Archive For The “Opiates” Category

In Search of the Best Pain Clinic in L A: Weeding Out Drug Addicts

By | February 6, 2013

The best pain clinic in Los Angeles would be troubled by the number of prescription drug addicts in this country, but it would also understand that addiction medicine and pain management are different specialties which should never be combined in the same practice. It is impossible for me to treat your pain with opiates if […]

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Antidepressants and Pain Control: A Historical Perspective, Opioids

By | August 12, 2011

The next major group of drugs used to treat depression were the opioids and with some success. More commonly used to treat pain a number of trials on depression were conducted in the 1940’s an 50’s with mixed results. Mood often improves rapidly, but tolerance, dependence and addiction are major problems limiting long-term use. Of […]

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Wall Street Gazette Misnomer: Part 5, Responsible Use of Narcotics

By | July 10, 2011

As we continue our look at last Tuesday’s Wall Street Journal article “Diagnosing a Patient as a Faker” I want to take a closer look at the responsible use of narcotics. Some states including California require physicians to take extra training in the use of narcotics and the treatment of chronic pain. My feeling is […]

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Wall Street Gazette Misnomer: Part 4, Chronic Pain Is Not a Crime

By | July 9, 2011

Another problem caused by overprescribing of oral opiates is the stigma that it creates for all chronic pain patients. Karen Lee Richards, a co-founder of the National Fibromyalgia Association eloquently describes the situation “I hear from people all the time who say they are at a loss to communicate how bad they feel to their […]

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Wall Street Gazette Misnomer: Part 3, Chronic Opioid Problems

By | July 8, 2011

Again continuing our analysis of the article “Diagnosing a Patient as a Faker” from Tuesday’s Wall Street Journal, the author introduces a set of problems in paragraphs 7-10 of the article that could have served as the basis for a weeklong series on prescription drug abuse. I would like to examine some of these points […]

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TIME Magazine: The Myth of Acute Pain Control #1

By | March 6, 2011

An example of the myth of acute pain relief is the supposedly successful treatment post-surgical pain. This type of pain is usually treated with large amounts of opiate medication. Our goal is a state of drug-induced stupor, which will slowly lift over a period of hours to days as the pain eases. We do this […]

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LIving With Pain: Chronic Opioid Therapy

By | March 2, 2011

A word about chronic opioid therapy is in order here. The late 1990’s were a time of active interest in long-term narcotic therapy for a variety of neurological and musculoskeletal disorders. Initial results were quite promising as initial results often are. Authors such as Brown in the Journal of the American Board of Family Practice, […]

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