely due to the influence of the earlier war on drugs. There was also a significant change over to outsourcing the manufacturer of narcotic based drugs to China, India and other countries where quality control was non-existent. In addition, major shipments were being sent oversees to various countries where US armed forces were utilizing them in the battlefields. The (FDA) US Food & Drug Administration found that at least 54% of the drugs manufactured (mostly in foreign markets and imported to the US) could not pass a product quality review, with major drug contamination and lack of dosage control labeling being the biggest issues. Some major manufacturers shut down as the market became scarce due to lack of raw products and multiple law suits due to product contamination and resulting issues from the outsourced drugs.
Those manufacturers that were left began researching non-narcotic substitutes to market in place of the narcotic based drugs, increasing their costs for these drugs due to the research. Most of these non-narcotic based drugs proved not to control chronic and persistent pain. At this same time oxycontin and other related drugs were also hitting the streets with a vengeance and we again saw a knee jerk reaction against producing these types of drugs. The other narcotic based drug costs were rising and becoming impossible to obtain in any significant amounts for hospital and emergency room usage with fewer single sources of manufacturers available. The American Hospital Association reported last year that they were seeing an 82% of significantly delayed treatment of patients needing narcotic based drugs due to their unavailability, particularly in emergency based hospital settings. Anesthesiologists reported rescheduling planned surgeries due to lack of sufficient anesthetic drugs.
Unfortunately what we saw in the reduction of these drugs in the US is now facing Mexico. In fact, some Americans, unable to obtain other drugs for their chronic and severe pain moved to Mexico to be able to more readily access marijuana as an alternative treatment for their pain. Unfortunately, the prediction of most persons at the federal FDA level is that this situation will continue to worsen for those needing chronic and palliative treatment.
During 2004-2010 there was a huge decrease in raw narcotic based plant products grown in other counties largely due to the influence of the earlier war on drugs. There was also a significant change over to outsourcing the manufacturer of narcotic based drugs to China, India and other countries where quality control was non-existent. In addition, major shipments were being sent oversees to various countries where US armed forces were utilizing them in the battlefields. The (FDA) US Food & Drug Administration found that at least 54% of the drugs manufactured (mostly in foreign markets and imported to the US) could not pass a product quality review, with major drug contamination and lack of dosage control labeling being the biggest issues. Some major manufacturers shut down as the market became scarce due to lack of raw products and multiple law suits due to product contamination and resulting issues from the outsourced drugs.
Those manufacturers that were left began researching non-narcotic substitutes to market in place of the narcotic based drugs, increasing their costs for these drugs due to the research. Most of these non-narcotic based drugs proved not to control chronic and persistent pain. At this same time oxycontin and other related drugs were also hitting the streets with a vengeance and we again saw a knee jerk reaction against producing these types of drugs. The other narcotic based drug costs were rising and becoming impossible to obtain in any significant amounts for hospital and emergency room usage with fewer single sources of manufacturers available. The American Hospital Association reported last year that they were seeing an 82% of significantly delayed treatment of patients needing narcotic based drugs due to their unavailability, particularly in emergency based hospital settings. Anesthesiologists reported rescheduling planned surgeries due to lack of sufficient anesthetic drugs.
Unfortunately what we saw in the reduction of these drugs in the US is now facing Mexico. In fact, some Americans, unable to obtain other drugs for their chronic and severe pain moved to Mexico to be able to more readily access marijuana as an alternative treatment for their pain. Unfortunately, the prediction of most persons at the federal FDA level is that this situation will continue to worsen for those needing chronic and palliative treatment.
#4
Marty
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Posted 19 July 2012 - 01:40 AM
Approximately ten years ago a group of US pain treatment physicians and anesthesiologists noting the decease in availability of narcotic based pain relieving drugs requested the University of Utah to undertake a multi-year study to determine the cause which was recently released. It indicated that there was a drastic reduction in the manufacture and availability of narcotic based pain relieving drugs in the US, particularly escalating from 2004-2010. The reason for the decrease in availability was explained as due to a multitude of factors.
During 2004-2010 there was a huge decrease in raw narcotic based plant products grown in other counties largely due to the influence of the earlier war on drugs. There was also a significant change over to outsourcing the manufacturer of narcotic based drugs to China, India and other countries where quality control was non-existent. In addition, major shipments were being sent oversees to various countries where US armed forces were utilizing them in the battlefields. The (FDA) US Food & Drug Administration found that at least 54% of the drugs manufactured (mostly in foreign markets and imported to the US) could not pass a product quality review, with major drug contamination and lack of dosage control labeling being the biggest issues. Some major manufacturers shut down as the market became scarce due to lack of raw products and multiple law suits due to product contamination and resulting issues from the outsourced drugs.
Those manufacturers that were left began researching non-narcotic substitutes to market in place of the narcotic based drugs, increasing their costs for these drugs due to the research. Most of these non-narcotic based drugs proved not to control chronic and persistent pain. At this same time oxycontin and other related drugs were also hitting the streets with a vengeance and we again saw a knee jerk reaction against producing these types of drugs. The other narcotic based drug costs were rising and becoming impossible to obtain in any significant amounts for hospital and emergency room usage with fewer single sources of manufacturers available. The American Hospital Association reported last year that they were seeing an 82% of significantly delayed treatment of patients needing narcotic based drugs due to their unavailability, particularly in emergency based hospital settings. Anesthesiologists reported rescheduling planned surgeries due to lack of sufficient anesthetic drugs.
