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Who Prescribes Fentanyl & Other Deadly Recreational Drugs and Why Do They Get Away With It?

Should writers of drug scrips be scrutinized

  • No, it would violate the sacrosanct relationship of patient and doctor

    Votes: 0 0.0%

  • Yes, it would disincentive abuse

    Votes: 0 0.0%

  • Other opinions and in general post away

    Votes: 3 100.0%
  • Total voters
    3
J

JBG

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Someone asked an interesting question: who prescribes Fentanyl and other deadly recreational drugs and why do they get away with it? All the time people are hospitalized as a result of OD'ing on Fentanyl and other deadly recreational drugs, involved in accidents or otherwise. A good question would be to find out who is writing the prescription. If it be doctors or similar health professionals do they take to time to make a reasoned diagnosis? Do they stick to limits to ensure that the drugs are not dealt?

Or are pharmacists sometimes illicitly writing the scrips? I think this epidemic would come to a grinding halt with a few well-publicized arrests; people in white coats trading them for pin stripes.
 
Other - I doubt doctors (or pharmacists) are prescribing drugs for “recreational” use. Do you have some supporting links indicating otherwise?
 
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ttwtt78640 said:
Other - I doubt doctors (or pharmacists) are prescribing drugs for “recreational” use. Do you have some supporting links indicating otherwise?
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Well during early 2000s doctors were prescribing percocets and oxytocin like candy.

Which got Rite Aid and Perdue among others in lots of trouble

Fentanyl is rarely prescribed and is generally sourced from the black market
 
JBG said:
Wouldn't you (and I) like to know?
Click to expand...

Yes, I have seen news reports of doctors being prosecuted for overprescribing such drugs. IIRC, there have also been prosecutions (and civil lawsuits) for others encouraging/enabling such practices.
 
Voted other, for several reasons.

Even though there are still 2.2 million prescriptions (sources vary, I went with the DEA stats on this) of Fentanyl issued per year there are two issues to note. One, issuance of prescriptions for Fentanyl (and opioids for that matter) are all on a decade or longer decline. Two, the prescription strength is lower and far more controlled than street sourced Fentanyl.

Apples to oranges.

The medical purpose for Fentanyl is severe pain. As in post surgery, dealing with certain terminal cancers, catastrophic physical injury. As a sedative and pain management tool there is a place, be it rare, for the product.

On the street however it is based on "recreational" use, there is no indication of control over the quality or quantity, and overall the impact ends up more like heroin because it is usually mixed with any number of other compounds. That is why street sourced Fentanyl leads to so many overdoses.
 
Well, we presently have Rite-aid in a heap of shit for allegedly dispensing tons of scripts that should have been flagged.
But filling those means $$$, so, 🤷‍♂️..

“We allege that Rite Aid filled hundreds of thousands of prescriptions that did not meet legal requirements,” said Associate Attorney General Vanita Gupta. “According to our complaint, Rite Aid’s pharmacists repeatedly filled prescriptions for controlled substances with obvious red flags, and Rite Aid intentionally deleted internal notes about suspicious prescribers. These practices opened the floodgates for millions of opioid pills and other controlled substances to flow illegally out of Rite Aid’s stores.”
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www.justice.gov

United States Files Complaint Alleging that Rite Aid Dispensed Controlled Substances in Violation of the False Claims Act and the Controlled Substances Act

WASHINGTON – The Justice Department announced on March 13, 2023, that the United States filed a complaint in intervention in a whistleblower lawsuit brought under the False Claims Act (FCA) against Rite Aid Corporation and various subsidiaries (collectively Rite Aid) alleging that Rite Aid...
www.justice.gov www.justice.gov
 
OrphanSlug said:
The medical purpose for Fentanyl is severe pain. As in post surgery, dealing with certain terminal cancers, catastrophic physical injury. As a sedative and pain management tool there is a place, be it rare, for the product.
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This. Fentanyl derivatives were developed and are primarily legally prescribed for terminal cancer and similar cases, where even opium derivatives are not enough. Its going to be in a hospital/hospice situation, and you're not coming back.
 
JBG said:
Someone asked an interesting question: who prescribes Fentanyl and other deadly recreational drugs and why do they get away with it? All the time people are hospitalized as a result of OD'ing on Fentanyl and other deadly recreational drugs, involved in accidents or otherwise. A good question would be to find out who is writing the prescription. If it be doctors or similar health professionals do they take to time to make a reasoned diagnosis? Do they stick to limits to ensure that the drugs are not dealt?

Or are pharmacists sometimes illicitly writing the scrips? I think this epidemic would come to a grinding halt with a few well-publicized arrests; people in white coats trading them for pin stripes.
Click to expand...

No, itll just make the drugs more valuable and desirable, and increase the crime and violence associated with getting them illicit. Why do we think this time will be any different than prohibition, the drug war, or any other attempt to ban things?
 
zincwarrior said:
This. Fentanyl derivatives were developed and are primarily legally prescribed for terminal cancer and similar cases, where even opium derivatives are not enough. Its going to be in a hospital/hospice situation, and you're not coming back.
Click to expand...


Very true, fentanyl is a highly regulated drug,

Which seems surprisingly easy to formulate, and given it's potency very easy to smuggle. Heck shipping 20 g in the mail is if I recall correctly enough for 2000 doses
 
Lord Tammerlain said:
Very true, fentanyl is a highly regulated drug,

Which seems surprisingly easy to formulate, and given it's potency very easy to smuggle. Heck shipping 20 g in the mail is if I recall correctly enough for 2000 doses
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Yes that is the refined amount. Not only do police and EMTS have narcan for overdoses, but also if they accidently overdose by just getting some of the dust. Just that much can kill you.
 
