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Morning Roundup: Feb. 14, 2019
What Is Love Addiction? [Psychology Today]Love is in the air... What better time to talk about "love addiction"? Woman in Cot Testifies to Congress on Opioids, Chronic Pain Management [NBC News]A woman suffering chronic pain testified before Congress, calling for a smarter approach to pain management. "The opioid crisis has only underscored our failure to provide adequate, safe, accessible treatment options for pain relief."A Tale of Punk Rock, Addiction and Recovery on Stage in Seattle [Crosscut]An interview with Tom Hansen, whose memoir American Junkie has been adapted for the stage in Seattle. Hansen existed in the heavy-using "grunge" era, selling heroin to strippers and musicians including Kurt Cobain of Nirvana. A Neuroscientist Explore the Biology of Addiction in 'Never Enough' [NPR]Judith Grisel is a neuroscientist in recovery. Her new book Never Enough explores the impact of substance use on the brain. She tells NPR why alcohol is a "mess" and why she does not believe methadone is a solution.Mental Health: These Students Helped Themselves And Their Peers [Guardian]Frustrated with having to wait for mental health support, a group of young people in England has found a way to help each other. With the proper skills—peer mentoring and lobbying lawmakers—the empowered group is filling an urgent need. FDA Issues Warning Letter to Drug Distributor for Allegedly Shipping 'Illegitimate' Opioid Products [CNBC]Not only has McKesson failed to properly investigate drug shipments, the FDA says the drug distributor sent drug shipments to pharmacies that had been tampered with. Meth Users, Families Go Online for Support, Sobriety [US News]People share how online support groups have been instrumental in their recovery. These internet "safe spaces" also help people affected by a loved one's substance use connect with and support one another.Giving Up Alcohol Made Our Lives Better—And Turned Us Into Terrible Guests [Washington Post]A couple that gave up alcohol (for the most part) found out firsthand the benefits of social drinking. "The negative effects... occur long after the party is over and everyone's gone home." 
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alexdmorgan30 · 5 years
Text
Morning Roundup: Feb. 14, 2019
What Is Love Addiction? [Psychology Today]Love is in the air... What better time to talk about "love addiction"? Woman in Cot Testifies to Congress on Opioids, Chronic Pain Management [NBC News]A woman suffering chronic pain testified before Congress, calling for a smarter approach to pain management. "The opioid crisis has only underscored our failure to provide adequate, safe, accessible treatment options for pain relief."A Tale of Punk Rock, Addiction and Recovery on Stage in Seattle [Crosscut]An interview with Tom Hansen, whose memoir American Junkie has been adapted for the stage in Seattle. Hansen existed in the heavy-using "grunge" era, selling heroin to strippers and musicians including Kurt Cobain of Nirvana. A Neuroscientist Explore the Biology of Addiction in 'Never Enough' [NPR]Judith Grisel is a neuroscientist in recovery. Her new book Never Enough explores the impact of substance use on the brain. She tells NPR why alcohol is a "mess" and why she does not believe methadone is a solution.Mental Health: These Students Helped Themselves And Their Peers [Guardian]Frustrated with having to wait for mental health support, a group of young people in England has found a way to help each other. With the proper skills—peer mentoring and lobbying lawmakers—the empowered group is filling an urgent need. FDA Issues Warning Letter to Drug Distributor for Allegedly Shipping 'Illegitimate' Opioid Products [CNBC]Not only has McKesson failed to properly investigate drug shipments, the FDA says the drug distributor sent drug shipments to pharmacies that had been tampered with. Meth Users, Families Go Online for Support, Sobriety [US News]People share how online support groups have been instrumental in their recovery. These internet "safe spaces" also help people affected by a loved one's substance use connect with and support one another.Giving Up Alcohol Made Our Lives Better—And Turned Us Into Terrible Guests [Washington Post]A couple that gave up alcohol (for the most part) found out firsthand the benefits of social drinking. "The negative effects... occur long after the party is over and everyone's gone home." 
