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US opioids: Congress passes bill to tackle epidemic but provides little new funding

BMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k4253 (Published 09 October 2018) Cite this as: BMJ 2018;363:k4253

Beware of Opioids


Opioids are potent, addictive analgesics 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 falsely seem to cure, thus placing many potent analgesics in a bad light.


Competing interests: No competing interests

09 October 2018
Hugh Mann
Physician
Retired
New York, NY, USA