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Aldous Huxley Foresaw America’s Pill-Popping Addiction

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Re: Aldous Huxley Foresaw America’s Pill-Popping Addiction

#122
post #51

I hate to be That Guy Who Argues With Everything, but I will. I'm a big fan of Huxley and Brave New World, but he wasn't particularly visionary with Soma. Drug use goes back as far as humankind does because people have been trying to cope with the stress of life since there have been people. If you're looking for a drug that helps with the anxieties of everyday life, alcohol would have my vote. It's been used for tho…

Also there's a very important difference: Soma is described as non-addictive, no hangover. It's a way to control society but keeping it productive at the same time. Any drug that causes "epidemics" that result in death or defeating from work would be useless. You can argue that it's enough that most people keep working though, even if a fraction gets trashed. Edit: if anything, social media or other addictive distrac…

Just to build up on previous comment and yours, "social media or addictive distractions" is also a thing known for a long time.

"Panem et circenses" is a known latin expression about providing to the masses the 2 biggest basics (food and entertainement) to appease it, sometimes used to show a decline.

Re: Aldous Huxley Foresaw America’s Pill-Popping Addiction

#124

Earlier quoted context omitted.

> Valium (and benzodiazepines in general) aren't prescribed as much these days because of their addictive potential. https://www.npr.org/sections/health-shots/2019/01/25/6882878... What were the prescription rates in the 60s?

I'm genuinely surprised. Maybe it's just for psych ailments (e.g. anxiety) that use has declined. > the biggest rise in prescriptions during this time period was for back pain and other types of chronic pain. Now I'm doubly surprised. Some benzos have muscle relaxant properties but I've never heard of them prescribed for pain. (I've never experienced benzo withdrawal but I've heard it claimed to be as bad as opiate w…

I've had valium for a spinal tap (2nd attempt). Alongside a numbing agent, I didn't care what they did.

Which is a key for using such medicines for pain: You might be in pain, but you don't care. My understanding is that for folks allergic to anesthesia, they can literally relax them enough that the person doesn't care if they are doing surgery on them. They don't feel the pain either, but it isn't generally as convenient as folks being put under.

Re: Aldous Huxley Foresaw America’s Pill-Popping Addiction

#125
post #20

I hate to be That Guy Who Argues With Everything, but I will. I'm a big fan of Huxley and Brave New World, but he wasn't particularly visionary with Soma. Drug use goes back as far as humankind does because people have been trying to cope with the stress of life since there have been people. If you're looking for a drug that helps with the anxieties of everyday life, alcohol would have my vote. It's been used for tho…

What is interesting is that the same family owned company that created oxycontin also created valium originally. Amazing to think of how much damage one family owned business has done (Purdue Pharma) to an entire nation.

Folks blame the drug company, but honestly there are a variety of factors at play here.

Some folks genuinely need the pain relief. My mother gets migraines (or a variant). They last literally weeks and months. Sometimes these drugs work. Other migraine drugs have similar issues (addiction and tolerance), but this is villified. The doctors simply talk to her about these things.

But just as importantly, folks aren't really able to take time off to heal properly nor can a group of folks afford medical care. If you can't take time off of work and rest, you wind up needing to take more pills. For example, I had gall bladder surgery some years back. Doctors said 7-10 days completely off work. I didn't have a choice but to go back before the 10 days (and 2 days before I went back to the surgeon for aftercare checkup). I hadn't used the prescription pain meds for a few days before I went back to work, but needed them that day. And if you can't afford to e fixed, you get bandaged over - drugs.

Just as bad is that we aren't simply making sure doctors know how to talk to patients about addiction with these. Signs, symptoms, and that there is care for it if they notice the early signs.

Now, the main thing with the drug company was that they weren't upfront about risks, and that is horrible and meant that we couldn't do the things we needed to do. Not that it matters anyway: Folks often can't take off work for drug treatment nor can they afford the care in so many cases.

Re: Aldous Huxley Foresaw America’s Pill-Popping Addiction

#126
post #33

Earlier quoted context omitted.