from RSSMix.com Mix ID 8241841 http://bit.ly/2toFCOm
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pitz182 · 5 years
Text
Morning Roundup: Feb. 14, 2019
What Is Love Addiction? [Psychology Today]Love is in the air... What better time to talk about "love addiction"? Woman in Cot Testifies to Congress on Opioids, Chronic Pain Management [NBC News]A woman suffering chronic pain testified before Congress, calling for a smarter approach to pain management. "The opioid crisis has only underscored our failure to provide adequate, safe, accessible treatment options for pain relief."A Tale of Punk Rock, Addiction and Recovery on Stage in Seattle [Crosscut]An interview with Tom Hansen, whose memoir American Junkie has been adapted for the stage in Seattle. Hansen existed in the heavy-using "grunge" era, selling heroin to strippers and musicians including Kurt Cobain of Nirvana. A Neuroscientist Explore the Biology of Addiction in 'Never Enough' [NPR]Judith Grisel is a neuroscientist in recovery. Her new book Never Enough explores the impact of substance use on the brain. She tells NPR why alcohol is a "mess" and why she does not believe methadone is a solution.Mental Health: These Students Helped Themselves And Their Peers [Guardian]Frustrated with having to wait for mental health support, a group of young people in England has found a way to help each other. With the proper skills—peer mentoring and lobbying lawmakers—the empowered group is filling an urgent need. FDA Issues Warning Letter to Drug Distributor for Allegedly Shipping 'Illegitimate' Opioid Products [CNBC]Not only has McKesson failed to properly investigate drug shipments, the FDA says the drug distributor sent drug shipments to pharmacies that had been tampered with. Meth Users, Families Go Online for Support, Sobriety [US News]People share how online support groups have been instrumental in their recovery. These internet "safe spaces" also help people affected by a loved one's substance use connect with and support one another.Giving Up Alcohol Made Our Lives Better—And Turned Us Into Terrible Guests [Washington Post]A couple that gave up alcohol (for the most part) found out firsthand the benefits of social drinking. "The negative effects... occur long after the party is over and everyone's gone home." 
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detoxnearme · 6 years
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sherristockman · 7 years
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Is PetMed Selling Opiates for People, Not Pets? Dr. Mercola By Dr. Mercola Every day, 91 Americans die from an opioid overdose, including those obtained via a prescription. Intended to be reserved for only the most serious cases of pain, opioids are being vastly overprescribed, including for noncancer chronic pain, such as back pain or that from osteoarthritis. With overdose deaths on the rise, public health agencies are urging doctors to cut back on inappropriate prescribing of these powerful drugs — which could be spurring more people to look for them elsewhere. PetMed Express, an online store selling pet medications, may be exploiting this epidemic by selling pet opioids for use in people, although they’ve denied all accusations. An investigation suggests the company specifically targeted humans looking to buy opioids online using Google advertisements. According to research firm Aurelius Value, which conducted the investigation:1 "Using Google, which drives over 55% of the traffic to 1800petmeds.com, PetMed has deployed a vast predatory campaign that dangles ads featuring pictures of Tramadol to drug users searching for how to get high or quickly score a variety of different opiates, narcotics, and street drugs without a prescription. Egregiously, PetMed's ads even specifically bait opiate addicts searching for remedies for their withdrawal symptoms." Opioid Epidemic May Be Driving People to Seek Opioids Online Even as pain levels have remained largely stable in the U.S., prescriptions for opioids nearly quadrupled from 1999 to 2010. Deaths from such drugs, including oxycodone, hydrocodone and methadone, have also quadrupled since 1999.2 It's easy to become addicted to opioids because your body can develop a tolerance, which means you need an increasingly stronger dose to get the pain-relieving effects. Physical dependence can also develop, which means you develop withdrawal symptoms if you stop taking the drugs. If you take too many prescription opioids, it can stop your breathing, leading to death. It's