OxyContin’s 12-hour problem

From the LA Times: ‘You want a description of hell?’ OxyContin’s 12-hour problem.

The drugmaker Purdue Pharma launched OxyContin two decades ago with a bold marketing claim: One dose relieves pain for 12 hours, more than twice as long as generic medications.

Patients would no longer have to wake up in the middle of the night to take their pills, Purdue told doctors. One OxyContin tablet in the morning and one before bed would provide “smooth and sustained pain control all day and all night.”

On the strength of that promise, OxyContin became America’s bestselling painkiller, and Purdue reaped $31 billion in revenue.

But OxyContin’s stunning success masked a fundamental problem: The drug wears off hours early in many people, a Los Angeles Times investigation found. OxyContin is a chemical cousin of heroin, and when it doesn’t last, patients can experience excruciating symptoms of withdrawal, including an intense craving for the drug.

The problem offers new insight into why so many people have become addicted to OxyContin, one of the most abused pharmaceuticals in U.S. history. [continue]

I liked this article for the understanding it gave me of just how somebody might wind up addicted to opioids. And oh, those drug-making companies, how they often do annoy me.

Why hardly anyone dies from a drug overdose in Portugal

From the Washington Post: Why hardly anyone dies from a drug overdose in Portugal.

Portugal decriminalized the use of all drugs in 2001. Weed, cocaine, heroin, you name it — Portugal decided to treat possession and use of small quantities of these drugs as a public health issue, not a criminal one. The drugs were still illegal, of course. But now getting caught with them meant a small fine and maybe a referral to a treatment program — not jail time and a criminal record. (…)

The prevalence of past-year and past-month drug use among young adults has fallen since 2001, according to statistics compiled by the Transform Drug Policy Foundation, which advocates on behalf of ending the war on drugs. Overall adult use is down slightly too. And new HIV cases among drug users are way down. [continue]

This is great news for Portugal, but it makes me feel so frustrated about our approach to drug use in Canada. I’d like to be in charge long enough to change a few laws, and to make narcan available to paramedics and members of the general public. I think that would save a lot of lives.