Article 4QD4V Dishing out more drugs won’t stop the pain. Doctors need new tools | Ann Robinson

Dishing out more drugs won’t stop the pain. Doctors need new tools | Ann Robinson

by
Ann Robinson
from on (#4QD4V)

As a GP, I know opioids have their place. But we shouldn't be complacent about a US-style crisis happening in Britain

Growing concern about the prescription of drugs that cause dependence has been backed up by a recent report from Public Health England (PHE). The agency discovered that in 2017-18, 13% of adults in England received at least one prescription for opioids such as morphine or oxycodone (although this represented a slight downturn in prescribing after a long upward trend). Other drug classes were implicated too, with 25% of adults prescribed one or more of the following drugs: benzodiazepines (such as Valium), z-drugs (sleeping pills such as Zopiclone), gabapentinoids (gabapentin or pregabalin, prescribed for neuropathic pain) or antidepressants.

The fear is that the UK is following in the footsteps of the US, where overprescribing is said to have led to a full-blown "opioid crisis". But where does this leave those who live with severe or chronic pain and are dependent on opioids to function day-to-day? GPs, like me, and pain specialists need lots of time and a toolbox of interventions to properly treat those who suffer. But in the current cash- and time-poor environment, is it any wonder that they dole out prescriptions instead?

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