JBG said:
Someone asked an interesting question: who prescribes Fentanyl and other deadly recreational drugs and why do they get away with it?
Click to expand...

Now that's one way to announce you have no ****ing clue what you're talking about and just came here with some moronic agenda. There are plenty of legitimate uses. Hell, fentanyl apparently played a role in my anesthesia when they screwed my kneecap back together.
 
Fentanyl is not a recreational drug, it only became one when the government made it almost impossible to get oxycontin and oxycodone. It's a highly effective pain killer frequently used for pre-op, during, and post-op surgeries. To treat chronic pain, it comes in slow release patches. I seriously doubt there are many, if any pharmacies doling this drug out in anything other than patch form.

In a clinical setting, this drug is highly effective. The black market version is deadly because the people making it have no clue to proper dosage.
 
JBG said:
Someone asked an interesting question: who prescribes Fentanyl and other deadly recreational drugs and why do they get away with it? All the time people are hospitalized as a result of OD'ing on Fentanyl and other deadly recreational drugs, involved in accidents or otherwise. A good question would be to find out who is writing the prescription. If it be doctors or similar health professionals do they take to time to make a reasoned diagnosis? Do they stick to limits to ensure that the drugs are not dealt?

Or are pharmacists sometimes illicitly writing the scrips? I think this epidemic would come to a grinding halt with a few well-publicized arrests; people in white coats trading them for pin stripes.
Click to expand...

Most of the illegal Fentanyl is not prescribed. It's coming over the border from Mexico.
 
The legitimate uses for severe pain killers will not go away, but as is often the case with prescription drugs, the manufacturer doesn’t recommend long term use. (although they do love to profit from it)

If you’re recovering from surgery, perhaps your prescription shouldn’t be filled more than once or twice, after which it becomes flagged. Nobody has a fentanyl deficiency in their body, so nobody other than terminal cancer patients should be allowed to have those pain meds on tap continuously. It is exactly the use over a longer period that produces addiction, which then leads to buying black market drugs on the street.

And this limitation should be true of pharmaceuticals in general. The preponderance of them should only be used short term, because virtually ALL manmade drugs eventually result in undesirable side effects

If a person is in chronic pain, then the source of the pain must be dealt with.
Pain killers are a treatment - not a cure.
 
fentanyl is used in the operating rom, and for home use comes in a skin patch
the stuff that is killing people is being smuggled in pill form
 
MamboDervish said:
The legitimate uses for severe pain killers will not go away, but as is often the case with prescription drugs, the manufacturer doesn’t recommend long term use. (although they do love to profit from it)

If you’re recovering from surgery, perhaps your prescription shouldn’t be filled more than once or twice, after which it becomes flagged. Nobody has a fentanyl deficiency in their body, so nobody other than terminal cancer patients should be allowed to have those pain meds on tap continuously. It is exactly the use over a longer period that produces addiction, which then leads to buying black market drugs on the street.

And this limitation should be true of pharmaceuticals in general. The preponderance of them should only be used short term, because virtually ALL manmade drugs eventually result in undesirable side effects

If a person is in chronic pain, then the source of the pain must be dealt with.
Pain killers are a treatment - not a cure.
Click to expand...
poor understanding of chronic pain debilitation
 
zincwarrior said:
There are many times when that is not possible.
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Fentanyl is 100% effective in blocking pain when administered properly. You have to understand, nothing kills pain. This drug and other opiates only block the signal to the brain that tells you you are in pain. The pain doesn't actually go away, the signal to your brain is blocked so you don't feel it. That's how all "pain" medication works. So the term pain killers is misleading, should be pain signal blockers.
 
zincwarrior said:
There are many times when that is not possible.
Click to expand...
Or so one might think ...

stanfordhealthcare.org

Management of pain without medications

Learn more about non-pharmacological pain management, with strategies like neurostimulation, hypnosis, comfort therapy, and physical therapy.
stanfordhealthcare.org stanfordhealthcare.org

www.health.harvard.edu

Pain Relief Without Drugs or Surgery - Harvard Health

This Special Health Report looks beyond the standard treatments of drugs and surgery and explores the other pain remedies available from acupuncture to mind-body therapies....
www.health.harvard.edu www.health.harvard.edu

medlineplus.gov

Non-Drug Pain Management: MedlinePlus

There are risks to taking pain medicines, especially opioids. Learn about different techniques and treatments which may help you manage your pain without taking medicines.
medlineplus.gov medlineplus.gov

www.henryford.com

4 Ways To Manage Chronic Pain Without Medication

Chronic pain can make it hard to go about your daily life. Medications are not the only solution. Learn more about alternative methods for managing pain.
www.henryford.com www.henryford.com

Safely and effectively managing pain without opioids

To find effective treatment options, talk to your doctor about managing your pain safely
www.cdc.gov www.cdc.gov

www.health.harvard.edu

8 non-invasive pain relief techniques that really work - Harvard Health

Even when it seems that your pain has gotten the best of you, be aware that you have more options to explore than ever before....
www.health.harvard.edu www.health.harvard.edu
 
No tell me about deteriorating spines and post cancer...
 
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