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News

Canada’s prescription opioid epidemic grows despite tamperproof pills

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h4725 (Published 03 September 2015) Cite this as: BMJ 2015;351:h4725

Beware of Opioids


Opioids are potent, addictive analgesics (pain medicine) that trick and 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 fasely seem to cure, thus placing many potent analgesics in a bad light.


Competing interests: No competing interests

05 September 2015
Hugh Mann
Physician
Retired
New York, USA