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Opioids no more effective than placebo for acute back and neck pain, finds clinical trial
Medical Xpress / University of Sydney / The Lancet ^ | June 28, 2023 | Christine Lin et al

Posted on 06/29/2023 9:25:39 PM PDT by ConservativeMind

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To: ConservativeMind

BS! I have bad low back pain at times and I was not able to lie on a ice pack until taking opioids. Just away for government to control doctor patient relationship.


21 posted on 06/30/2023 12:31:29 AM PDT by the_daug ( )
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To: ConservativeMind
Bull! If I miss just one dose my back pain often doubles. It's a Devil's bargain because of what it does to my lower GI, but I'd be in a wheelchair otherwise.
22 posted on 06/30/2023 12:55:43 AM PDT by Chad C. Mulligan
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To: jurroppi1
Personally, I can only take opioids for a few days, then they make my gut hurt so bad it is worse than taking nothing

This is because opioids cause constipation. Counter with diet and frequent doses of Miralax. Learned this the hard way after mt first surgery. Bloody doctors and nurses HAD to have known, but didn't bother to tell me.

23 posted on 06/30/2023 1:04:12 AM PDT by Chad C. Mulligan
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To: ConservativeMind

BS. I’d know if it was just a placebo which invalidates the test. I’ve taken opioids and there is more that happens than just pain relief.


24 posted on 06/30/2023 1:39:01 AM PDT by mikey_hates_everything
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To: Chad C. Mulligan

Constipation is a well known side effect and it’s listed on that sheet of paper your pharmacist almost certainly provided when you picked up that prescription.


25 posted on 06/30/2023 3:29:04 AM PDT by brianl703
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To: 1of10
This is an example of not being taught to use the meds correctly.

I doubt it. There seems to be a cumulative effect as I take them, and yes I do take preventative meds for the inevitable constipation that occurs when taking opioids, it just doesn't work all that well for me. I was seeing pain docs when I was given gabapentin and was having back pain issues and in fact they eschewed opiods, but had given them to me when I was in acute pain. I always asked for about 3 days worth as the rest would be a waste and I have to dispose of them. I explained why, they went through the proper use, things I could do to attempt to alleviate the side effects, etc. Everyone is different and we don't all fit into a definitive mold for how we react to meds.

26 posted on 06/30/2023 5:14:36 AM PDT by jurroppi1 (The Left doesn't have ideas, it has cliches. H/T Flick Lives)
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To: Chad C. Mulligan

Yes, I know all about it and took meds to counter the issue both prior to and while taking opiods, it just didn’t help me very much.


27 posted on 06/30/2023 5:18:23 AM PDT by jurroppi1 (The Left doesn't have ideas, it has cliches. H/T Flick Lives)
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To: 1of10

You’re absolutely right! This is crap! These so-called researchers could never have treated patients with “acute” pain, using placebos! That’s pure, un-adulterated bullshit!


28 posted on 06/30/2023 5:53:09 AM PDT by old school
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To: jurroppi1
“Everyone is different”

Yes ... that's for sure.

One of the main things that gets missed ...
short term use for acute pain ... 1 or 2 days is very different then use for long term.

Long term requires a slow process of low dose increase.
Too many times Drs will jump right in to an effective dose as if they were treating acute pain that will diminish quickly.
The body can revolt and reject that approach.
That's where the pain scale comes in ... the goal is to get from 9 to 8 then 7 etc... not 9 to 3 overnight.
The 1/2 life of opiates is 4 hours, an understanding of timing is critical to achieve the desired blood levels .
As well as diet and dose timing.
The training to handle long term use can take a long time before a balance is reached.
I'm glad that you got relief ...
we need all the options we can get.

But I will add that your statement ...
"There seems to be a cumulative effect as I take them, and yes I do take preventative meds for the inevitable constipation that occurs when taking opiates,"
Indicates your dosing schedule may have allowed the level of opiates in your system to raise to much to fast. Constipation is a result of that also, it's not inevitable. example ...5mg initial dose ...4 hrs 2.5 blood level 8hrs 1.25 blood level 12 hrs .625 blood level. Taking 5mg every 12 hrs already has you on an increase base line blood level accelerating at about 1 mg a day. 3 times a day schedule would be even faster.Higher then 5mg dose even faster.
You get my drift.....

29 posted on 06/30/2023 6:32:27 AM PDT by 1of10 (be vigilant , be strong, be safe, be 1 of 10 .)
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To: brianl703
Constipation is a well known side effect and it’s listed on that sheet of paper your pharmacist almost certainly provided when you picked up that prescription.

Like I'm going to be reading fine print while suffering pain that was Level 8 even with the opioids. All I could think of those first few days was how to stay asleep, because I wasn't aware of it then.

30 posted on 06/30/2023 6:37:57 AM PDT by Chad C. Mulligan
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To: ConservativeMind
I distinctly remember an opioid removing my pain. It could have been removing the concern about the pain. "Happy Juice" it was. It is easy to understand how people would become addicted.

Back and neck pain has been with me for decades now. It makes life un-enjoyable. There are indeed few options.

31 posted on 06/30/2023 6:49:07 AM PDT by GingisK
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To: old school

“acute” pain, using placebos!”

yup ... I think that’s the real give away statement right there.

No one in there right mind would believe that placebo would be as effective as opiate for acute pain. Even a die hard “no drugs for anybody” type has to know that is a total crock.


32 posted on 06/30/2023 6:49:09 AM PDT by 1of10 (be vigilant , be strong, be safe, be 1 of 10 .)
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To: GingisK

Is it osteoarthritis?


33 posted on 06/30/2023 6:49:50 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: Round Earther

I was addicted to placebos once. They are not as bad as you think.


34 posted on 06/30/2023 6:59:34 AM PDT by Delta 21 (MAGA Republican is my pronoun.)
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To: ConservativeMind

America needs to get over the idea of a pill being a magic way to fix your body.


35 posted on 06/30/2023 7:02:16 AM PDT by Delta 21 (MAGA Republican is my pronoun.)
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To: ConservativeMind
Is it osteoarthritis?

Yes it is, with lumbar spinal stenosis thrown in for good measure.

36 posted on 06/30/2023 7:02:21 AM PDT by GingisK
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To: GingisK
Have you tried boron? 12 mg a day over two months allowed 75% of severe osteoarthritis sufferers to drop all pain meds, plus, it freed up all locations of rigidity for half of the severe group, just in the first four weeks:

https://freerepublic.com/focus/f-chat/3761669/posts?page=39#39

37 posted on 06/30/2023 7:10:03 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: Delta 21

“I was addicted to placebos once. They are not as bad as you think.”

Except for when you are stumbling around downtown and asking strangers, “Can you spot me five bucks, I got to score me some placebo.”


38 posted on 06/30/2023 7:32:56 AM PDT by Round Earther
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To: ConservativeMind

Thank you! I will try that immediately.


39 posted on 06/30/2023 7:40:31 AM PDT by GingisK
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To: 1of10

Yep
You can make any study say what you want except suicide by gun


40 posted on 06/30/2023 7:48:41 AM PDT by wardaddy (Technology is not by default an improvement )
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