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Companies to pay $39.5m in OxyContin and Risperdal cases

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h7018 (Published 31 December 2015) Cite this as: BMJ 2015;351:h7018

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

01 January 2016
Hugh Mann
Physician
Retired
New York, NY, USA