Pure hydrocodone opioid painkiller could be on market as early as 2013
Ryan Durant's insight:
CBS/AP fear mongering! The new medication is not stronger than Vicodin. Vicodin is a combination drug, containing 5-10mg of an opioid, hydrocodone, and 325-500mg of tylenol, both instant release, in each pill. The new medication is going to contain only hydrocodone, which allows for higher doses without the risk of overdose on tylenol, or the liver damage that even normal doses of it can cause over long term use. 10mg of hydrocodone is 10mg of hydrocodone, regardless of what it is packaged with. They may be referring to the fact that a time release version is being made. Currently, people have to take it 4-6 times a day, as it lasts 4-6 hours per dose. So, say you take 2 regular strength vicodin every 6 hours - you are taking 40mg of hydrocodone a day, and 2600mg of tylenol a day. Now, say there is a 40mg 24 hour time release hydrocodone pill available. It is poor reporting to say that that pill is 8 times stronger than vicodin. Yes, it has 8 times as much hydrocodone in it as a single vicodin pill, but one of these would be replacing the 8 a day people currently take. So, they are getting the same dose - it is the same strength.
Chronic pain is pain that has lasted for a long time. In medicine, the distinction between acute and chronic pain has traditionally been determined by an arbitrary interval of time since onset; the two most commonly used markers being 3 months and 6 months since onset, though some theorists and researchers have placed the transition from acute to chronic pain at 12 months. Others apply acute to pain that lasts less than 30 days, chronic to pain of more than six months duration, and subacute to pain that lasts from one to six months. A popular alternative definition of chronic pain, involving no arbitrarily fixed durations is "pain that extends beyond the expected period of healing."
Nociceptive pain may be divided into "superficial" and "deep", and deep pain into "deep somatic" and "visceral". Superficial pain is initiated by activation of nociceptors in the skin or superficial tissues. Deep somatic pain is initiated by stimulation of nociceptors in ligaments, tendons, bones, blood vessels, fasciae and muscles, and is dull, aching, poorly-localized pain. Visceral pain originates in the viscera (organs). Visceral pain may be well-localized, but often it is extremely difficult to locate, and several visceral regions produce "referred" pain when damaged or inflamed, where the sensation is located in an area distant from the site of pathology or injury.
I needed to test out the scoop.it bookmark/java function, to make sure it worked on the iPad browser. If you're reading this, it does! It seems to work much like the 'share on facebook' bookmark. I figured that because this page will be all about living with Chronic Pain, linking to the wikipedia definition of what chronic pain is would be a good place to start. Of course, there are many differing opinions on what does and doesn't qualify as chronic pain - but, in my personal opinion, regardless of what the medical definitions are, *you* know if you are in chronic pain. You know the saying about what is art, and/or what is pornography: I don't know how to define it, but I know it when I see it! Well, I think chronic pain is a lot like that - you may not be able to perfectly define it, but you certainly know if you are living with it!
I hope to share news, treatment options, medication options, clinical trials, and plain old advice on living with chronic pain here. I had a back injury in 2001, when I was 21 years old. Since then, I have had multiple surgeries and 2 spinal infections. I have spent years on pain medication, doing physical therapy, and dealing with insurance companies, and I hope to be able to share what I have learned along the way - hopefully it helps someone!
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