Opioids: Pain, Reward, Play – what drives addiction?
What is the relationship between pain relief, stimulation of the reward-reinforcement circuit, and play and pleasure-seeking? … what combination leads to addiction? … we have increasingly given opioids for chronic pain, only to see the pain not get better – but worse! Also treatment discussions – highly functional, highly paid execs who are just resigned to addiction because the tradeoffs for treatment would be so high. And more on Dr Drew Pinsky’s Celebrity Rehab and latest death – the fifth – among the regulars on this reality show. PODCAST
Update on Prescription Opioid Use
New statistics from the DEA show a six-fold (600%) increase in the use of opioids, primarily oxycontin and vicodin, over the last ten years. We discuss this trend which we have reported, and the relationship to pain management.
Pain Killer Panic ?!
Are we overreacting to the issue of increased use/abuse of pain medication, and we are perhaps still under-treating pain?. We try to look at the bigger issues of what is pain, why does it persist, and even if abuse numbers are low, what are the implications for the addiction-sensitive population.