The State of Pain Medicines in 2023

DerailedFisherman

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Oct 27, 2021
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95
Hello everyone.
I am afraid. haha. I havent ordered any pain medications in quite some time. Out of fear of F contamination. They are so incredibly expensive and I enjoy having a stash around. But I'm so afraid of getting fakes contaminated with F it makes it not worth it. I'm considering getting some soon...and luckily I'm more of a bzo guy and luckily those are much easier and cheaper to obtain. I can't imagine what everyone going through true chronic pain must be going through.

I guess this is more of a vent post than anything. When I finally get it I'll probably only stick with european brands. But I hope the situation down south improves. I'd like opinions though. I personally think this situation is only going to get worse...but does anyone have any more optimistic opinions? Also has anyone had any experience getting fake european brands?
Thanks for coming to my TED talk.
 
I've found PT to be far more useful in long term management of my chronic pain then just hoping on painkillers everyday and living life that way.

Doctors will still give them out they just lessen the amount given and amount of time your on them and your expected to do your part which is PT.

For those who can't or do need them daily in my area they are sent to pain management clinics and also side bared with psychiatrists to keep an eye on addiction/abuse.

Subjected to mandatory drug testing pill counts ect.

I wouldn't buy pk's from the web or anyone i didn't know already has a legit script, fent is lucrative and easy to cross contaminate without knowing. Or doing it on purpose ect.

Not work the risk Id rather live in pain then die and ... well be dead. :D
 
I've found PT to be far more useful in long term management of my chronic pain then just hoping on painkillers everyday and living life that way.

Doctors will still give them out they just lessen the amount given and amount of time your on them and your expected to do your part which is PT.

For those who can't or do need them daily in my area they are sent to pain management clinics and also side bared with psychiatrists to keep an eye on addiction/abuse.

Subjected to mandatory drug testing pill counts ect.

I wouldn't buy pk's from the web or anyone i didn't know already has a legit script, fent is lucrative and easy to cross contaminate without knowing. Or doing it on purpose ect.

Not work the risk Id rather live in pain then die and ... well be dead. :D
So much depends on whether you're dealing with short-term pain, or long-term pain... I had a tooth pulled a couple of years ago, and I was in excruciating pain for about 36 hours (and there's no real PT for tooth extractions, lol.) But I was given a few days' of pain meds, which I didn't need all of them. And 2 weeks later, I got a "Serious" 2-pg letter from my insurance co. about how "dangerous" pain meds can be, and how likely it is to become addicted. A FULL PAGE of contact info for addiction treatment resources! Like, Dudes, I took like 5 of these pills over 2 days, and you want me to get addiction treatment??? Blergh! (And also, eff off.)
 
Public service announcement: For the love of GOD stop calling it "fentanyl". It's like when people called cocaine "crack".

Add "illicit", "bath-tub", "street" OR any other descriptor that distinguishes between them.

Fentanyl--real fentanyl is not cheap and ain't no one lacing anything with pharmaceutical grade fentanyl.

2nd of all: please help in stopping the spread of misinformation about street fentanyl. One cannot die, certainly not even OD by touching illicit fentanyl or even by breathing while around a package of bath-tub fentanyl. If that was the case how would the dealers stay alive? Y'all think they are packaging in sterile pharmaceutical surroundings?! Using breathing apparatuses? And why would a user do anything but touch the illicit fentanyl if an OD or death could be induced by a "contact high".

So silly and it's hurt the chronic pain patient and it hurts the public perception about what FDA approved opiod medications actually provide to a chronic pain patient.

It allows the whackos at PROP and Shatterproof (oh there's several others!) continue on their war path that FDA approved opiods aren't necessary in our society.

It's the 2023 version of Reefer Madness. You want to invest time and energy into helping eliminate a scurge on the world. Work on alcohol and nicotine prohibition. That would save TTTTTTTtrillons in dollars and Mmmmmmillons of souls.

It wasn't as important back when Whitney distinguished the differences between cocaine and crack ("crack is whack!") but it's very important in today's world we don't let the dumbasses, that set policy and law, drag everyone into believing FDA opiod medications have no place in our society --as one of vigilantes suggested with an alcoholic drink in his hand. Talk about the hypocrite calling an FDA approved opiod "black" label.

It wasn't important back in 2005-2010 because there wasn't a lot of rich white folks dying. And there wasn't any deep pocket pharmaceutical company mixed up in that mess. Once RWF started being prominent users and there were funds to be paid out, it became an "epidemic". Go figure.

So yeah. Thank you for the consideration.
 
