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Post by Nanki A. on Jun 4, 2017 23:31:29 GMT -4
The article sheds an interesting but unsurprising news in regards to patients leaning towards opioid use to "cure" their depression. I think it also illustrates the importance of giving access to mental health and better health care. People tend to medicate themselves with pain killers or alcohol rather than seeking the help of a mental health professional, making ultimately the problem worse that can begin a cycle of abuse over long term dependence. This means that if we provide better access to mental and behavioral health care in communities where the opioid epidemic is greatest, we may actually save people's lives.
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Post by Roy Satmaka on Jun 7, 2017 11:14:17 GMT -4
The statement in the article that ”opioids can exasperate depression symptoms” is very worrisome to me. As we already know that individuals will experience withdrawal ie the symptoms that are reversed of what is seen when taking the medication. So if these opioids can sedate and give good feelings while on it when the medication runs out they are more likely to experience more depressive symptoms and therefore increase their dependence and addiction for these medications. Its no wonder that the statistics show that depressed individuals are more than twice than likely to continue their opiate use over the long term. The problem with opiates is the more times its used the patient builds up a tolerance and a higher dose is needed to get the desired effects. Since opiates are a controlled substance the person may not get enough from his monthly allowed amount of pills they are likely to turn to the streets to find a cheaper alternative like heroin for their fix. Again adding to the number of heroin addicts to the country and putting increased strain to the existing drug treatment programs as the threat of lost health care dollars and allowance of insurers to not have to cover their mental health treatments.
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Post by nkiru frank on Jun 13, 2017 13:03:12 GMT -4
Opioids are a type of medicine often used to help relieve pain. They work by lowering the number of pain signals your body sends to your brain and changing how your brain responds to pain. Doctors most often prescribe opioids to relieve pain from toothaches and dental procedures, injuries, surgeries, and chronic conditions such as sickle cell. Opioids usually are safe when they are used correctly, but people who misuse opioids can become addicted. Addiction is a disease that affects your brain and your behavior. At first, you have control over your choice to start using drugs. Drug is very common to find in the street and this is the one of the biggest government is facing now
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Post by Emem Kierian on Jun 15, 2017 23:23:04 GMT -4
Excessive research studies have succeeded in proving that depression, which is simply a mixed bag of emotions, is an underlying cause of opioid abuse. The reason for this ranges from temporary soothing effects from conflicting moods, to actual relief of pain which is naturally worsened in the presence of depression, as depressed people have a lower threshold for pain. The article clearly states that the opioid is not usually abused by the patient prescribed the medication but by their undiagnosed family/friends who casually take the medication and eventually find the extreme rush of happiness or intoxication they feel satisfying. They are eventually convinced that the opioid is the best treatment regimen and sometimes present to the physician consciously exaggerating their pain in order to get more pain medications. These acts subsequently lead to inability to discontinue the medication in the long run as the euphoria felt is a distraction and this makes them unaware of their still existing depressive episodes, thus extending the opioid abuse cycle. With termination of the new republican health care law, the incidence of opioid abuse in undiagnosed depressed patients will likely increase and eventually "tight funds" will become an overused justification for this.
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Post by mgirard on Jun 16, 2017 23:24:52 GMT -4
I was really shocked to read that since 1999 deaths from prescription drugs have more than quadrupled. It gets me reflecting on past practice and how it will affect my future practice. Is this happening because as they mentioned in the article, depression is widely under-diagnosed and untreated? How can we help these patients as their physicians? What can we do differently to make an impact and reduce prescription drug deaths? Of course there will always be drug seekers and abusers but we must be vigilant to recognize when someone is really in pain or when there is something more going on and get them the help and support that they need. I think that it is terrible that the new health care plan mentioned in the article affects coverage of mental health treatment. Patients that cannot afford it might be turning to prescription drugs because it is a relatively affordable way to deal with their pain and temporarily take them away from the reality of their life which is causing them pain rather than dealing with it head on by seeing a therapist which would cost more money. There is lots of work to be done in this area and being aware of it is a start.
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