Unfortunately what we saw in the reduction of these drugs in the US is now facing Mexico. In fact, some Americans, unable to obtain other drugs for their chronic and severe pain moved to Mexico to be able to more readily access marijuana as an alternative treatment for their pain. Unfortunately, the prediction of most persons at the federal FDA level is that this situation will continue to worsen for those needing chronic and palliative treatment.
During 2004-2010 there was a huge decrease in raw narcotic based plant products grown in other counties largely due to the influence of the earlier war on drugs. There was also a significant change over to outsourcing the manufacturer of narcotic based drugs to China, India and other countries where quality control was non-existent. In addition, major shipments were being sent oversees to various countries where US armed forces were utilizing them in the battlefields. The (FDA) US Food & Drug Administration found that at least 54% of the drugs manufactured (mostly in foreign markets and imported to the US) could not pass a product quality review, with major drug contamination and lack of dosage control labeling being the biggest issues. Some major manufacturers shut down as the market became scarce due to lack of raw products and multiple law suits due to product contamination and resulting issues from the outsourced drugs.
Those manufacturers that were left began researching non-narcotic substitutes to market in place of the narcotic based drugs, increasing their costs for these drugs due to the research. Most of these non-narcotic based drugs proved not to control chronic and persistent pain. At this same time oxycontin and other related drugs were also hitting the streets with a vengeance and we again saw a knee jerk reaction against producing these types of drugs. The other narcotic based drug costs were rising and becoming impossible to obtain in any significant amounts for hospital and emergency room usage with fewer single sources of manufacturers available. The American Hospital Association reported last year that they were seeing an 82% of significantly delayed treatment of patients needing narcotic based drugs due to their unavailability, particularly in emergency based hospital settings. Anesthesiologists reported rescheduling planned surgeries due to lack of sufficient anesthetic drugs.
Unfortunately what we saw in the reduction of these drugs in the US is now facing Mexico. In fact, some Americans, unable to obtain other drugs for their chronic and severe pain moved to Mexico to be able to more readily access marijuana as an alternative treatment for their pain. Unfortunately, the prediction of most persons at the federal FDA level is that this situation will continue to worsen for those needing chronic and palliative treatment.
#5
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Posted 19 July 2012 - 08:01 AM
Excellent post, Marty!
Unfortunately, American doctors tend to have this mindset that, regardless of the patient's problem, narcotic analgesics are bad, even for patients who are terminally ill. My uncle, who developed gangrene in the lower extremities secondary to frostbite in the Battle of the Bulge, was fortunate enough to get into a hospice program when the pain became so severe nothing other than morphine gave relief. Most patients are not that fortunate.
Unfortunately, American doctors tend to have this mindset that, regardless of the patient's problem, narcotic analgesics are bad, even for patients who are terminally ill. My uncle, who developed gangrene in the lower extremities secondary to frostbite in the Battle of the Bulge, was fortunate enough to get into a hospice program when the pain became so severe nothing other than morphine gave relief. Most patients are not that fortunate.
#6
simpsca
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Posted 19 July 2012 - 09:02 AM
I've heard that getting normal opiate pain meds was getting difficult here and I don't know why. Although I have chronic severe back pain I don't need anything more that a Tramadol occasionally.
However, I had gallbladder surgery in Jan. 2011. I woke up on the operating table just finished with surgery and they asked me to move on my own from the OR table to the gurney. I can handle a lot of pain but I tried to move and started to yell, I'm in pain I can't move. They gave me a shot that did nothing. I later read the detailed bill and they had given me a shot of ketoprofeno - an anti inflammatory, and this type of medicine is contraindicated for surgery due to bleeding - this class of meds thins the blood and can cause bleeding. In short I got no meds for pain relief while in the hospital so I got out of there the next day and took my Tramadol at home.
Just a warning for those undergoing surgery in Mexico - talk with the anesthesiologist (who is the one that can prescribe pain meds in Mexico) before your surgery so you know what you will be given.
A friend in the US has the flesh eating bacteria and she is receiving real pain meds. She has lost most of her upper leg muscle and will probably survive, but has to undergo numerous grafts to return some muscle and skin to the affected leg. And she is on sufficient pain meds in the US and they kept her sedated several weeks during the worst part of the ordeal. So I think it depends on where you are in the US as to what pain meds you are receiving.
However, I had gallbladder surgery in Jan. 2011. I woke up on the operating table just finished with surgery and they asked me to move on my own from the OR table to the gurney. I can handle a lot of pain but I tried to move and started to yell, I'm in pain I can't move. They gave me a shot that did nothing. I later read the detailed bill and they had given me a shot of ketoprofeno - an anti inflammatory, and this type of medicine is contraindicated for surgery due to bleeding - this class of meds thins the blood and can cause bleeding. In short I got no meds for pain relief while in the hospital so I got out of there the next day and took my Tramadol at home.
Just a warning for those undergoing surgery in Mexico - talk with the anesthesiologist (who is the one that can prescribe pain meds in Mexico) before your surgery so you know what you will be given.
A friend in the US has the flesh eating bacteria and she is receiving real pain meds. She has lost most of her upper leg muscle and will probably survive, but has to undergo numerous grafts to return some muscle and skin to the affected leg. And she is on sufficient pain meds in the US and they kept her sedated several weeks during the worst part of the ordeal. So I think it depends on where you are in the US as to what pain meds you are receiving.
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