Opioids can make pain worse


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Why taking morphine, oxycodone can sometimes make pain worse
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Article By Kelly Servick, May. 30, 2016

“Peter Grace, a neuroscientist at the University of Colorado (CU), Boulder, and his team has been trying to trace hyperalgesia to the way opioids affect the immune system.”

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“There’s an unfortunate irony for people who rely on morphine, oxycodone, and other opioid painkillers: The drug that’s supposed to offer you relief can actually make you more sensitive to pain over time. . . . A new study in rats—the first to look at the interaction between opioids and nerve injury for months after the pain-killing treatment was stopped—paints an especially grim picture. “

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“Animals given opioids become more sensitive to pain, and people already taking opioids before a surgery tend to report more pain afterward.”

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“Grace says the field badly needs a human study that systematically tests pain thresholds over time in opioid users…. In the meantime, he says, “I hope that it’ll get people to really question what the benefit of long-term opioid therapy might be.””

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© 2016 American Association for the Advancement of Science

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For my Home Page, click here: 

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Welcome to my Weblog on Pain Management!

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This site is not for email or medical advice.

 

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It is not legal for me to give medical advice

unless you are my patient which means I have done a medical history and examination.

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I generally accept only those who have failed most or all known treatments, and only those who I feel I can help.

 

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I interview each patient before accepting.

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Any advertising below is not recommended or condoned by me.

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New Compounding Pharmacy – PJ’s sold


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.Announcement updated May 31

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I am working now with

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LaVita Compounding Pharmacy

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LaVita has become an outstanding, award winning local compounding pharmacy – see their awards and information below. I think you will like them.

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Sadly announcing PJ’s Pharmacy sold to Walgreens on May 26 — I learned only hours before the close. PJ’s did not know until the moment papers were signed because contracts can always disappear. Five local compounding pharmacies lost their business in recent months. We will miss 20 years or more of always always being able to rely on PJ’s for great work and their wonderful friendly service!  Small compounding pharmacies are invaluable to our communities and veterans. Their struggle and loss is a sad commentary on the practice of medicine today.

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Now when you call PJ’s number the call transfers to Walgreens Compounding, who now holds all of PJ’s recipes, your prescriptions and refills.

 

On Walgreens first day, 5/31, a PJ’s patient texted me:

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“Walgreens had actually messed up the rx-dates, mgs and the number to be refilled all 3 are wrong in the rx they called over.  So please caution your patients to check what they are expecting to get.

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In my case 10mg became 100, 20 pills became 60.  I could become dead but the pharmacist (receiving) called me to say politely, ‘We are wondering if this is what you were expecting and we are wondering how we would fill it.’ “

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To transfer from Walgreens to LaVita, intructions are in red below.

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For your initial visit, Rx that I sent to PJ’s is now with Walgreens. Please make sure you call LaVita ASAP long before your first visit to transfer Rx.

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Update 5/31: speak directly to LaVita Compounding Pharmacy to transfer away from Walgreens.

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Please hold any further questions until the time of visit. I hope you can appreciate how many days this has unexpectedly taken already.

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Subscribe to RSS at top right of this site for future posts automagically. This field is evolving very quickly.


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Please read entire page

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To transfer from Walgreens to LaVita

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  • Starting Tuesday May 31, PJ’s calls are automatically transferred to Walgreens. I will work only with LaVita.

  • Speak to LaVita Compounding to set up an account with them and ask  La Vita staff to call Walgreens at (619) 221-0834 to transfer your prescription from Walgreens to LaVita

  • This applies to all those with an upcoming initial office visit and for those with prior refills —-ask LaVita to transfer your prescriptions from Walgreens. A pharmacy to pharmacy transfer can occur only with your request to LaVita.

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It is you who must call LaVita and give them information. 

Rx transfers directly pharmacy to pharmacy.

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I have no information on Walgreens compounding but early results are very seriously wrong.


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LaVita Compounding Pharmacy

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3978 Sorrento Valley Boulevard
Suite 300
San Diego, CA 92121
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858-453-2500
858-453-2501 fax
866-507-1990 FREE toll free

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Open Monday thru Friday 8:30am to 5pm
info@LaVitaRx.com
http://www.LaVitaRx.com

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La Vita Compounding Pharmacy is One of San Diego’s Fastest Growing Private Companies for the Fourth Consecutive Year

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Awards:

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The Small Business Administration (SBA) awarded La Vita Compounding Pharmacy the prestigious Director’s Award for Business Creativity and Growth within San Diego and Imperial Counties. La Vita was also honored by the National Association of Women Business Owners (NAWBO) as San Diego’s 2015 Woman Owned Business of the Year.

