Live data from Hacker News

Judge rejects Purdue Pharma's $4.5B opioid settlement

axios.com

11–20 of 93 posts

Re: Judge rejects Purdue Pharma's $4.5B opioid settlement

#11

Can anyone explain why opioids are still being sold and prescribed?

As someone who had major surgery a few months ago I am glad they are for sale and prescribed. No I am not taking opioids now but in the few days after surgery they kept me mostly pain free.

Perdue deserves to be punished. Opioids are a public health crisis when abused. That doesn’t mean that they don’t have legitimate uses.

Re: Judge rejects Purdue Pharma's $4.5B opioid settlement

#12

Can anyone explain why opioids are still being sold and prescribed?

Fentanyl is used in epidurals, for one.

It's used in all sorts of surgical procedures. I've had it a few times, used as a relatively minor painkiller under those circumstances. Which sounds crazy considering how much news is about how strong it is. But it works well in those controlled circumstances

Re: Judge rejects Purdue Pharma's $4.5B opioid settlement

#13

Can anyone explain why opioids are still being sold and prescribed?

There are people who still have legitimate need for pain medication

But what are the the criteria to decide legitimacy of those needs? Pain is a symptom. It is your body signaling a problem. Indeed, sometimes, there are no solution to those problems but I doubt that all those who got prescribed opioids and got addicted didn't have an underlying solvable problem.

If you are obese because you eat too much and your knees hurt, the solution is not an opioid. The whole discourse about pain being a condition that must be addressed is nefarious. Except in some pretty rare case (like terminal illness), pain is a symptom for which the healthcare organizations must find the root cause of and treat properly. Using expedient like opioids is a recipe for failure and a problem of that only the medical community can address. Serious introspection for those in charge of healthcare system in the US (and many other countries) is necessary.

Also, serious failures of the FDA for labeling opioids as not addictive and putting the breaks on fixing it for years.

Re: Judge rejects Purdue Pharma's $4.5B opioid settlement

#14

Earlier quoted context omitted.

There are people who still have legitimate need for pain medication

But what are the the criteria to decide legitimacy of those needs? Pain is a symptom. It is your body signaling a problem. Indeed, sometimes, there are no solution to those problems but I doubt that all those who got prescribed opioids and got addicted didn't have an underlying solvable problem. If you are obese because you eat too much and your knees hurt, the solution is not an opioid. The whole discourse about pai…

There are lots of illnesses that cause pain for which we have no fix, just palliative care. Not everybody is a fat guy with sore knees.

Re: Judge rejects Purdue Pharma's $4.5B opioid settlement

#15

Earlier quoted context omitted.

There are people who still have legitimate need for pain medication

But what are the the criteria to decide legitimacy of those needs? Pain is a symptom. It is your body signaling a problem. Indeed, sometimes, there are no solution to those problems but I doubt that all those who got prescribed opioids and got addicted didn't have an underlying solvable problem. If you are obese because you eat too much and your knees hurt, the solution is not an opioid. The whole discourse about pai…

You seem to have made up the example of obese knees with no prior knowledge of what actually causes opioid prescription as evidence that it “might” not have good foundations. You realize that’s backwards right? Throwing out a made up example with no idea if it’s representative is just distracting. This entire post would be better reduced to “what are the most common reasons for legitimate opioid prescription”

Re: Judge rejects Purdue Pharma's $4.5B opioid settlement

#16
Good.

For those that haven't watched them yet, there are 3 John Oliver segments on the subject that will back up the "Good." statement:

Opioids https://www.youtube.com/watch?v=5pdPrQFjo2o

Opioids II https://www.youtube.com/watch?v=-qCKR6wy94U

Opioids III (this one focuses 100% on the Sacklers) https://www.youtube.com/watch?v=uaCaIhfETsM

Re: Judge rejects Purdue Pharma's $4.5B opioid settlement

#17
Doctors prescribe drug -> pharmacy dispenses drug -> pharmacy orders from manufacturer. All I hear about is pharmacies and manufacturers getting sued, but why not doctors? Why do they seem to get off the hook when they are the main cause. Sure, Perdue marketed it to doctors (and I don't even see a way that pharmacies were responsible at all), but "I was manipulated by marketing" isn't a convincing defense from an expert.

Re: Judge rejects Purdue Pharma's $4.5B opioid settlement

#18

Can anyone explain why opioids are still being sold and prescribed?

The problem was never that they don't work the problem was that they're addictive . So since they do work this means it remains appropriate to prescribe them, it just isn't appropriate to give them to everybody to pop one every day before work and say it's "non-addictive". Drugs that work but have a terrible reputation are almost always still available. For example Thalidomide works, but it causes birth defects. Well…

We learned the lesson that opioids are too addictive to be used to treat everyday pain back in the 1970's.

However, Purdue Pharma's claim to fame with opioids was that their time release formulation was not addictive, so unlike traditional opioids these could be safely used on a daily basis.

Obviously, this claim was fraudulent.

Opioids still have their place, for treating terminal cancer patients, for instance. Short term use after a catastrophic event is still warranted.

Re: Judge rejects Purdue Pharma's $4.5B opioid settlement

#19

Doctors prescribe drug -> pharmacy dispenses drug -> pharmacy orders from manufacturer. All I hear about is pharmacies and manufacturers getting sued, but why not doctors? Why do they seem to get off the hook when they are the main cause. Sure, Perdue marketed it to doctors (and I don't even see a way that pharmacies were responsible at all), but "I was manipulated by marketing" isn't a convincing defense from an exp…

There are some laws that make it harder to sue doctors for malpractice, maybe this combined with the fact that they could get a bigger payout from the drug manufacturers.

Re: Judge rejects Purdue Pharma's $4.5B opioid settlement

#20

Doctors prescribe drug -> pharmacy dispenses drug -> pharmacy orders from manufacturer. All I hear about is pharmacies and manufacturers getting sued, but why not doctors? Why do they seem to get off the hook when they are the main cause. Sure, Perdue marketed it to doctors (and I don't even see a way that pharmacies were responsible at all), but "I was manipulated by marketing" isn't a convincing defense from an exp…

I think doctors were directly lied to that those drugs are non-addictive.
Post reply on HN