estimated that 1 in 4 patients on long-term opioid therapy struggle with addiction.3 According to the U.S. Centers for Disease Control and Prevention (CDC), most people who abuse prescription opioids get them from a friend or relative or using their own prescription, but those most at risk of overdosing are more likely to buy them from a drug dealer or other stranger.4 In 2016, new federal guidelines were released urging doctors to try other options, including physical therapy, exercise and over-the-counter medications, before resorting to opioids for pain. The guidelines also recommended prescribing the lowest dose possible and limiting them to three days of treatment for short-term pain.5 The guidelines may have made it harder for some opioid abusers or addicts to get the drugs from their doctors, causing them to seek opioids elsewhere, including online. Did Selling Opioids to Humans Make PetMed's Business Boom? According to Aurelius, PetMed, a distributor of pet medications, has seen fairly stagnant business levels for the last seven years. Then, seemingly out of nowhere, their business began to grow, with the company enjoying the most profitable quarters in their career in 2017. Meanwhile, PetMed shares more than doubled. To explain the unprecedented growth, PetMed's CEO Menderes Akdag cited a shift to "new generation medications." But, according to Aurelius, "Mr. Akdag must have thought no one would scrutinize his claims. It is our belief that the actual 'secret sauce' lies in PetMed's efforts to aggressively market dangerous painkillers to human opiate addicts and drug users."6 Among their products is tramadol, a synthetic opioid prescribed by both veterinarians and physicians. A CDC report ranked tramadol as among the drugs most highly associated with chronic use, with 64 percent of patients still taking the drugs after one year.7 It's worth noting that the U.S. Drug Enforcement Agency (DEA) named tramadol a class IV substance in 2014, at which time other major online pet pharmacies stopped selling it. PetMed, however, obtained the necessary approvals to sell class IV substances in 2015, Aurelius reported. Aurelius: 'Aggressive Ad Campaign … Preyed on Opioid Addicts' PetMed uses online advertising to drive customers to their site. This isn’t surprising, and using an analytics platform that archives Google advertisements based on keywords, Aurelius found that prior to 2017, PetMed emphasized predictable keywords in its advertisements, such as the flea medication “comfortis” and its website “1800petmeds.” This changed in 2017, when tramadol became their most effective advertising term, driving about 25 percent of the total paid search traffic to their site. Aurelius enlisted the help of an online marketing expert to home in on PetMed’s ad campaign, which revealed that the ads offer discounts for the drug and do not mention the medication is for pets. Aurelius further reported:8 "PetMed displays ads that target people looking to get high or purchase a wide variety of dangerous drugs. Petmed's Tramadol pills are flashed alongside searches for drugs including Oxycontin, Oxycodone, Vicodin, Hydrocodone, Conzepam, and even "Pink Pills" (Synthetic Heroin). Ads have also been displayed on searches for Ultram (Human Tramadol), "Trammies" (the street name) and Tramadol formulations not recommended for pets. PetMed also targets non-recreational users by marketing its drugs to people merely searching for remedies for their back pain, tooth ache, joint paint, or arthritis." Even people searching for "pills to fight my tramadol addiction" or "opiate withdrawal remedies" could be met with an ad for PetMed's tramadol, according to the report. Their ads also appeared for search terms like "opiate pills online no prescription easy" and "need cheap narcotics online no prescription." Aurelius also dug up some past information about PetMed's co-founders, who were reportedly imprisoned for conspiracy to distribute cocaine. Further, in 2002 PetMed was charged (and later settled) with creating a program to sell prescriptions for animals who had not seen the veterinarians who wrote the prescriptions. A prosecutor in the case stated, “Petmed was engaged in an enterprise whereby a customer could log on to their website, fill out a questionnaire regarding their animal’s health complaints, and that information would then be forwarded to a veterinarian who was either employed by, or under contract with, Petmed.”9 Is Aurelius Interested in Exploiting the Stock Market? Aurelius' allegations are