This is an ignored epidemic caused by our govt vilifying prescription opioids. When we restrict Rx opioids from ppl that need them to treat their debilitating pain, it doesn’t reduce drug deaths, it causes pain patients to commit suicide rather than live in pain. RIP @Dano1330 🧵
2. We can’t keep looking at the drug problem and assume that EVERYONE using Rx opioids is addicted. We can’t assume the only solution is treat addiction… pain patients are NOT addicted to opioids but they get treated like it and it’s been nothing but harmful to them.
3. The DEA made these pain patients’ doctors afraid to treat pain with Rx opioids, (doctors can lose their licenses), pain patients are weened off their current prescriptions, they’re told to take Tylenol or smoke weed, some patients can’t even get a Rx filled, etc.
4. Data in the last decade indicate restricting Rx opioids has done nothing to reduce drug deaths.

One thing we need from legislators and govt. officials is to admit restricting Rx opioids didn’t work and collect data on how many pain patients are dying from overdose & suicide.
5. There isn’t a single blanket solution to end the drug epidemic in the US. There needs to be solutions to address the many different aspects of the drug epidemic, such as:
6. Helping ppl with addiction through mental health counseling as well as #harmreduction methods: Narcan training, fentanyl test strips, safe supply/supervised use sites
7. Pain patients are wrapped up in this epidemic but they have been traditionally ignored and just treated as “addicts”. Restrictions on Rx opioids (a safe supply) need to be lifted, otherwise patients may seek street drugs to treat their pain (and possibly OD) or commit suicide.
8. Improve drug interdiction operations. Law enforcement need better data to track “tainted” drugs or illicit fentanyl supplies and that kind of data can come from a well-funded drug crime lab… or new tech like what @IdemSystems is developing. See the linked thread below.
9. With it being #ElectionDay, it is important to vote for candidates that will think outside the box in curbing the drug epidemic. There are (potential) Florida legislators I plan to work with to tackle a lot of the drug epidemic. Vote for candidates that will listen to you. 🇺🇸

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More from @DrDavid_IDEM

Nov 9
“Fentanyl” is THE buzzword when talking about the drug epidemic today. Most of the media and politicians have no clue about “fentanyl” when they discuss it. It’s vital to understand: There is “pharmaceutical-grade fentanyl” and there’s “illicitly manufactured fentanyl (IMF)”. 🧵
2. True fentanyl has a specific chemical structure (see image) that is approved for medicinal use. Any small changes to this structure would no longer make it true fentanyl, but an analog of fentanyl, which some media/politicians confusingly still refer to as “fentanyl”. Image
3. Fentanyl is considered a “synthetic opioid” because it was developed in a lab in the 1960s and intended to mimic the analgesic effects of opium-derived opioids (morphine, heroin, etc.) but without the bad side effects. Many patents for fentanyl analogs can be found online.
Read 19 tweets
Aug 2
It’s primary/midterm election season and I haven’t seen candidates, R or D, discussing an issue that killed 100,000+ Americans last year (incl. 8,500 in Florida) - the drug epidemic. Even on the bottom of their platforms - NOTHING 😕.

🧵🧵🧵 Image
2. In my experience listening to politicians and elected officials talk about the drug epidemic, most of them are not educated on the topic enough and do not know how serious of an issue it is and what is causing it. So heres a crash course for all those in or running for office.
3. The short answer is poor/outdated drug policy. The US & most states are enforcing drug policy that was meant to deal with the drug problems of 15+ years ago, and barely updated policy to reflect the dangerous illicit drugs that are causing most overdoses today, like fentanyl.
Read 21 tweets
Mar 21
Let’s take a look at Orange County (Orlando) #Florida drug data. 2020 was a record year - 447 drug overdose deaths and another 2614 nonfatal ODs. Rx opioid dispensing trend has 📉 while ODs keep 📈, due to illicit drugs like street #fentanyl. Check the thread for my analysis 🧵🪡
2/ The drug poisoning/overdose death rate per 100k people graph shows the rates for All Drug ODs and Opioid-involved ODs both trending up. Most large metro areas in America experienced an increase from 2019-2020, as experts claimed the COVID pandemic exacerbated drug ODs.
3/ The Drug Poisoning/Overdose Deaths graph shows the steady raw increase of OD deaths from year to year. In 2020, Orange County exceeded 400 OD deaths for the first time ever.
Read 10 tweets
Mar 21
Hillsborough County (Tampa) #Florida drug data show drug overdose deaths from 2019 to 2020 jumped from 277 to 485 deaths and Nonfatal ODs 📈 by 731. Opioid-involved (includes illicit #fentanyl) and heroin-involved nonfatal ODs are both trending up. Read the 🧵🪡 for my analysis.
2/ Hillsborough County (Tampa) usually has relatively decent (for a large metro) drug OD death rate numbers, with under 20 deaths per 100k ppl. Graph 1 shows the county jumped from 18.5 deaths per 100k ppl in 2019 to 32.1 in 2020, which is a jump you’d expect with 208 more deaths
3/ The Drug Poisoning/Overdose Deaths graph for Hillsborough (Tampa) shows the raw OD death count… after many years of hovering in the 200s, 2020 saw a huge spike in OD deaths, with a record 485… which was 208 more than the previous year.
Read 13 tweets
Mar 21
Let’s take a look at Orange County (Orlando) #Florida drug data. 2020 was a record year - 447 drug overdose deaths and another 2614 nonfatal ODs. Rx opioid dispensing trend has 📉 while ODs keep 📈, due to illicit drugs like street #fentanyl. Check the thread for my analysis 🧵🪡
2/ The drug poisoning/overdose death rate per 100k people graph shows the rates for All Drug ODs and Opioid-involved ODs both trending up. Most large metro areas in America experienced an increase from 2019-2020, as experts claimed the COVID pandemic exacerbated drug ODs.
3/ The Drug Poisoning/Overdose Deaths graph shows the steady raw increase of OD deaths from year to year. In 2020, Orange County exceeded 400 OD deaths for the first time ever.
Read 9 tweets
Nov 17, 2021
The trend for drug #overdose/poisoning deaths keep going ⬆️⬆️⬆️ as they count the data. For the 12 months ending in April 2021, the US had a record 100,000+ overdose deaths. *Thread/RANT* 🧵😡😤🗣

google.com/amp/s/www.nyti…
Not to take attention away from people with addiction, but the media should also be using these opportunities to spread awareness about other at-risk groups, such as pain patients and ppl buying counterfeit pills for recreational use. They contribute to the death toll too.
Any media story on the drug epidemic should be educating ppl about HOW we got to 100k deaths - sure illicit fentanyl is a huge factor, but what about the role drug policies of underprescribing (safe) Rx opioids played in driving pain patients to seek (unsafe) illicit opioids???
Read 13 tweets

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