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Congress moves to ban Zohydro

I'm shocked! Congress is doing something productive! The link below is informational only and is not promotional in any way. It explains what Congress is doing to restrict pain medications that don't have an anti-abuse formulation.

http://www.medpagetoday.com/PainManagement/PainManagement/44772

Keith
Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
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Comments

  • And will be avaliable next month. I really think this is irrelevant for us; what Dr will prescribe it? It's already so difficult to get less stronger drugs, & dr's live in fear of the DEA. I imagine the DEA will be all over this one!
    We can't always control the cards we are dealt in life, but we can control how we play the hand
  • The FDA approved the medication but you have to understand the politics of the FDA. Congress does not agree with this medication being approved and are now trying to take action to have the drug removed. Essentially, government versus government.
    Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
  • MSGMSG Posts: 296
    edited 03/19/2014 - 10:19 AM
    Do you think if it were available that Doctor's would prescribe it? I would think it would be really hard to get. It'd be nice if the pharmaceutical companies spent their time on a non-narcotic pain med that works better than what's out there instead of one that is so controversial.
    We can't always control the cards we are dealt in life, but we can control how we play the hand
  • philnoirphilnoir Posts: 52
    edited 03/20/2014 - 10:18 AM
    Yes, there is a need for ER / LA hydrocodone.

    ER / LA formulations of opiates are ideal for the treatment of certain types of chronic pain because they induce a steady-state concentration of the medication available in the bloodstream 24/7 which helps prevent pain flare ups, and reduces opiate tolerance. Patients also like the once or twice-a-day dosing. Sure beats the handful of methadone pills I used to take every day.

    But without an abuse deterrent formulation, they are opening the door to more opiate related deaths via dose-dumping.

    You'd be amazed at the extent to which some people will go to get a large bolus of opiate into their blood stream. They will shoot it, snort it, and even stick it up their bums. Websites abound with instructions to drug users on how to prepare pharmaceutical opiates for injection. As soon as Zohydro is released, people would be shooting 20, 30, 40, and 50 mg of hydrocodone.

    Tamper-proof formulations like Oxycontin and Exalgo prevent such use.

    So, pain patients unfortunately will have to wait until a tamper-proof ER/LA hydrocodone pill is released. Purdue is working on such a pill based on Oxycontin technology, but we won't see this pill for many months.

    But be assured there is a need for such a pill in treating mild-moderate pain, especially when hydrocodone is packaged with acetaminophen/paracetamol, which is hepatotoxic in doses above 4g/d, and some folks don't do well on oxycodone.
  • In Australia we don't have hydrocodone at all. It is a shame. There's nothing in between weak opioids like tramadol, codeine and strong ones like oxycodone, morphine, fentanyl etc.
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