Wednesday, July 1, 2009

FDA Recommends Ban on Vicodin/Percocett


I must admit my jaw dropped when I read the headline about the FDA recommending a ban on two popular painkillers...Percocet and Vicodin. Both of these drugs are combination drugs, which means they combine another ingredient with acetaminophen (AKA: Tylenol). Tylenol is available over the counter and Percocet and Vicodin both require special "secure" prescriptions, yet it is the acetaminophen component that the FDA is worried about.

In 2005, over 28 billion doses of these meds were bought by patients in the U.S. (Don't you wonder who counted?) Let me repeat...28 billion. The FDA expressed concern because of tylenol overdoses and liver damage from too much acetaminophen. They reported more than 400 people die and 42,000 are hospitalized every year from overdoses.

None of the policywonks asked, but I could tell them that pain control is a huge problem for physicians and patients. We try to use as little drug as possible but pain that does not respond to over the counter medication like ibuprofen, naprosyn (NSAIDS) or Tylenol require prescriptions. Oxycodone and hydrocodone (the ingredients in Percocet and Vicodin) are not available without combining with another pain reliever like aspirin, tylenol or ibuprofen, except as controlled release form (Oxycontin and Oxyir).

Doctors have had their hands tied by the regulations about pain relief. In California we are required to take courses in "pain management" and can have our license removed if we don't manage pain or if we manage pain too well (and over prescribe narcotics). Patients can sue us for being left in pain and they can sue for becoming addicted to pain medication. We are damned either way.

Many physicians just opt out completely and send patients to expensive "pain management clinics". I just paid $808 for renewal of my controlled substance prescribing license and the idea of opting out looks appealing if the FDA bans these drugs without offering a substitute for patient care.

29 comments:

Raymond Bouchayer said...

I agree that the FDA makes it almost impossible for the physician to help a patient in pain .
Vicodin seems to be the drug of choice from Doctors and hospitals . Percocett is the second one if Vicodin does not give relief . In this report it looks to me like the culprit is "Acetaminophen" and for that you do not need any prescription ...just go to any pharmacy and load up .
I always wondered who works for the FDA , many times their decision are changed over the time . Are they Doctors ? Scientist ? Researchers ?
I have heard that in England they give "heroin" to patient in extreme pain.

Claire Fisher said...

I have Fibromyalgia, Arthritis, and 2 pinched nerves in my neck & back. I am in pain constantly but I muddle through life however I can. Sometimes it means I spend days/weeks/months in bed. No doctor I've ever been to hands this stuff out like candy- nor would I want them to. I've been able to occasionally get a script when the pain has gotten bad enough to where I can't walk. I fear for my future- and I invite the FDA to count the bodies of those in constant, chronic pain that choose suicide over laying in bed in agony.

KM said...

I was given a whole bottle of vicodin a few months ago for recovery from a minor surgery and only used 2-3 of them but glad to have it for pain in case needed.

I have also see how some people have become very addicted to it.

And once was with someone who rarely takes meds.but was given it after major surgery and had a vasovegal (severe drop in blood pressure causing fainitng) from it as a side effect.

Rich said...

This is just another example of big government trying to control our lives. Ban this ban that only the Government knows what's best for you. Makes me wanna...take a vicodin. ahhhhhh

Andy Murray said...

Responsible Use of Narcotics

These points to an interesting article in findrxonline where they talk about this subject it is necessary to inform the community.
It is ultimately the patient's responsibility to use narcotics responsibly.
A few years ago, narcotics were only prescribed after surgery, severe trauma, or for terminal cancer because of a concern over the possibility of addiction. Recently, they have been cautiously prescribed to treat moderate to severe non-malignant chronic pain in conjunction with other modalities such as physical therapy, cortisone and trigger point injections, muscle stretching, meditation, or aqua therapy. Unfortunately, the upsurge of narcotics as medical treatment also increased associated cases of abuse and addiction.
Derived from either opium (made from poppy plants) or similar synthetic compounds, narcotics not only block pain signals and reduce pain, but they affect other neurotransmitters, which can cause addiction. When taken for short periods, only minor side effects such as nausea, constipation, sedation and unclear thinking are noted.
However, when narcotics are taken for several weeks to months, these side effects can become more challenging: loss of effectiveness due to built-up tolerance, possible addiction, or overuse for a temporary "high," not for pain. Because of the potential for addiction, whether physical (anxiety, irritability, nausea, vomiting, abdominal cramps and insomnia) or psychological (compulsive use, craving the drug and needing it to "feel good," narcotics are considered controlled substances findrxonline indicated in their medical articles, which means that the FDA and DEA govern their distribution, prescription, and use and classify them into different schedules as per the Controlled Substances Act of 1970.
While weak narcotics such as Tramadol (Ultram) and Schedule IV opioids analgesics such as Darvon or Darvocet N 100 have a low risk for physical dependency and addiction with mild side effects such as dizziness, sedation, headache, nausea and constipation, Schedule III opioids analgesics such as Lortab, Tylenol #3, vicodin and Vicoprofen have a low to moderate potential of physical or psychological dependence. Demerol, Dilaudid, Duragesic, Oxycontin and Percocet, which cannot be automatically refilled, fall under Schedule II because of their high abuse potential, and possible severe physical or psychological dependency.
In view of the fact that narcotics can be addictive, they should only be prescribed when no other alternative is available and should only be taken as directed by your doctor. Most often, patients are required to consent to adhere to certain rules regarding the use of their prescription listed in a "Narcotic Agreement" between the patient and physician. Often, violation of this contract, especially selling, sharing, or trading the medication, attempting to obtain duplicate pain medication prescriptions from different physicians, and attempting to have the medication refilled early, at night, or on the weekend, to mention a few, would result in the patient's discharge from the practice.
So, take responsibility for your actions and know all your treatment options. Narcotics are rarely your sole savior.

