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Pain Medicine: Pain Relief Network Sues State of Washington Over Narcotic Prescribing Guidelines

The Pain Relief Network (PRN), a nonprofit organization waging a lonely battle to protect the rights of doctors who prescribe opioid pain relievers and patients who receive them, has filed a lawsuit against the state of Washington over prescribing guidelines promulgated in March 2007 by the state Department of Health.

The guidelines are designed to guide physicians through the minefields of narcotic prescribing in a time where they face a rising clamor for the relief of pain at the same time they face the threat of arrest and prosecution by federal or state agents intent on stopping narcotic drug abuse. But PRN alleges that Washington's guidelines deter doctors from prescribing opiates and have had an undue negative influence on prescribing practices across the country.

The guidelines, which only apply to the treatment of chronic pain -- not cancer pain, acute pain or hospice care -- recommend that daily opioid doses not exceed 120 milligrams of morphine or the equivalent if both pain and physical function are not improving. PRN argues that the guidelines are inflexible and fail to account for the needs of real patients.

According to the complaint filed late last month on behalf of a Washington state doctor and a group of Washington state pain patients, plaintiffs seek an injunction blocking the guidelines from being used. The complaint argues that the Washington guidelines violate both state laws and federal civil rights laws.

Drug War Issues Under-treatment of Pain
Politics & Advocacy Federal Courts

Prescribing Opiate Pain Relievers

We don't have that problem in Iowa. With 2 methadone programs in Des Moines, a town of only 225,000 people, anyone who has even a mild addiction to pain pills can get on Methadone a much more addictive narcotic. I also know of to opiate addicts who take 110mgs of Methadone every day plus they get 225 Dilaudid a month, legally! While, in Iowa, Marijuana/ Medical Marijuana is considered as addictive as heroin yet it is outlawed, but you can become a legal opiate junkie. Where is the sense in this?!?! This is just another example of the "War On Drugs" working in reverse.

STIGMA

Anonymous

Shame on you for comparing patients with legal perscriptions of opiates to street junkies.

Methadone is a wonderful medication for chronic pain. It has many advantages for long term chronic pain patients.

As far as addiction managment is concerned, methadone is highly regulated and considered the gold standard treatment for opiate addiction managment.
It is no party beinging a patient at a methadone clinic since most of the anonymous joes out there like you don't know anything about the treatment so they just keep up the same stigma you exhibit.

Shame on you.

KK

Prescribing Opiate Pain Relievers

It is not the DEA that has to go to school to learn how people tolerate a drug. A peak and trough test is usually the correct way of knowing what a persons body needs to fight off pain. I do not feel it is the DEA's job to do what a trained doctor is taught to do.
Granted there are probably a few crooked doctors just in it for the MONEY but most actually care about a persons pain and try their best to help the person in need. Each persons body has different tollerances and the DEA needs to learn this. Again I dont feel the DEA has the right to make the decision on how much of a drug a person needs. Let the test show the truth.
I have seen some people that do quite well on a low dose and some that do require alot more because each persons body absorbs differently. In my feelings I say the peak and trough test should be done because it shows the actual tollerances that ones body needs to combat the pain. It is not a guessing game as the DEA is doing it now. I say leave prescribing to trained proffesionals that have the means to actually know what a body needs to ward off pain.
Also it has been proven that IF medical cannabis was legal a person can cut their dose by quite a bit. Cannabis has not once killed ANYONE, unlike the narcotics have and do.
So I would have to go with a trained doctor and NOT a DEA person that is guessing. maybe one day that DEA person may need an opiate drug to fight off pain, would their feeling still be the same if it was their child or a loved one, would they choos to let them suffer when ther is a way to relieve the pain? I say they would not and would want proper treatment just as I do.
I can understand both sides to this story but I still feel its a doctors choice on what to give a person and not the DEA.
It was fine to medicate John Kennedy when he was our president with opiates, most people did not even know the man was that bad and took tons of medication just to function daily. Our government hides what it wants hid but sooner or later the truth will prevail.
Do old people in nursing homes know they are given Marinol to make them hungry? My guess is most dont even know what the pill is or what it is. If you asked them if they ever did cannabis they would most lkely say, "no, I never have when all along they are getting it daily, but yet the government claims there is NO medical use. That myth is being disproven each day with research. So I say if medical cannabis was made legal a doctor would not have to prescribe as much of a narcotic for their pain, I know this from first had experience.
Our laws need a drastic change,
Thank you for your time ,,,,,,Dave

your alll rude

To automatically assume opiates is something demonizing is GOD awful dark ages....so i'll repeat!!!!! We that suffer from injuries that are not cancer like mine broken ankle dead Talus excrutiating pain and you want to say go to a drug treatnment center you frickkein idiot..... please let me break everyone of your ankles with a metal bat and you tell me if you believe you need a drug prevention center.....Stupid FFFFFF idioiots yea you spell it.........