I do know from my recent stay in the hospital from having my spine cut into broke apart re-bone, and a few other things, a person is allowed to have this many painkillers a day plus they can push a button for the duladin if necessary. Based on the type of surgery I had
However, however, the rule is they cannot give it to you. The patient has to ask for it.
So I even said if it’s 4 AM and they want me to stay on my medicine so my body is not under stress so it can heal. I still have to ask for it. No one’s gonna wake me up?
Exactly
Then there is these nurses in shift changes and it was just a nightmare. It’s no one’s fault it’s just the whole world’s fault that the nurses someone can be home for six hours, some
Or just trading shifts two hours at a time. To cover
So long story short, they encourage you to ask earlier. But they don’t care guarantee that you’re gonna get them when you want them.

So, by my second day, I decided not to ask for anything liquid
Get my ass out of the hospital
Cause you can’t do anything without asking somebody.
And it’s hard to ask somebody that’s Harly there. In the middle of the night I hear people screaming help just so they could go pee.
Then, the next morning, I heard staff talking about how people were learning how to detach there are things just to go pee
So I was like oh clever, I will l do that too.
Maybe I should’ve stayed another day and sometimes I regret not asking for the extra liquid stuff but I just wanted to get my ass home after that
I guess my whole point is they can’t hand it to you because then they are legal for it. Probably meeting someone can come back and sue. You made them addicted. You made them addicted.
Even though a person is in dire pain.
 
Public service announcement: For the love of GOD stop calling it "fentanyl". It's like when people called cocaine "crack".

Add "illicit", "bath-tub", "street" OR any other descriptor that distinguishes between them.

Fentanyl--real fentanyl is not cheap and ain't no one lacing anything with pharmaceutical grade fentanyl.

2nd of all: please help in stopping the spread of misinformation about street fentanyl. One cannot die, certainly not even OD by touching illicit fentanyl or even by breathing while around a package of bath-tub fentanyl. If that was the case how would the dealers stay alive? Y'all think they are packaging in sterile pharmaceutical surroundings?! Using breathing apparatuses? And why would a user do anything but touch the illicit fentanyl if an OD or death could be induced by a "contact high".

So silly and it's hurt the chronic pain patient and it hurts the public perception about what FDA approved opiod medications actually provide to a chronic pain patient.

It allows the whackos at PROP and Shatterproof (oh there's several others!) continue on their war path that FDA approved opiods aren't necessary in our society.

It's the 2023 version of Reefer Madness. You want to invest time and energy into helping eliminate a scurge on the world. Work on alcohol and nicotine prohibition. That would save TTTTTTTtrillons in dollars and Mmmmmmillons of souls.

It wasn't as important back when Whitney distinguished the differences between cocaine and crack ("crack is whack!") but it's very important in today's world we don't let the dumbasses, that set policy and law, drag everyone into believing FDA opiod medications have no place in our society --as one of vigilantes suggested with an alcoholic drink in his hand. Talk about the hypocrite calling an FDA approved opiod "black" label.

It wasn't important back in 2005-2010 because there wasn't a lot of rich white folks dying. And there wasn't any deep pocket pharmaceutical company mixed up in that mess. Once RWF started being prominent users and there were funds to be paid out, it became an "epidemic". Go figure.

So yeah. Thank you for the consideration.
i agree. but just so you know I wasnt talking about just like "touching" street fentanyl, I was saying like it being pressed into something that looks like a pharmaceutical and taking it.
 
So much depends on whether you're dealing with short-term pain, or long-term pain... I had a tooth pulled a couple of years ago, and I was in excruciating pain for about 36 hours (and there's no real PT for tooth extractions, lol.) But I was given a few days' of pain meds, which I didn't need all of them. And 2 weeks later, I got a "Serious" 2-pg letter from my insurance co. about how "dangerous" pain meds can be, and how likely it is to become addicted. A FULL PAGE of contact info for addiction treatment resources! Like, Dudes, I took like 5 of these pills over 2 days, and you want me to get addiction treatment??? Blergh! (And also, eff off.)
Yeah its gotten way out of hand. It's completely ridiculous. Thanks war on drugs
 
I do know from my recent stay in the hospital from having my spine cut into broke apart re-bone, and a few other things, a person is allowed to have this many painkillers a day plus they can push a button for the duladin if necessary. Based on the type of surgery I had
However, however, the rule is they cannot give it to you. The patient has to ask for it.
So I even said if it’s 4 AM and they want me to stay on my medicine so my body is not under stress so it can heal. I still have to ask for it. No one’s gonna wake me up?
Exactly
Then there is these nurses in shift changes and it was just a nightmare. It’s no one’s fault it’s just the whole world’s fault that the nurses someone can be home for six hours, some
Or just trading shifts two hours at a time. To cover
So long story short, they encourage you to ask earlier. But they don’t care guarantee that you’re gonna get them when you want them.

