On Sat, 28 Oct 2017 at 3:30 am, John Clark <johnkcl...@gmail.com> wrote:

> On Thu, Oct 26, 2017 at 4:33 PM, Brent Meeker <meeke...@verizon.net>
> wrote:
>
> ​> ​
>> There are a lot of other painkillers
>>
>
> But
> ​ ​
> marijuana
> ​ ​
> is the only painkiller I know of that has a 0% chance of death by
> overdose, and yet it is illegal to use in most states, even for
> ​cancer​
>  patients in agony.  But Aspirin is legal
> ​and​
>  that can
> ​kill​
>  you,
> ​and ​
> Oxycodone
> ​ is legal too and
> if
> ​the pain is too strong for ​
> Aspirin the law encourages you to switch to
> ​that
>
> ​or some ​
> other
> ​ ​
> opioid which is projected to kill 500,000 Americans in the next decade
> ​. And if you defy the law and choose marijuana instead the law will do
> its best to see to it that your last days are not only spent in agony they
> will also be spent in jail.
>
> This is the Trump administration's idea of getting government off out
> backs.
>

It’s important not to demonise opioids. In acute, severe pain they are
often the only thing that works, and denying them to a suffering patient is
inhumane. In chronic pain, their use is more controversial. Perhaps not
widely known is that in a way they are very safe drugs in that they do not
cause end organ damage, unlike, say, alcohol or tobacco. Elephant-killing
doses of fentanyl are used in cardiac surgery, and as long as respiration
is supported, the patient wakes up fine. The problem is that some people
(not all) enjoy the euphoric effect so much that they misuse them, leading
to tolerance, dose escalation and risk of overdose.

> --
Stathis Papaioannou

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