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milestogo

(16,829 posts)
Tue Oct 10, 2023, 12:56 PM Oct 2023

Animal tranquiliser added to opioids causing 'steep increase' in deaths

Medical researchers have called for greater education about the rise of an animal tranquilliser, xylazine, in the US’s illicit opioid supply that is not only contributing to deaths but causing severe ulcers and open wounds requiring amputation. The authors of a new study in the Annals of Internal Medicine have warned of insufficient awareness about the drug now widely found mixed in with heroin and the even more deadly opioid fentanyl, which has driven up overdoses to record levels in recent years.

The paper said that “exposure to xylazine mixed into illicitly manufactured fentanyl has been associated with prolonged sedation … and a steep increase in deaths”. Xylazine can increase the potential for fatal overdoses as the drug further suppresses breathing on top of the effect on respiration caused by opioids. The combination of xylazine and fentanyl, known as “tranq dope”, has been identified in 48 states. The study estimates that one-quarter of the fentanyl powder supply has the tranquilliser added.

The study, Xylazine Adulteration of the Heroin-Fentanyl Drug Supply, was led by Dr Joseph D’Orazio, an addiction medicine specialist at Cooper university hospital in Philadelphia. D’Orazio said xylazine is a psychoactive medication that acts like Xanax and other benzodiazepines that reduce anxiety. But he said they also create their own dependency alongside that caused by the opioids and that some of his patients have told him that xylazine made it more difficult to break their addiction to heroin or fentanyl.

“In the Philadelphia area most people who are using opioids are getting exposed to xylazine. They don’t want to be exposed but they really don’t have much choice because more than 90% of the supply in this area is contaminated with it,” he said. “They’re looking for the opioid experience but they end up getting a good dose of xylazine and are unconscious for hours at a time. Then they wake up and they’re in withdrawal so they’d love to avoid it. But things have evolved, and now people really can’t go without it.”

https://www.theguardian.com/us-news/2023/oct/10/animal-tranquiliser-opioids-deaths-study-xylazine

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Animal tranquiliser added to opioids causing 'steep increase' in deaths (Original Post) milestogo Oct 2023 OP
Things are getting really bad... slightlv Oct 2023 #1
I'm sorry you're going through that. milestogo Oct 2023 #2
My belief.... slightlv Oct 2023 #3
This is NOT a shortage justaprogressive Oct 2023 #4
Hubby and I were talking earlier about the situation. slightlv Oct 2023 #5
I'm sorry you're being put through all that. Elessar Zappa Oct 2023 #6
I am lucky, in that my doc and I have been together slightlv Oct 2023 #7
Omega 3s may interact with OTHER meds justaprogressive Oct 2023 #8
Naproxen works about as well as taking an aspirin... slightlv Oct 2023 #9

slightlv

(2,829 posts)
1. Things are getting really bad...
Tue Oct 10, 2023, 01:47 PM
Oct 2023

I got a call from my doctor's office early this morning. She'd been trying to call my pharmacy to no avail (CVS) to put in a script for my hydrocodone. No one would answer the phone. She passed it over to me to try to get in contact with them. I sat on hold for 20 minutes before a really brusque guy answered. He told me he could have the med ready in an hour. When I told him I needed it in 10 days, he said he couldn't guarantee it for then and wasn't at all apologetic about it. I've only dealt with this stupid pharmacy for 10 years. I'm in the slow process of moving my scripts out of there. I've had enough of them.

I called Dillons, which is where I'm moving my scripts. My brain is fried with the process, but at least the person I talked to was sweet about it to this old lady. Being a first script, I can only get 7 days worth for the first script, and then the doc has to call in a 2nd script for the next 30 days. What a hassle!!!! And still, no absolute guarantee the med will be there without advance notice.