So, by my second day, I decided not to ask for anything liquid
Get my ass out of the hospital
Cause you can’t do anything without asking somebody.
And it’s hard to ask somebody that’s Harly there. In the middle of the night I hear people screaming help just so they could go pee.
Then, the next morning, I heard staff talking about how people were learning how to detach there are things just to go pee
So I was like oh clever, I will l do that too.
Maybe I should’ve stayed another day and sometimes I regret not asking for the extra liquid stuff but I just wanted to get my ass home after that
I guess my whole point is they can’t hand it to you because then they are legal for it. Probably meeting someone can come back and sue. You made them addicted. You made them addicted.
Even though a person is in dire pain.
Lately I have been reading that you must take someone with you to stay in the hospital at all times. It’s become dangerous not to. Dilaudid gives me migraines. Prior to all of this (2010) I had it in a pump in the ER. You know what doesn’t give me migraines? Fentanyl, probably one of the most effective drugs used for severe pain. It’s literally the only one that I don’t react to intravenously. I used to have all of them listed as allergies, but I was told that made me look like a drug seeker, so …
Like @DerailedFisherman said, thanks war on drugs. Thanks CDC 2016 policies. Thanks DEA and PROP. PROP is interesting. If not for PROP, none of this might have happened. Follow the money. Andrew Kolodny, Brandeis University/PROP. See how much money this man has made from others’ suffering.
 
@DerailedFisherman I’ve never gotten fake from euro - but they’re weaker and they aren’t called contin. they are ox££dolor or 0x££lan. No fake benz either but I prefer SY b@rz.

I found a certain euro persons b€nz to be weak and the same person’s O to be the weakest I’ve ever had. But you’d never know by their creepy cult-like thread full of 100% perfect reviews. Their gift wrap is horrendous and when I read that people think it’s fantastic and don’t read a single complaint about it, I know something doesn’t add up, It’s worse than SY. And I’ve talked to others about it who also thought it was the worst. And considering it’s traveling a long ways, I’m in awe that they are so careless.

They said, PM’s O is also not near what the green goblins of yesteryear were. but they are still way better than aforementioned publisher’s books. Significantly better.

Used the publishers from afar for years long before I landed here and never had one problem with legitimacy.

-AS
 
You have to thank the shutting down of pill mills which happened to create the vacuum filled by fake stuff now.

Take Florida for example, pill mills shut down and many became suboxone clinics and then the treatment center Industry blew up. And on top of that there is a registry to prevent "doctor-shopping"

Town called Delray Beach is a shit show. One guy, last name of Chapman got 25 years for running a treatment program that would pay people to relapse and re-run their Insurance and pimp out the women in the program

At one point, Florida supplied 80% of the ox consumed nation wide. Look up Harlan County west Virginia. Something like 12000 ox dispensed per capita. People from outta state,....outta mind or outter space. Didn't matter.

The vacuum left created this mess and now you can't trust anything. Used to be at least you could trust pharm as opposed to street d0pe which was why I never used it. Had a D issue but once my friend died in the shitter and 10 or so ppl I knew, it was time to get off the merry go round and I'm thankfull my l4 and l5 have been manageable. I really feel for those who struggle with it on the daily and it's a Lotta 20 somethings dying out there. They can only use mommy's Insurance to 26
 
Rxing opiods is at a 30 year low and yet more people are dying. Someone make that math actually fucking math!

I support 2--what I think--are very important organizations that sum up the problem in "the greatest country on earth"!

One is a harm reduction group. However they have gone above and beyond to keep their members safe. While clean supplies (needles, bandages, prep pads, etc) are passed out weekly they also meet with the "servers" of the community. The servers aren't some shady, creepy boogeyman. This harm reduction group helps with supplying the servers with clean and sterile supplies in order to hopefully avoid any life-ending contamination. The servers don't want their customers dying. The group also makes sure the servers are using the best ingredients--if possible--and that they have the tools they need to follow a clean recipe. The customers know the recipe in case of any harm so it can be reported to 911 if need be.

The servers also pass out narcan, tools for using, and if they have it to give the servers will pass out prepaid cards for food etc.

As "silly" as it sounds, in this gig world these servers are hustling to make their coin too. They become friends and care about their customers. Very rarely is it the shadowy scary figures depicted in the media. WE ALL KNOW THIS TO BE SO!

The safe supply has helped tremendously in this particular area. The group will also pay for testing when the server receives any pre-made stuff. It's in everyone's interest to know what's in that shit we ingest. Fuck, our own FDA doesn't care--someone has to.

