Docket Management
Docket: 01N-0256 - Use of Opiate Analgesics in Various Patient Populations, Including Pediatric Patients
Comment Number: EC -234

Accepted - Volume 4

Comment Record
Commentor Mr. Kris Joy Date/Time 2002-02-23 11:55:08
Organization Lupus and Fibromyalgia sufferer
Category Individual

Comments for FDA General
Questions
1. General Comments I am writing in hopes that my comments will in some small way, help my government to make good choices about how to deal with the oxycontin crisis, as well as general opiod addiction concerns. First of all, I would like to say that the vast majority of severe pain sufferers are NOT drug addicts, rather they have a physical dependency. The difference is that a true addict takes drugs for no reason, without control and despite negative impact on themselves or others around them. Addicts steal, murder lie and scam to get opiates. People that are physically dependant on opiates, have a physical dependancy to opiates because opiates are needed on a daily basis to control pain and misery that otherwise would go untreated. When and if the patient's (not addict's) condition is cured, the physical dependancy can be easily cured by slowly lowering the daily dose until it reaches zero. I suffered needlessly with excruciating pain for nearly two years because my doctors worked for an HMO that discouraged extended opiate prescribing. My doctors flatly told me that they were not comfortable in prescribing narcotics due to the fact that they were faced with outside pressures to greatly limit their opiod prescribing to acute injuries that will heal up in the forseable future. My doctors knew that I lived with a horrible amount of pain and they wanted to help me, but due to the fact that my condition would not get better in the forseable future, I was given no effective pain medications. It wasn't until I was hospitalized for serious suicidal depression due to my constant state of pain, that I was directed to a doctor that was courageous enough to help me. In fact, the pastor of my church is the person that pointed me in my new doctor's direction. I am now on a daily regimine of opiods and my pain is starting to come under control. My depression is leaving me and I am now attending college to finish my degree. As of now, I am physically dependant upon opioids. I do not steal from people or hurt myself or others to get high. My body has simply developed a chemical dependancy to my medication and if I miss a dose, I don't feel well (on top of my normal pain). Looking back, I am angered that I was forced to suffer for so long. There was no reason for it. I have two major diseases, both of them causing severe pain. Yet my doctors and thousands more, were bullied into excluding the use of opioid therapy in treating patients that live their lives in absolute misery. Please, please take my words to heart. Right now there are thousands of sick and afflicted Americans suffering, because their doctor is too afraid to administer opioid therapy that would kill their pain. In conclusion, I'd like to say that I wholeheartedly agree with our war on drugs. But I beseech my fellow countrymen and women, not to make it a war on our sick and afflicted citizens. Let's fight addcition and illegal drugs, not effective and decent medical treatment. Thank you for the opportunity to voice my concerns. Kris Joy




EC -234