This is ridiculous what us chronic pain sufferers are having to go through. CVS makes us makes us feel like more like druggies than customers. All we want is to be able to live our lives with a modicum of painlessness. Is that too much to ask? To be able to move around do what we need to do during the day? To be able to sleep at night and not wake up crying in pain? I have lupus, fibromyalgia, arthritis, and my back has seen two operations. I have enough metal in my hips and spine to set off metal detectors going INTO stores. I was forced out of work and into early retirement because of my disability and now I still fight pain through the retirement!

I understand there are addictive personality types that screw things up for everyone. But there are people like me and others that need medication for real issues. I'm probably a low man on the totem pole example. I'm doing okay today. I've still got some medication. Give me 7 days, and I'm going to be a screaming mess with pain levels surpassing 11. When the pain levels kick up that high and stay at the level, the flares from lupus and fibro kick in and stay kicked in. That means all life stops for me. It's all bed all the time for me. As you can imagine, depression sets in, too. Why wouldn't it?

Something has to be done to shield us chronic pain sufferers. The fact that women suffer pain more acutely than men is one of the main issues, I believe. Women also suffer from autoimmune diseases more than men. I have to wonder if both of these are reasons why we're seeing nothing being done to help us, and everything being still about illicit opioids.

Well... that's my rant for the day!

milestogo

(16,829 posts)
2. I'm sorry you're going through that.
Tue Oct 10, 2023, 02:02 PM
Oct 2023

I don't know what is causing it. I thought addicts were getting their drugs through other channels, but maybe not. There shouldn't be a shortage of opioids for people who need them.

slightlv

(2,829 posts)
3. My belief....
Tue Oct 10, 2023, 02:06 PM
Oct 2023

whether real or not, is that it's a manufactured shortage. I just don't know who to blame. The pharmacies? Big Pharma? The Government? Who do you yell at?

When I'm in pain, I dearly want *someone* to scream at! (LOL)

justaprogressive

(2,233 posts)
4. This is NOT a shortage
Tue Oct 10, 2023, 03:00 PM
Oct 2023

This is how Hydrocodone and other opiates are doled out nowadays. I n tiny dribs and drabs.

In Fall of '21 I went in for a (2nd) Laminectomy. (that's where they remove bone from your spine at the neck.)

Post surgery I had to BEG for pain meds requiring a subjective 7 of 10 scale of pain to get the second 5mg
of Hydrocodone so I could go to sleep!


After Oxycontin lawsuit this is the new normal...

Sorry it's so crazy now..

slightlv

(2,829 posts)
5. Hubby and I were talking earlier about the situation.
Tue Oct 10, 2023, 06:28 PM
Oct 2023

It's gotten worse with CVS since Aetna took them over. With the consolidation of insurance and pharmacies, we're going to see more and more of this, I'm afraid. And it just won't be the scheduled drugs. One of the other schedule drugs I'm on I'm just going to give up. It's too much of a hassle to keep up with two of them. It's two bad. The two of them together were working well together to keep me on a sleep/wake/function schedule. But what do these conglomerates care, eh? I'm just a lowly 67 year old woman... not even a 4th class citizen anymore. I'm non productive. I can't even pump out babies for them anymore. So in their eyes, I'm worthless. Hell, I have to tell myself time and time again that I'm not worthless.

I also told hubs that if there was one thing that would make me go through the degradation of TSA to get on a plane to DC to appear before Congress to plead the case of chronic pain sufferers and what we're made to go through month after month after month, THIS would be it. AND to warn him I would probably be in jail afterwards. It is the one cause where my mouth would get me in the most trouble. I have held friends who have been in worse than me. I have held my sister as she cried in pain from her kidney disease and her back pain (our back problems are genetic). I have shared my meds when hers ran out. This is the underground WE live in everyday of our lives. And it's not a black market of illicit drugs. It's a life lived with never ending anxiety and stress that SSRI's can't touch. Not one of us ever did anything to deserve this except be born with a genetic condition, or have an accident that left us like this, or have something that set off a genetic marker for an autoimmune response. It's like being punished for having cancer.

