the only opioid crisis is the one where we put poison in our pain relief drugs because an easily statistically calculable number of people with chronic pain just fucking dying is regarded as morally preferable to an imagined number of people with chronic pain feeling too good
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I think were missing a bit of the nuance here with broad sweeping statements. NSAID addition to "reduce abuse" was because studies found that if you prescribe a lower dose then people are less likely to get addicted, and by adding NSAID you can give less opioid. Not to kill ppl.
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Have you ever needed to give a stage 4 kidney failure patient pain relief without causing respiratory depression? Hydrocodone with acetaminophen will save them from so much suffering with a much lower risk of mortality.
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