serious, but there's still a lot we don't know. PetMed has denied Aurelius' allegations, calling them "false and defamatory," and even going so far as to say it was a major manipulation to drive their stock price lower in order to support short sellers (including Aurelius). They also claimed that tramadol and another drug, gabapentin, make up only 0.4 percent of their total sales. Speaking to Forbes, Mark Henry of Midwood Capital Management said, “Taking this statement at face value, it would then not be fair to primarily attribute the recent surge in sales and earnings to Tramadol sales.” When asked whether he agrees with the substance of the Aurelius report, he noted, “We find it suspicious that PETS’ CEO has been so close-lipped about the shift to ‘new generation medications.’”10 Another layer to the story is Google removed ads for PetMed's tramadol following the allegations. It's unclear, however, whether the ads were pulled by Google or asked to be pulled by PetMed. Google wouldn't comment on the case, but according to Benzinga:11 "[PetMed CFO Bruce] Rosenbloom told Benzinga he was 'sure some things were done' with the Tramadol ads beyond Petmed's control, as the company had never paid for term searches referenced in the condemning report and 'weren't targeting those [consumers] at all.' Google algorithms were to blame for inappropriate ad placement, he said. An Aurelius Value spokesperson rejected the defense and said that, at a minimum, Petmed was 'turning a blind eye' to Google ad data. '[You] can't claim to be a good online marketer and not know what was going on' with Tramadol ads, the spokesperson said." Opioid Addicts Increasingly Turning to Pet Meds At this point, there are still a lot of question marks regarding Aurelius’ accusations against PetMed, but what is clear is that pet owners are increasingly taking medications from their pets to support their own addictions. In Palm Beach Gardens, Florida, for instance, veterinarians report a list of “blacklisted” clients who go from vet to vet, seeking pain medications like tramadol. Other popular requests include anxiety medications like Xanax and Valium. While some owners try to make up excuses for why they need another refill of pills, such as spilling them on the floor, others have gone so far as to physically harm their pets to get a new prescription. In some veterinary schools, classes even exist to teach new veterinarians how to deal with addicts trying to game the system.12 In one of the biggest dog-related cases to date, 100,000 tramadol pills were seized near Portland, Oregon, and 17 dogs living at the site were rescued from filthy living conditions. Four people were arrested who claimed to be breeding puppies but who police suspect were actually distributing opioids.13 Meanwhile, online vet-specific forums are lighting up with stories of pet owners trying to get tramadol from their dog's vet. Jim Arnold, chief of policy and liaison for the diversion control division at the DEA, told the New York Post, "They've gotten very sophisticated in how they obtain drugs and go about their activities … It's an area that allows drug seekers to fly under the radar. We know it's happening, but I wouldn't be surprised if there's a lot more activity than we're aware of." 14 Nondrug Solutions for Pain Relief The health risks associated with prescription opioids are great and addiction and overdose happen far more often than you might think. So if you have chronic pain of any kind, please understand that there are many safe and effective alternatives to prescription and even over-the-counter painkillers — alternatives that do not carry these steep risks. The pain remedies that follow are natural, providing excellent pain relief without any of the health hazards that pain medications often carry. Prescription pain medications like opioids do have their place in cases of severe pain for which there are no other options for relief, but for moderate or mild chronic pain, try these instead: ✓ Astaxanthin: One of the most effective oil-soluble antioxidants known, astaxanthin has very potent anti-inflammatory properties. Higher doses are typically required and one may need 8 milligrams or more per day to achieve this benefit. ✓ Ginger: This herb is anti-inflammatory and offers pain relief and stomach-settling properties. Fresh ginger works well steeped in boiling water as a tea or grated into vegetable juice. ✓ Curcumin: Curcumin is the primary therapeutic compound identified in the spice turmeric. In a study of osteoarthritis