Like you, no one should have to beg for a damned pain pill to ease pain. We really are de-evolving back to the Dark Ages. And blasted! I live in Kansas. Which will be the last damned state to legalize MJ, if my intuition is correct. Cause god help us, lest anyone have any kind of fun around here that's not church-approved!

And talk to me about those subjective pain scales! The bane of my existence, progressive! Three weeks ago I broke my tailbone. I didn't even bother going to the ER. I mean... what's the point?

Elessar Zappa

(14,033 posts)
6. I'm sorry you're being put through all that.
Tue Oct 10, 2023, 10:32 PM
Oct 2023

It’s the same with my dad. He’s on 20mg hydrocodone a day and every month the doctors and pharmacies make him feel like a drug addict just to get the meds he needs. Plus his doctor is always threatening to cut him off even though he never asks for an early script or for an increase in meds. It’s ridiculous and congress really should look into it!

slightlv

(2,829 posts)
7. I am lucky, in that my doc and I have been together
Tue Oct 10, 2023, 11:12 PM
Oct 2023

for so long (over 20 years) and she knows me, inside and out. She also knows I'm highly opinionated and not averse to expressing my opinions! (LOL) She also sat me down and explained to me, at the start of the Oxy trials that I shouldn't be upset by everything going on. She told me Yes, I needed the medication. But I needed it to function. I didn't take it to party. I didn't take it to fill some emotional need. If I ever caught myself doing that, then we needed to have a sit down and talk. But at this point, I took the medication to live; I didn't live to take the medication. I tell ya... I could have hugged her right then.

I got a call late this afternoon. She sent a script into CVS for the 19th. We'll see if they have the med at that time. If not, we'll try for Dillons as an alternate. Either way, she says she'll see me covered with something, one way or another. I honestly don't know what I'd do without her. BUT... she's also 45 miles away from me, and it's coming on winter here. I can do 1 televisit out of every 3 months. At some point, I'm going to have to start imposing on my daughter to drive me and I just HATE to do that.

BTW... a friend who suffers as bad as me turned me on to something that really helped her. I've given it a try, and though it's taken four days to see any effects, I finally saw it today. It's called Bronson Antarctic Krill Oil 2000 MB Omega-3 EPA/DHA (Non-GMO). I've been taking 4 capsules at night before bed for the last four nights. This morning when I woke up was the first time since I can remember that I woke up CHEERFUL and --without-- any pain!!

I schlepped boxes of CDs from one end of the house to the other, as well as a couple of big (for me) pieces of furniture from one end of the house to the other, and even managed to rock out to Kansas on the boombox and dance and play air guitar. Liked to scare my cats half to death! LOL! But lordy, it was fun. And it was still 3pm before I felt the need for a pain pill. That was extraordinary for me!!

BUT... WARNING... I've been told this does affect blood clotting. I don't have any issues with that, but I do want to put that out there if anyone reads this and wants to try it. I hope it continues to work. Because right now, I consider it to be a downright miracle, and I still have half a house to reconfigure!


justaprogressive

(2,233 posts)
8. Omega 3s may interact with OTHER meds
Fri Oct 13, 2023, 11:16 AM
Oct 2023

that affect blood clotting...

Warfarin
Aspirin
Eliquis
Coumadin

Omega 3s Makes happy music for your joints. Might be cheaper to buy some generic 1000Mg...



Of course I'm not suggesting this, but how well does generic Naproxen Sodium work for you?

slightlv

(2,829 posts)
9. Naproxen works about as well as taking an aspirin...
Fri Oct 13, 2023, 04:04 PM
Oct 2023

iow, not much. Never could see what the hype was with it... not even when I had a uterus for cramping issues.

Like I said, I luckily don't have to worry about any clotting issues, but I did want to bring it up in the message. The only thing I have about these is the size of the capsules. It's as bad as potassium pills... except these are gel capsules, at least. (LOL)

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