Its interesting even during the time of the mid 90s and the whole Purdue Pharma fiasco that it was mainly fueled by shady, and illicit activity (whether it was shady Pharma practices, pill mills, non medical use, etc) Patients who use pain medications medically based on the
data don't tend to OD.. Throughout the whole history of this opioid crisis its always been fueled by illicit activity.. Having a legal safe supply regulated market can prevent black market activity.. Imagine if we had sensible drug policy i believe we could have
avoided alot of the OD deaths that we have seen throughout the history of the opioid crisis.. We have a chance to implement sensible drug policy. What will the next 10 years look like regarding OD deaths?? Who knows, but i know if we continue on the trajectory were on now
things are not going to end, and more lives will be lost due to an adulterated drug 💉 supply... #TwitteRx

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More from @GhanaboyPharmd

25 Feb
***Thread***

Dependence vs Addiction

I have been seeing this flyer around social media and i wanted to do a quick thread on the difference between the 2.. I think alot of times we tend to mesh these two concepts together or often conflate these terms which can Image
Cause issues as well.. To start off this flyer states "If you get prescribed opioids, you may end up wishing you hadn't. That's because anyone could become dependent on painkillers like hydrocodone, oxycodone, and fentanyl which can ruin your relationships, health and career"
So this flyer states that dependence can happen when taking opioids Which can cause you to ruin your relationships, career, etc.. So what is dependence? It is considered when you have physical or physiological dependence it is indicated by tolerance and withdrawal symptoms.
Read 8 tweets
14 Feb
The Drug War here in the U.S and abroad has always been intricately linked with racism and racial tropes against blacks and other minorities as well...

1. In 1914 Dr. Edward Huntington Williams wrote an article in the
NYT titled NEGRO COCAINE "FIENDS" NEW SOUTHERN MENACE. in his piece he argued how cocaine made the negro more savage, and made him a uniquely murderous individual

2. Harry Anslinger the 1st commissioner of the U.S. Treasury Department's Federal Bureau of Narcotics in the 30s
linked drug use like marijuana among others to the black musicians during that time like Billie Holliday etc, and said how the drugs they would use made them make freakish music like jazz and as some reporters mentioned he stated he longed to see them behind bars
Read 7 tweets
13 Feb
I'm surprised he hasn't blocked me yet.. 😂😂 But I'm gunna continue to push back on his narrative.. #TwitteRx
@ChadDKollas laying down some facts!! Convo for those who are blocked lol...
Read 4 tweets
6 Feb
Well didn’t take too long until he posted this smh 🤦‍♂️ lol.. His worldview is so focused on prescription opioids being the main catalyst for addiction that he will admit that our record lows of rx opioid prescribing is not low enough smh.. He really can’t connect the dots Image
with Rx opioid prescribing down at record lows and OD deaths still climbing.. It never occurred to him to analyze what drugs are actually causing the overdose deaths.. He then argues that deaths were also soaring when people were using heroin etc when rx prescribing was also high
What he fails to realize is that we have had data describing increase in overdose deaths decades before the mid 90s high prescribing and the fiasco with Purdue Pharma and OxyContin... Once again to only focus on prescription opioids is to miss so many other variables at play
Read 7 tweets
4 Feb
After listening to NPRs new podcast episode with kolodny and others on How to fight the opioid epidemic I came across many things that were problematic but the two issues that stuck out to me I will highlight below...
The 1st issue I had was kolodny’s narrow view of addiction.. Throughout the episode we heard tragic stories of people succumbing to addiction and dying of overdose.. In these stories we heard how they suffered with substance abuse issues, psychiatric issues, also people with
Socioeconomic issues as well.. Instead of discussing all these factors and how they can attribute to why someone can succumb to addiction kolodny wanted to focus on 1 thing being the main catalyst: Prescription opioids.. Dr. Carl Hart who is a neuroscientist has been doing some
Read 12 tweets
11 Jun 20
Thread***

Sickle cell disease will always be a disease that means so much to me.. Growing up seeing my brother battle with this disease was hard. Many nights my family would be in the hospital with him watching him in excruciating pain. Many nights i would see the
stress on my parents face as their youngest son was going through horrific pain. Sometimes i would pray that God would take this disease away from my brother and give it to me so he wouldn't have to suffer anymore. #sicklecell patients already have it hard enough
with this disease now add on top of that racial bias that they have to deal with. Many times either me or my dad would have to advocate for him in the ER to get proper and urgent care and make sure his pain is adequately managed... The treatment my brother has received
Read 6 tweets

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