As someone who has had to deal with restrictions on other drugs I need to function, I’m always a bit reticent to go full in on “this drug is evil” narratives. Is Oxycotin particularly addictive in itself in ways it could otherwise not be? Or is this about general painkiller addiction plus the pharmaceutical company taking advantage of this to push it out too much? In other words, is there a way to tackle this problem…

the problems with Purdue/oxycontin was their false and extreme marketing that falsely claim lower/tiny addiction rates, bribing doctors to prescribe, claiming 12 hour relief when many users got 8 hours, and the list goes on. perhaps a misleading shorter half-life could be 'more addictive' in that users took more than prescribed to keep effect going.

In general there seems to be a rule of thumb that shorter half-life drugs are more addictive - they hit you fast and wear off fast.

Within the same category of drugs, e.g. Benzodiazepines, it's pretty well established that the first step towards getting clean is to get the dose of low half-life drug swapped out for an equivalent dose of a long-acting drug, then taper down from there.

I believe this is also the theory behind the use of Subutex/Buprenorphine and Methadone as ways to get people off heroin and oxycontin.

So conversely, if Oxycontin had a shorter half-life than was advertised then one would expect it also to have a worse addiction profile.

Re: Aldous Huxley Foresaw America’s Pill-Popping Addiction

#127
post #103

I hate to be That Guy Who Argues With Everything, but I will. I'm a big fan of Huxley and Brave New World, but he wasn't particularly visionary with Soma. Drug use goes back as far as humankind does because people have been trying to cope with the stress of life since there have been people. If you're looking for a drug that helps with the anxieties of everyday life, alcohol would have my vote. It's been used for tho…

> Drug use goes back as far as humankind does because people have been trying to cope with the stress of life since there have been people. I do not think the second half of your statement is true. Certainly there was drug use in hunter/gatherer societies but it was mostly shamanistic/ritualistic use, not 'stress relief'. The example that you give of alcohol only really came on the scene with the advent of farming, w…

> Certainly there was drug use in hunter/gatherer societies but it was mostly shamanistic/ritualistic use, not 'stress relief'.

Can we really say this? Are we sure that finding a patch of 'those' mushrooms wouldn't have just meant party time?

We know that (for instance) animals seem to seek them out...

Re: Aldous Huxley Foresaw America’s Pill-Popping Addiction

#128
post #93

Earlier quoted context omitted.

Caffeine, not alcohol, is by far the most socially acceptable drug of choice. Alcohol's definitely #2 though.

While caffeine is technically a drug, it's just very different than alcohol and other drugs. People can go to work, spend time with family, and even make important life decisions without caffeine getting in the way. The same is not true for alcohol, cocaine, meth, etc. (Nicotine is similar, I imagine, though I've never actually used it)

> (Nicotine is similar, I imagine, though I've never actually used it)

I once heard Iain M Banks say on the radio, as he lit up (he was making a program about a tour of whisky distilleries at the time) -

"Nicotine, a drug so shit you can do it while you're driving"

Re: Aldous Huxley Foresaw America’s Pill-Popping Addiction

#129
post #20

Earlier quoted context omitted.

What is interesting is that the same family owned company that created oxycontin also created valium originally. Amazing to think of how much damage one family owned business has done (Purdue Pharma) to an entire nation.

Folks blame the drug company, but honestly there are a variety of factors at play here. Some folks genuinely need the pain relief. My mother gets migraines (or a variant). They last literally weeks and months. Sometimes these drugs work. Other migraine drugs have similar issues (addiction and tolerance), but this is villified. The doctors simply talk to her about these things. But just as importantly, folks aren't re…

Purdue pharma knew that their drug was more addictive that what was reported by the FDA, and chose to keep distributing it and pushing doctors to recommend it to people who didn't need it instead of re-doing the evaluation.

Re: Aldous Huxley Foresaw America’s Pill-Popping Addiction

#130
post #122
post #51

Earlier quoted context omitted.

Also there's a very important difference: Soma is described as non-addictive, no hangover. It's a way to control society but keeping it productive at the same time. Any drug that causes "epidemics" that result in death or defeating from work would be useless. You can argue that it's enough that most people keep working though, even if a fraction gets trashed. Edit: if anything, social media or other addictive distrac…

Just to build up on previous comment and yours, "social media or addictive distractions" is also a thing known for a long time. "Panem et circenses" is a known latin expression about providing to the masses the 2 biggest basics (food and entertainement) to appease it, sometimes used to show a decline.

Or you could just say "bread and circuses" which is the common english idiom.
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