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
a position that leaves the choice of a high toxicity agent over multiple available low toxicity agents unmotivated, with the only thing certain being that the murderously moralistic anti-drug culture that has animated US policy for decades magically had nothing to do with it
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Ibuprofen and other options are nephrotoxic. It's a choice between immediate respiratory failure (opioid), long term liver damage (acetaminophen) and long term kidney damage (most other NSAIDs). All pharmaceuticals are poison, were just trying to use them carefully.
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I think we agree on the core issue. It should be at the doctor's discretion to prescribe combination or non-combination opioids depending on the individual patient without fearing reprisal.
End of conversation
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