Currently viewing the category: "Fentanyl"

I was asked to say a few words about drug use, but not in the positive. Well darn-it, how could I resist? I’m guessing the request comes on the heels of my most recent posts on medical marijuana, of which I make no secret that I am in favor. But I wish to be very clear that my views on medical marijuana are not a condonation of recreational or irresponsible drug use. On the contrary, it’s precisely because I am so against the irresponsible and dangerous use of drugs that I advocate medical marijuana. When compared to the heavy-duty narcotics and other pain pills that are doled-out indiscriminately by doctors, believe me, medical marijuana is a blessing.

First and foremost, I am a former drug abuser, so I full well know what it means to be addicted. And I also know the down-side to heavy and/or long-term drug use. I have done it all, you name it, but alcohol and cocaine were my main weaknesses. I was also addicted to nicotine. For twenty years I smoked a pack a day.

My experience with drugs and alcohol were not all bad, though–I certainly learned a lot. If nothing else I came to understand how drugs can consume your life, how they can distort your view of the world, and how they could damage relationships. I got to experience how they could kill your motivation and prevent you from achieving your full potential. I was also exposed to a dangerous, seedy side of life that was full of mistrust, deceit, theft and violence, not to mention legal ramifications that could end a life of freedom by landing you behind bars for a long time. Yeah, lots of disadvantages to drugs; but for me it was a valuable education that will probably serve me, and hopefully others, for the rest of my life.

Despite medical marijuana being classified a schedule 1 controlled substance—high potential for abuse, lack of accepted safety for use of the drug or other substance under medical supervision, and no currently accepted medical use in treatment in the United States (not entirely true, but that’s the definition)—it does have definite benefits. In my lifetime, I have seen it help HIV+ men keep from wasting away by giving them an appetite when they had none. I have seen it help cancer patients. One elderly couple, who are in their 90s, and whom I treat chiropractically, have shared their stories with me about the unrelenting pain they feel on a daily basis due to the cancer they each have; and how not even the Fentanyl* patches their doctors put them on would bring relief. Only medical marijuana did that. That’s right—these people in their 90s could only find relief from the intense pain they felt 24/7 by smoking a joint. They were not hippies; they had never had marijuana in their lives until they were sick with cancer. And it helped them. Duh!

Listen, drugs in and of themselves are not bad. They are helpful, even necessary, in many instances. I’ve needed the help of pain killers. An attack of acute appendicitis in 2006 showed me just how useful morphine could be (although not 100% effective and highly addictive). Whether antibiotics, sedatives, pain meds or steroids, each has a short-term use; but too many doctors give them to people long-term, as an easy yet temporary fix, instead of looking for real, long-term and self-directed solutions.  And it’s this that leads to serious problems.

Let me ask you a question. What do the following people have in common:

  • Jimi Hendrix, John Belushi, Sid Vicious, River Phoenix and DJ AM?
They all overdosed on recreational drugs.
And how about these people:
  • Elvis Presley, Keith Moon, Anna Nicole Smith, Heath Ledger and Michael Jackson?
In both groups the common theme was an irresponsible use of the drugs. So regardless of whether a drug is illicit or legal, using it carelessly is foolish, and it can lead to illness or death.
That doesn’t mean drugs are bad by any means. Worshiping and relying on drugs, however, is unwise. And that goes for medical marijuana too. But if a substance can help cancer patients, people with HIV and people that suffer from chronic pain find relief, and maybe even help them survive (by increasing appetite), and that substance has low-risk side effects when compared to harder drugs like narcotics, then shouldn’t we use it? Shouldn’t we at least study it to see what medicinal benefits it might contain, and do our best to understand it?
That’s not me condoning drug use. I have lived both a life of drugs and a drug-free one—and I can say without a doubt that I prefer being straight, sharp and clear of mind. But I don’t knock recreational drug use, either, if the user can do so responsibly. However, rehab centers and city morgues are filled with people who couldn’t, and frankly, that could be you one day.  So if you value your life, it’s better to stay clean.
That, however, is the farthest I will go with wagging a finger at society, because I know we can’t both live in a culture where taking prescription drugs is considered ‘normal’, and expect others to not do so recreationally. That would be a fantasy.
*Fentanyl is a schedule 2 controlled substance–high potential for abuse, currently accepted medical use in treatment in U.S., and currently accepted medical use with severe restrictions. Abuse of the drug or other substances may lead to severe psychological or physical dependence (not true of marijuana).  Medical cannabis (currently a schedule 1–see above) would be more appropriately placed in this category, and probably most appropriately as a schedule 3.

Congratulations medicine, you’ve done it!  You’ve now helped drugs pass traffic fatalities as a cause of death in the U.S.  Bravo!  That’s right, pushers–37,485 people die every year from prescription drug overdoses, according to preliminary data from the Centers of Disease Control and Prevention.

While most other causes of preventable death are declining, drug deaths continue to rise.  Many blame the increases in prescriptions for pain pills and anxiety medications.  Well intentioned doctors, wanting to spare their patients from pain and suffering, have doled out these meds for years in a sort of illogical haze.  As a result, prescription drug deaths have double over the last decade, with a person overdosing every 14 minutes.

Back in the day when I was a coming up, celebrities and rock stars were ODing on heroin, cocaine, speedballs, barbiturates, and other illicit drugs, but not today!  Oh no, the new millennium is the era of Oxycontin, Vicodin, Xanax and antidepressants like Zoloft, Prozac and Paxil.  And we musn’t forget the legalized speed, Ritalin. 

Public health experts are now calling the current prescription drug trends “epidemic.”  Well no shiitake mushrooms–’bout time!  Pain killers and anti-anxiety meds are highly addictive and especially lethal when combined with other drugs, like alcohol.  And users (abusers) span every demographic from elderly ladies (like my patient on daily Fentanyl patches–100 times more potent than morphine) to children (known to get into their parents stash with tragic results).  Prescription drugs kill more people than heroin and cocaine combined.  Booyah!  Something we can all be proud of…

Why what do you mean, Campos?  Nobody is off the hook on this one: Yes, doctors are to blame because they dole out these drugs like candy.  Yes, the pharmaceutical industry is to blame because they have aggressively marketed drugs to doctors by incentivizing high prescription volumes with trips and other gifts, as well as to the public through direct-to-consumer adds in magazines and on television.  And yes, the public is the most to blame because they’ve been asking for these drugs by name.  Why?  Because it’s an easy way to get high.  And who doesn’t like getting high?

But the most important lesson to be learned from all this is that everything comes with it’s flip side.  So yes, your doctor can help you get high…or stay out of pain…or fool you into thinking you’re happy all the time…but not without a price.  And that price is often life.  Your game, your choice–the newest numbers just show how many people are playing.

Copyright © 2013 Dr. Nick Campos - All Rights Reserved.