Docket Management
Docket: 01N-0256 - Use of Opiate Analgesics in Various Patient Populations, Including Pediatric Patients
Comment Number: EC -218

Accepted - Volume 4

Comment Record
Commentor Mrs. Rochelle Schell Date/Time 2002-01-09 06:43:55
Organization Pinnacle Health Hospice
Category Health Professional

Comments for FDA General
Questions
1. General Comments Iam a hospice nurse. I work with people in pain on a daily basis. I am very concerned about Congress limiting use of opioid analgesics. I have had people beg me to kill them to get out of pain. When these same people are pain free they are able to enjoy the company of their friends and family. I am concerned that the people who need pain control are the ones being punished instead of the people who abuse opioid analgesics. Oxycontin is a great analgesic. It has a decreased side effect of tremors compared to MSContin. I have already seen the negative effects of the medias reports on this drug. I recently had a patient who required 560mg of Oxycontin to control her pain. This meant that she had to take 7 tablets of Oxycontin 80mg. She soon had difficulty swallowing all of these pills. She neede to be started on a Morphine infusion to control her pain. We may have been able to avoid this invasive procedure if Oxycontin was still available in 160mg tablets. I am also concerned about the DEA sanctioning physicians who presribe opioid analgesics. I already have difficulty getting the proper pain relief for our terminal patients. Doctors tell us to send our dying patients to the emergency room when we call them about pain increases. This not only cost the insurance companies a lot of money but is painful to our patients and goes against our hospice philosopy. I would like to see the DEA spend more time in educating physicians on pain management instead of investigating them. Thank You for your time, Rochelle Schell R.N.




EC -218