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In India’s Slums, ‘Painkillers Are Part Of The Daily Routine’

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Re: In India’s Slums, ‘Painkillers Are Part Of The Daily Routine’

#11

Post by krsdcbl »

anovikov wrote: post #8
mruts wrote: post #7

Earlier quoted context omitted.

I used to be addicted to heroin and honestly, the drug is amazing. The mental and physical clarity it gives you is downright unbelievable. For me the problem was never heroin itself (I worked harder on it, I was less anxious and happier) but the cost and the risk of it’s illegality. If heroin was the same price per pound as other agricultural products like beans or flour, I don’t think I would ever quit. For me the p…

This sounds awful but i would say somewhat believable because many middle class people do coke regularly and apart from usually, picking a few kilos, they still look OK and keep their careers, families and the stuff. For sure it's not nearly as bad as if they were drinking. My ex is a writer and she was mostly writing on coke, she's as far from being a lost in life drug-addicted person as it gets, honestly i'm a lot…

They definitely wouldn't if they were taking coke with the regularity and frequency an alcoholic drinks though.

Re: In India’s Slums, ‘Painkillers Are Part Of The Daily Routine’

#12

Post by dlkf »

mruts wrote: post #7
collyw wrote: post #4

Anecdotally a friend who travelled a lot in India told me that most Rickshaw drivers are take heroin. It wouldn't really surprise me as it looks like a damn tough life that they have.

I used to be addicted to heroin and honestly, the drug is amazing. The mental and physical clarity it gives you is downright unbelievable. For me the problem was never heroin itself (I worked harder on it, I was less anxious and happier) but the cost and the risk of it’s illegality. If heroin was the same price per pound as other agricultural products like beans or flour, I don’t think I would ever quit. For me the p…

> people would be surprised by the positive effects of heroin legalization on lifestyles and outcomes of addicted people.

This is true.

> opiates taken properly are safer than Tylenol

This is ridiculous.

Re: In India’s Slums, ‘Painkillers Are Part Of The Daily Routine’

#13

Post by dillondoyle »

Mundipharma is owned by the Sacklers, aka Purdue. This makes me incredibly angry to read they are repeating the same playbook in Asia, paying doctors and using incredibly misleading and flat out false marketing to get patients addicted.

They just offered to sell Munipharma... But feels too small to me. I won't believe justice is done until every penny is recovered from them personally as they've already syphoned out billions in profit. And ideally face criminal consequences if litigators can prove they broke laws - whether false marketing, bribes, RICO, whatever it takes.

Re: In India’s Slums, ‘Painkillers Are Part Of The Daily Routine’

#14

Post by C1sc0cat »

sersi wrote: post #3

> In the Mankhurd slum in Mumbai, where the average life expectancy is 39 I wish articles didn't use life expectancy which is always misleading and confusing since it's severely affected by infant mortality. What would be more interesting would be 2 numbers, infant mortality and life expectancy at age 5.

So the death rate before 5 doesn't matter - I am sure it matters a LOT to the parents of those kids that die very young.

Re: In India’s Slums, ‘Painkillers Are Part Of The Daily Routine’

#16

Post by C1sc0cat »

DanBC wrote: post #5

> If there is a precursor to an American-style opioid epidemic in India, it is tramadol, a painkiller that became available here in the early 1990s. Drugmakers — often citing studies they had funded — touted tramadol as less addictive than other painkillers. > “Tramadol information would come to every single clinician,” said Dr. Bobby John, a Delhi-based health expert. “Why? Because there is some drug salesperson sit…

I have taken it in Hospital (UK) after a major opp (25 plus staples in the main wound site) and stopped after a day or so as it was making me vomit.

Re: In India’s Slums, ‘Painkillers Are Part Of The Daily Routine’

#17

Post by AstralStorm »

sidcool wrote: post #10
mruts wrote: post #7

Earlier quoted context omitted.

I used to be addicted to heroin and honestly, the drug is amazing. The mental and physical clarity it gives you is downright unbelievable. For me the problem was never heroin itself (I worked harder on it, I was less anxious and happier) but the cost and the risk of it’s illegality. If heroin was the same price per pound as other agricultural products like beans or flour, I don’t think I would ever quit. For me the p…

The addictive and tolerance building effects of opiates are pretty bad. Heroin may make you feel better, but the withdrawal effects are horrific. Heroin legalization would help people get off the addiction. But it should not be done to encourage people take more opiates.

I remember some addiction treatment centers in certain countries (was it UK?) were allowed to prescribe opiates including heroin as part of program to wean people off it.

Is that gone as part of some stupid war on drugs or other?

Re: In India’s Slums, ‘Painkillers Are Part Of The Daily Routine’

#18

Post by AstralStorm »

krsdcbl wrote: post #11
anovikov wrote: post #8

Earlier quoted context omitted.

This sounds awful but i would say somewhat believable because many middle class people do coke regularly and apart from usually, picking a few kilos, they still look OK and keep their careers, families and the stuff. For sure it's not nearly as bad as if they were drinking. My ex is a writer and she was mostly writing on coke, she's as far from being a lost in life drug-addicted person as it gets, honestly i'm a lot…

They definitely wouldn't if they were taking coke with the regularity and frequency an alcoholic drinks though.

The thing is, coke is slightly more dangerous, but quite a lot more physically addictive. It's hard to quit once that holds, though it's relatively easy to keep steady dosage as the euphoric effect is short lived.

Unlike cocaine, opiates would hurt productivity in general. There was a time when many people were addicted in China to opium...

Wars were and are fought over best growing grounds of many drugs.

Re: In India’s Slums, ‘Painkillers Are Part Of The Daily Routine’

#19

Post by foota »

C1sc0cat wrote: post #14
sersi wrote: post #3

> In the Mankhurd slum in Mumbai, where the average life expectancy is 39 I wish articles didn't use life expectancy which is always misleading and confusing since it's severely affected by infant mortality. What would be more interesting would be 2 numbers, infant mortality and life expectancy at age 5.

So the death rate before 5 doesn't matter - I am sure it matters a LOT to the parents of those kids that die very young.

It's not so useful if you're looking at the overall health of an area though, since infant mortality is a slightly different beast.

Re: In India’s Slums, ‘Painkillers Are Part Of The Daily Routine’

#20

Post by AstralStorm »

DanBC wrote: post #5

> If there is a precursor to an American-style opioid epidemic in India, it is tramadol, a painkiller that became available here in the early 1990s. Drugmakers — often citing studies they had funded — touted tramadol as less addictive than other painkillers. > “Tramadol information would come to every single clinician,” said Dr. Bobby John, a Delhi-based health expert. “Why? Because there is some drug salesperson sit…

Well, it's good for a third line painkiller, after NSAIDs and codeine and oxycodone are not enough. And something like levetiracetam or pregabalin or other SNRI is not appropriate.

But calling it non-addictive is criminal. It should be, at least. This thing very much is.

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