U.S vicodin doctors said...

The situation is now very difficult and many people do not really know what to do, but now we must get down to analyze each of us and see if we can get ahead, as everything depends on oneself, there are ups and downs but the important thing is that while there is life there is hope, this findrxonline what a few days ago that antidepressants as vicodin, Lorcet are the most common pills used in these cases but not many of them know the consequences...

Roger Federer said...

There are many ways to control chronic pain, and one of them is through anxiolytics, which are medicines that have obtained a better result than other drugs such as naproxen, aspirin, ibuprofen, medications that relieve pain but are not effective for these chronic cases, as these pains are more like a back pain that the world is one of the most common causes of absenteeism in findrxonline as indicated in your article on back pain and chronic pain, and opioid medications are as Vicodin, Lorcet, Meperidine to soothe the pain caused by this disease and we must be very careful.

Greg House said...

The medicines that are used for bone pain are narcotics findrxonline as opioids such as Vicodin, Lortab, OxyContin, hydrocodone and the doctors that are usually used to combat pain they cause diseases such as homeopathy, fibromyalgia and even cancer In general, these medicines are used mostly is the United States and Europe are controlled because their use can lead to addiction.

Andre Agassi said...

There are several varieties of medicines that soothe the pain, such as oxycontin, vicodin, Norco, Lortab, etc. And we must keep in mind is the importance of these medicines on the market for many people suffering from pain, it is very important to know that these medicines, and are good for alleviating pain, as findrxonline the consequences of them are very strong, you must know that these drugs are very powerful anxiolytics and their consequences for misuse can be fatal, so we recommend all users should be extremely cautious with the consequences that these drugs can cause.

Online Pharmacy said...
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Terry said...

I was prescribed vicodin and percocet 6 months ago to ease the chronic pain I have, I suffer from chronic back pain AND THEREFORE THE DOCTOR He prescribed this medicine, and say that these drugs are anxiolytic and is what really worries me because he did not smoke before and now I do it constantly, there will be other medications I can prescribe and which are not how are you?

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hannah said...

I never go to my doctor anymore asking for pain killers prescription and then be turned down at the end, all I do is order online from www.medsheaven.com hassle free and low cost, they have three pain killers listed on their website which are ultram tramadol celebrex that you buy, and the best part is no prescription required!!!

buy vicodin online said...

The pains are sometimes reflected as something very badly; this is a warning of some ailment which we pruned to suffer. Sometimes we feel a pain in the waist and one in one of the kidneys which we can worry about. These pains are deceptive and sometimes the importance is not relevant. For this reason it is recommendable to get a physical control to recognize the ailment that causes the pain and power and to fight its origin.

The pain in the waist, that can be acute or long lasting can return as chronic and is know to medics as lumbar pain. This is an ailment that attacks millions of people in the world; according to statistics 70% of people have undergone it at some moment of its life.

The pains caused by the lumbar complaints are often unexpected, an abrupt movement can appear suddenly when doing exercise, when crouching itself, when raising some heavy object, being seated long time in front of the computer or simply lifting a bed. These pains are constant and recurrent and cause many annoyances.

johnnysmith said...
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tom said...
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hannah said...
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doron said...
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Lilly Walcott said...

Unfortunately these situations are very common, and this is because people really are providing a wrong way these drugs, are medications vicodin and tylenol which, when mixed are very powerful, that is why the FDA chose the prohibition, we must say that we must inculcate in patients who are not self-medicate and to resort to specialized doctor who can tell you what medication to take, not good self-medication as this can lead to anxiety and a bad influence on your body.

Buy vicodin online said...
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Lilly Abbott said...

Last year when in Maryland for business, I got hit by a car and ended up in a hospital in Baltimore where they gave me Vicodin for the pain. Since this time I have suffered from pain in my legs due to damage to the nerves in my lower back and legs. I cannot buy Hydrocodone in my country where Oxycontin is the only medication prescribed for more severe pain, and while I have no problems obtaining a prescription for this drug, I find it considerably more addictive. When recently reading about findrxonline I was wondering if US online pharmacies (or regular ones) can ship Vicodin or Lortab to other countries if I obtain a prescription from a doctor in the USA? Any knowledge regarding is much appreciated. Thanks.

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Buy vicodin online said...

It d make every effort to ensure that this medication is properly delivered to people in need .....

Jessica said...

An addiction treatment center should lead the way in offering an individual the alcohol and drug addiction treatment services that are going to help you achieve long term recovery.

Jhon Sendler said...

Vicodin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that needs to stay awake and alert. Do not use any other medications for colds, allergies, sleep or for pain medication without first talking to your doctor or pharmacist.

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