patients, those who added only 200 milligrams of curcumin a day to their treatment plan had reduced pain and increased mobility.15 In fact, curcumin has been shown in over 50 clinical studies to have potent anti-inflammatory activity, as well as demonstrating the ability in four studies to reduce Tylenol-associated adverse health effects. ✓ Boswellia: Also known as boswellin or "Indian frankincense," this herb contains powerful anti-inflammatory properties, which have been prized for thousands of years. This is one of my personal favorites, as I have seen it work well with many rheumatoid arthritis patients. ✓ Bromelain: This protein-digesting enzyme, found in pineapples, is a natural anti-inflammatory. It can be taken in supplement form, but eating fresh pineapple may also be helpful. Keep in mind that most of the bromelain is found within the core of the pineapple, so consider leaving a little of the pulpy core intact when you consume the fruit. ✓ Cetyl Myristoleate (CMO): This oil, found in fish and dairy butter, acts as a "joint lubricant" and an anti-inflammatory. I have used a topical preparation for myself to relieve ganglion cysts and a mild annoying carpal tunnel syndrome that pops up when I type too much on non-ergonomic keyboards. ✓ Evening Primrose, Black Currant and Borage Oils: These contain the fatty acid gamma-linolenic acid (GLA), which is useful for treating arthritic pain. ✓ Cayenne Cream: Also called capsaicin cream, this spice comes from dried hot peppers. It alleviates pain by depleting the body's supply of substance P, a chemical component of nerve cells that transmit pain signals to your brain. Dietary Changes and Additional Pain Relief Options When treating chronic pain, you need to look at the underlying causes of the pain. Toward that end, there's a good chance you need to tweak your diet as follows (all tips that can be used alongside chiropractic and other forms of complementary care): Start taking a high-quality, animal-based omega-3 fat like krill oil. Omega-3 fats are precursors to mediators of inflammation called prostaglandins. (In fact, that is how anti-inflammatory painkillers work, they positively influence prostaglandins.) The omega-3 fats EPA and DHA contained in krill oil have been found in many animal and clinical studies to have anti-inflammatory properties, which are beneficial for pain relief. Reduce your intake of most processed foods as not only do they contain sugar and additives, but also most are loaded with omega-6 fats that upset your delicate omega-3 to omega-6 ratio. This, in turn, will contribute to inflammation, a key factor in most pain. Eliminate or radically reduce most grains and sugars (especially fructose) from your diet. Avoiding grains and sugars will lower your insulin and leptin levels. Elevated insulin and leptin levels are one of the most profound stimulators of inflammatory prostaglandin production. That is why eliminating sugar and grains is so important to controlling your pain. Optimize your production of vitamin D by getting regular, appropriate sun exposure, which will work through a variety of different mechanisms to reduce your pain. This satisfies your body's appetite for regular sun exposure.
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viralhottopics · 7 years
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NHS prescription drugs being sold illegally by patients – BBC News
Media captionNHS patient caught selling his drugs in undercover film
Patients are illegally selling NHS-prescribed medications online and pocketing the cash.
A BBC investigation has uncovered people selling unwanted or unused drugs, which can only be prescribed by specialists.
Prescription medicines to treat a variety of ailments were readily available for sale on eBay.
An eBay spokesperson confirmed it had removed a number of listings for sale from the site.
See more stories from Birmingham and the Black Country here
Image caption The patient selling Caverject confirmed he received the drugs for free on prescription
An undercover reporter for BBC’s Inside Out West Midlands was illegally sold Caverject, a prescription medication for erectile dysfunction, and Enbrel, used to treat arthritis.
The patient selling Caverject confirmed he received the drugs for free on prescription as he had Type 1 diabetes, but said he “can’t use them anymore” and he had “three or four” regular customers.
He said he was prescribed four boxes a month – at a cost of about 500 a year to the NHS. The boxes were listed for sale for 6 each.