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LaVita is PCAB accredited — rare and a guaranty of high quality.

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They are closer to the office, and they ship to 11 or 12 states. I look forward to working with them.

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Compounding pharmacies are generally open Monday through Friday.

 

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Thanks to PJ’s for 20 years of excellence.

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It was a privilege to work with everyone at PJ’s Pharmacy and Compounding, to learn from their expertise, first from Mary and, in recent years, from Marjolein whose PharmD was so helpful and whose information added so much.

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Best wishes to all!

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I wish you all a wonderful summer – please get some time out!

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For those with CRPS RSD, note a new comment on this site,

this month on Neridronic Acid. Just use search function top left above photo.

It was posted in an unrelated section at bottom on my home page.

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 For my Home Page, click here: 

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Welcome to my Weblog on Pain Management!

 

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This site is not for email or medical advice.

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It is not legal for me to give medical advice

unless you are my patient

which means I have done a medical history and examination.

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I generally accept only those

who have failed most or all known treatments,

and only those who I feel I can help.

 

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I interview each patient before accepting.

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Any advertising below is not recommended or condoned by me.

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Medicine Costly, Where’s the Gain?


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It’s been seven years since starting this blog April 2009.

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To find information:

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  1. SEARCH – small rectangle, top left above my photo

  2. TAGS – size indicates frequency the topic was posted, bottom left narrow column

     

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Sorry there’s no time to make the site easier for you to find your way around.

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I hope you all have a good summer. Get some much needed rest.

 

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It has been a blessing to have this resource as a way to structure and teach myself the many research publications and ideas I come across in Pain Management, Neurology, Integrative Medicine, Neuroimmunology and, yes, maybe politics of medicine. I only wish I had had this tool decades ago so that I didn’t have to recreate the ones I’ve already reviewed and forgotten in the last 41 years, long before MRI scans and decades before computers in daily medicine. Now we all risk carpal tunnel from repetitive injury, which is why I need to stop posting for awhile.

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This great experience and months of effort has rewarded me, bringing me in touch with the RSD Organization, device manufacturers, editors, publishers, academics, CEO’s, scientists, physicians and patients from around the world. Thank you all!

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The politics of the world is spinning fast, harsh winds are blowing, prices of drugs are beyond belief, beyond beyond — $50,000 to $100,000 a year for new drugs. My own colleagues cannot afford $5,000 insurance deductible for visits and medication. If you are diagnosed with cancer, pray it is January before your $5,000 or $10,000 deductible comes up again at end of year. Medical care in this country is in a down spiral, affordable to the few.

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Until I see something exciting to write about, I’m over and out. What more is there to say?

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Give us some hope in research for pain and major depression. Something more we can use now, something covered by healthcare insurers who seem not to cover much of anything anymore.

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Many insurance companies have not updated reimbursement rates for some specialties for 10 or 20 years. The specialties that had the highest percentage of doctors who accept insurance are cardiology, oncology and orthopedic surgery.

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Only 55% of psychiatrists accept insurance. How sad is that? When people need Mental Health Care more than ever, what do they do but in desperation, some turn to drugs, self treating, while the $3 trillion dollar war on drugs has created and perpetuates the spiral of addiction and endless funding that only serves to enrich the military prison industrial complex.

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War does not work. Medical care works. Instead of war on drugs, war on addiction, we need medical care not war. Medical care for addiction, medical care to prevent pain, to prevent and support mental illness, to prevent addiction.

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While setting writing aside, I shall enjoy turning more of my attention to my patients. It is a privilege to work with so many fine people, striving to put disabling conditions into remission.

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If you find exciting news, please post news below.

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I wish you all a wonderful summer – get some time out!

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For those with CRPS RSD, note a new comment on this site, this past week, on Neridronic Acid.

It was posted in an unrelated section at bottom on my home page.

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 For my Home Page, click here: 

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Welcome to my Weblog on Pain Management!

 

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This site is not for email or medical advice.

.

It is not legal for me to give medical advice

unless you are my patient

which means I have done a medical history and examination.

.

I generally accept only those

who have failed most or all known treatments,

and only those who I feel I can help.

 

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I interview each patient before accepting.

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Any advertising below is not recommended or condoned by me.

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