bkat2d11@yahoo.com
Richard Shane

helping doctors

can,t we all sign our names to show we support the doctors people who need it are suffering because drs are afraid to give it because thr dea go to the drs offices and threaten the that if they prescribe it the they will go after the dr and my dr is a surgon and told me him self that he can give a little but i would have to suffer after so many pain meds are given or the dea will come and shut him down and he is a surgon that did a operation and feels bad because he know that the pain meds are needed hes the one who went to school for 7 yrs and done over 6000 surgurys we need to help doctors to protect our rights and his no person should be treat with creul and unusual punish ment lad

6 years of chronic pain and now, no doctor

I had a horrble car accident in 2003 and it left me immobile due to extreme pain. I refused any narcotics in the begining, because I didn't want to be imapired. A week later, I had reached a point with the pain that I really didn't want to live anymore. I went from being "super-mom" to not being able to get to the bathroom on time. I began on a low dose and tried everything from massage thereapy to physical therapy and nerve blocks. Until a week ago, I was finally at a point where I could do some normal daily things and had received my degree in Criminal Justice on my medications. Because of the Washington State Laws on Opiates, my doctor of 8 years, was raided and is being accused of being "Dr. Feel-Good". I had to do blood work and UA's to get non-refillable medications and see my doctor monthly. I didn't start out on the levels I am now, it has been a slow up-hill climb. I know people were trying to use my doctor for meds and he was figuring out those people and refusing to help them unless they went into a treatment program. The problem is, until further notice, my doctor is closed and NO_ONE will take his patients where I live. We are being forced out of our own community and most of us, have true non-stop chronic pain that cannot be treated by surgery. I have been stuck in my bed for days due to the pain of not being able to even go to the ER. It has cripled me and my family is suffering from my pain too. I have perminent straightening of my cervical spine and two herniated discs, with two more that have spurs and I've lost mobility in my arms and legs. I have nerve root exposure and chronic migraines and I have never felt more alone or discriminated against in my life. While I am stuck waiting to find out whats going to happen to my doctor, whats going to happen to me? I feel like I'm going to have a heart attack from the pain and I don't want to wake up sometimes. My doctor is a good man and I believe in him, he saved my life, gave me some quality of life and now?

DEA cowards

It is my fondest wish that each and every DEA agent suffers intractable pain and cannot find a doctor who will treat their pain thanks to their sadistic policies. The DEA would rather thousands suffer than one addict deceive a doctor. The DEA is a great example of a rogue government agency that needs to be shut down. The DEA seems to have become a repository for cowards, sadists, and right wing sociopaths!

i need a n west docter whos not afraid to help someone

in 1989 i fell on a glass coke bottle that some idiot left on a side walk in the winter ice and as i put my hand down it ran right smack up into my hand cutting my 3 tendons and i had to have surgery and in 2001 some idiot back stabber who demanded 25 cents stuck me in the back with a sharp object and took off running when i told him i didnt have money only credit cards on me, now as i get older and yearsof being a ironcraftsmen im in chronic pain in and near i was stabbed by my spine and upper lower neck area and my hand I was for 3 years getting ms contin for my pain at 3 a day never evr increasing the dose as at 3 a day i could function pain free and if i increased the dose id be too tired and couldnt function . now thanks to Mr Right wing Bush man new law id have to go al the way to florida to get what works so well for me and my pain I cant afford to got there and in search for a pain clinic in the n west states area of wash state, orgegon or Idaho or Montana. I havent found a dr here yet whos not a paranoid schztzo to prescribe whats legal to be prescribed in the 1st place talk about selfish people and cowards. If anyone knows of a open minded docter whos not afriad to prescribe meds to people with legit reasons for taking em please email me at zr1zora2008@aol.com i and please dont think im some kid looking for ahigh im a 47 yr old man whos very sucessfull and has worked hard his whole life whos raising afamily and has legitimate reasons for taking opiates Sure im tolerant i dont deny it but im not a addict and i know im not as i would never increase the dose to get thartwhat evr feeling people look for for me it kills the pain and i live abetter life and can function with out being irratbale and uncomfortable from the pain If you know somweone let me know it would defenilty be along term relation ship not a one night stand hahahahalol

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