The other group is another harm reduction group. They take calls from anyone who is using--typically from any server near and far. They hang out on the phone/face time/zoom etc while the person uses just in case it's illicit fentanyl or whatever other stuff is being put into the supply. If it goes bad a 911 call can be made and get someone there to admin narcan or whatever else is needed. It's a sad state of affairs. Most--please read most, not all, are regular peeps who got forced out and off their DOC. However, whatever was their reason to use their DOC didn't change. Most are people trying to live a decent, pain-free life and not understanding why they aren't afforded the ability to use any and all methods available. Unfortunately this service isn't legal in all states so it's not able to be used by everyone. First rule is to keep the user safe, keep the companion safe, then lastly keep the server safe.

FDA approved opiods have been safe and effective for multiple decades. Now, NOW a few money-hungry bastards have decided they aren't necessary. This might be triggering--and I do have great empathy for anyone that lost a loved one due to chaotic use and co-use of substances (because let's face it--someone dying from using too many single type FDA opiods doesn't happen--don't fall for the media hype, there isn't an opiod crisis as far as use--there is when it comes to RX'ing and producing!) and I do not say this to enhance their pain. What THE FUCK does your person's chaotic use have to do with millions of people who aren't in that situation. NO other place in our society has this happened. MMMMillions of people have and will continue to die in car accidents due to reckless conduct (or not) but we don't take cars away. MMMMillions of people have and will continue to die from alcohol. Our society as a whole suffers from chaotic substance use of alcohol (or not) and we don't ban alcohol.

I could go on with the examples but y'all are smart enough to know this game. People must wake up and pay attention to who you are voting for in elections--and I am not talking national stages. This fuckery started at a local level. People making laws based on emotions (OMG Jane's son got illicit fentanyl laced pills and died! Let's make sure no one can get licit drugs now!) and without any facts or science. They were driven only by paydays and kudos from those screeching the loudest.

What can you do? For sure volunteering with time, talent and/or treasure to harm reduction groups or any group trying to raise money to get lobbyists to beat the drum to open up the production of FDA approved opiods is a start. Actively correcting media outlets who spout "fentanyl-laced" or "fentanyl coming across the boarder" with "Ilicit fentanyl" or "bathtub fent" with a quick blurb about how they are just one illness away from needing FDA approved fentanyl--and how legit fentanyl and other opiods provide for a civilized and compassionate pain treatment society. If you have a relationship with a doctor talk to them about if they support the bills being put before state and national legislative bodies to make it illegal to not treat pain and to treat with only FDA approved medications, while someone is in the hospital. Ask them if they support AND participate in the NarxCare scoring process which is discriminatory and all-around problematic as fuck! For added fun ask them if they even know what goes into the score. 😳

Here's my bottom line and I totally get it if it's not yours but you must know in the future, unless you are ultra privileged, these medications wont be accessible unless there is a huge groundswell of activity to change the path we are being forced onto and hurtling fast and furiously towards an end of life as we know it. If you are using this board to meet your wants with a server who feels a little "cleaner" and more like working with a legit medical professional 🤦‍♀️🤣 but you refuse to speak up because, well you have privilege and while it may hit your wallet you can still get your desired effects without losing your home, if you won't even tap a keyboard to help correct a vile, calculated lie, if you refuse to fight against the drumbeat of FDA opiods aren't necessary in our country but yet you will self-medicate because you are able and you wouldn't want anyone to (mis)judge you and possibly think you are weak because you want these substances to live your life, on your terms.. if you live this life and want to remain silent while millions of others don't have your privilege and are ultimately paying a death tax, than wow--I hope karma will find you.

For sure, don't take my warning cry for truth. Do your own research. And then find a way to help like hell!

PS: If you think this is only about opiods and not benzos--guess again. There is a whole new generation who believes benzos have no place--ZERO place--in our society and one must have another mental defect to rely on daily use or even occasional use of a benzo.
 
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I had to narcan 1 person ever and she woulda died for sure. It took 2 pods and then she had a stroke in the bathtub. Pretty bad time. So glad I wasn't doing anything but kratom at the time.

I'm one of those people who takes benzos prescribed to me on a daily basis. I have adhd, ptsd and anxiety but this is what I'm working with. I'm lucky I get mine from the pharm. I feel for folks who have to test everything and roll the dice
 
@Dr-Octagon that has to be traumatizing. My first couple times on the streets of NYC caused me to run down a rabbit hole. Luckily it was a short trip and now I can do it quickly, call 911 and scoot out fast once help arrives! I used to stay around to make sure said person was ok, could get to a safe place but soon realized a lot of these peeps were pissed and wanting to kick my ass! That's just not my jam! 🤣

I'm sorry you went thru that shit!
 
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