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Research

Opioid prescribing by multiple providers in Medicare: retrospective observational study of insurance claims

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g1393 (Published 19 February 2014) Cite this as: BMJ 2014;348:g1393

Re: Opioid prescribing by multiple providers in Medicare: retrospective observational study of insurance claims

Opioids are potent, addictive analgesics that trap us by creating the fleeting euphoria of analgesia (pain-free), but the sustained sickness of hyperalgesia (pain-sensitivity). The euphoria of analgesia and the sickness of hyperalgesia are polar opposites that reinforce each other: the euphoria blinds us to the sickness, and the sickness makes us crave the euphoria. Perversely but predictably, opioids create, aggravate, and perpetuate the very sickness of hyperalgesia that they seem to cure, thus placing many potent analgesics in a bad light.


Competing interests: No competing interests

20 February 2014
Hugh Mann
Physician
Retired
Eagle Rock, MO, USA