The law and prescription-only medicines
The NHS Choices website states that The Medicines Act 1968 defines three legal categories of medicines – general sales list medicines, pharmacy medicines and prescription-only medicines
Under this act, most medicines can only be sold or supplied against a prescription at a pharmacy under the supervision of a pharmacist
Some general sales list medicines can be sold at other premises, such as convenience stores, as long as they are pre-packed and the premises can be closed to exclude the public
Prescription-only medicines cannot be obtained without a prescription, usually from a GP
In some cases, medicine may be prescribed by a dentist, nurse, pharmacist, midwife or other healthcare professional, such as an optometrist
Some prescription-only medicines are classed as controlled medicines, such as morphine, pethidine and methadone, because of their potential for abuse. Stricter legal controls apply to these medicines
NHS fraud can result in custodial sentences imposed by the courts
Source: NHS Choices website
Image caption One man, who was filmed selling Enbrel, told the BBC it cost 800 at the pharmacy
Another man was filmed selling Enbrel, a specialist arthritis drug, for 250. The drug costs the NHS about 10,000 a year.
He told the reporter: “This is 800 at the pharmacy.”
He said he was prescribed a box every four weeks and sold on any that was unused.
“I’m accumulating a box every three months,” he said. “I’ve only put it up on eBay because the person that was normally collecting from London stopped.”
Image caption Reporter Jonathan Gibson with the Enbrel he purchased for 250
He admitted: “I was thinking [whether] someone’s going to get me done for this, because I shouldn’t really post an ad like this.”
A total of 1.084 billion NHS prescriptions were dispensed in the community in England in 2015, at a cost of 9.267bn. This does not include prescription items dispensed in hospitals, or for the UK as a whole.
Analysis: Jonathan Gibson, Reporter, BBC Inside Out
It’s difficult to gauge the extent of this black market trade in NHS prescriptions.
NHS Protect – the dedicated crime unit – couldn’t provide an estimate.
But given the ease with which I was able to find and purchase prescriptions from patients, the anecdotal evidence points to it being widespread.
The true scale of the problem of patients selling prescription drugs online is not clear.
The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for ensuring the supply chain for medicines, medical devices and blood components is safe and secure.
A spokesperson said: “Medicines are not ordinary consumer goods – and appropriately, strict legal controls apply to their sale and supply.
“Prescription medicines are “prescription only” for good reason – and should only be prescribed by doctors or approved healthcare professionals, based on clinical judgement, to ensure patients are getting the right treatment and monitor progress or deal with adverse reactions.
“Selling medicines, other than through a legitimate supply chain, is both illegal and poses unquestionable risks to the patient.
“Medicines have the ability to harm as well as cure – use them as directed by a healthcare professional.”
When approached by the BBC for a comment, the wife of the man selling Caverject said they knew what they were doing was wrong but were “not making a lot of money” from it.
Meanwhile, the man who sold the BBC Enbrel said: “I just want to apologise because I know what I’ve done was wrong.”
Image caption The man who sold Enbrel apologised after being confronted by the BBC
Image caption The investigation found prescription-only medication being sold on eBay
Asked if he would be selling NHS prescriptions again, he added: “No, 100%.”
A statement from eBay said any substance or item that required a prescription from, or the supervision of, a licensed practitioner to dispense was not allowed on the site, but some medicines on the Medicines and Healthcare Products Regulatory Agency General Sales List were allowed.
A spokesperson said: “EBay is a marketplace and sellers must comply with the law. EBay sellers are prohibited from listing prescription drugs, in line with rules set by the Medicines and Healthcare Products Regulatory Agency.
“In addition to our own filters and other technology, eBay works closely with the MHRA and other regulators across the globe who have a direct line to eBay and enable us to remove any listings of concern as soon as they are reported.”
You can see this story in full on BBC Inside Out West Midlands at 19:30 GMT on BBC One on Monday 16 January or via iPlayer afterwards.
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