Abuse Deterrent Formulations (ADF) Allow People in Pain Better Access to the Medications They Need

Abuse Deterrent Formulations (ADF) Allow People in Pain Better Access to the Medications They Need

By Ken Taylor, Executive Director

Power of Pain Foundation

7/7/14

I have been an advocate for people in pain for eight years. I’m also a caregiver. Over the years, I have noticed a shift in the discussion of opioids; it seems less about patients who use them properly and more about the possibility of abuse. Opioids remain an important option in the treatment of chronic pain,but even patients who take medications as prescribed may feel their access to opioid analgesics restricted.

People in pain need safe, effective and accountable access to the proper medications. While providers, pharmaceutical companies and the Food and Drug Administration (FDA) continue to address abuse issues while ensuring appropriate access to opioid analgesics, there is more that can be done.

An important step is the creation of safer opioid analgesics.Referred to as Abuse Deterrent formulations (ADF), these opioids are developed and formulated to resist alteration and therefore deter abuse. The FDA considers the development of these products a high public health priority. And I agree.

Four Ways to Ensuring Proper Access to  Care

Strong and lasting solutions to the opioid health crisis depend on state and national pain policy. I encourage the pain community to help ensure that access to care remains a high priority for the millions of patients who need and take medications responsibly. As advocates, we can:

  1. Help define ADF technology. States need advocates to help define ADF based on FDA guidance.
  2. Support and create legislation which allows non-ADF products from being substituted by pharmacists for ADF,without approval of the prescribing health professional. This legislation should ensure that unless the substituted opioid is also a non-ADF or consent is obtained from the prescribing health professional, a pharmacist would be prohibited from substituting another opioid for an ADF.
  3. Advance patient safety. State legislation should place a high priority on ADF opioid market places where more ADF treatment options exist; and pharmaceutical companies should create these safer medications making them more readily available for pain patients.
  4. Support the removal of barriers to non-opioid therapies as a first line of treatment for pain.

As a leader in the pain community, I work hard to provide access to care for people in pain. I encourage patients and caregivers to learn more about ADF and pain legislation. I hear from patients around the country almost daily who are having trouble filling prescriptions as written. ADF’s can be a step in the right direction. There is a balance between safe opioid use and abuse;but it will require individuals to speak up and take action.

To learn more, visit www.powerofpainfoundation.org

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BBC News – People asked to blog about their mental health illness

People with mental health conditions such as depression, anxiety or schizophrenia are being asked to write about their lives online.

via BBC News – People asked to blog about their mental health illness.

(Pressed)

Health News – First Hospital to Implant Latest Spinal Cord Stimulator for Pain Relief

logo30/10/2014 20:27:00

ALBANY, N.Y. — Albany Medical Center recently was the first hospital in the nation to implant the latest device in spinal cord stimulator technology to address chronic pain in backs and legs, among other areas.

Health News – First Hospital to Implant Latest Spinal Cord Stimulator for Pain Relief.

(Pressed Post)

Binaural Beats, Relaxation and Meditation

hs-process1Binaural Beats can be a beneficial add to your toolbox. These beats help induce meditation, relaxation and sleep. I’ve used them for sometime now. Due to the frequency ear buds or ear phones are needed. Regular speakers will not work. The frequency and tone cannot be heard. Even with your ear phones it is light. This is why I find Binaural’s soothing and helpful.

Here are a few to get you started. I have many more. There are also soothing sounds applications you might enjoy. Sounds of birds chirping, wind blowing, the ocean, leaves rustling, My 2 favorite Apps for these types are Relax Melodies: Sleep & Yoga and Natural Sounds Relax and Sleep. They are both available on Amazon for Kindle and Google Play Store for free. Once you’ve learned how to relax, stress reduces and when stress subsides so does physical pain. Over the years, I have learned to become conscious of the extra pain I cause myself by tightening my muscles. For the longest time I had no idea that I did it. Practicing relaxation and releasing physical and mental tension a few times a day can relieve the body and mind of added torture.

Always be as well as you can be.

I hope you enjoy!

 

Deep Sleep ~ Pure Tone Binaural Beat

4 Hours Mountain Stream – Relaxing Nature Sounds

“Deep Sleep” – Isochronic Binaural Beats ★ Fall Asleep Fast

Sleep Induction and Lucid Dreaming Binaural Beats ~ Memorable Vivid Dreams

2 Hours Lucid Dreaming Hypnosis for Deep Sleep & Good Dreams

8 Hour Deep Sleep Music: Delta Waves Sleep Meditation, Deep Sleep, Inner Peace

Deep Sleep & Binaural Beats Meditation & Relaxation Music for over 1 hour

Alpha Binaural Beats for Relaxation, REM Sleep, Lucid Dreaming, Visualisation, 4 HOURS

 

2014 National P.A.I.N. Summit ATTEND IN PERSON OR ONLINE – FREE

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Power of Pain Foundation is hosting a charity event at the Chandler Center for the Arts on November 14, 2014.

 

Its education by day and entertainment at night…

 

Please let your group members know about this great twofer event… 2 events, 1 date, 1 location.

 

The 8th Annual P.A.I.N. Summit (Preparing Against Intrusive Neuropathy) hosted by the Power of Pain Foundation. This event provides a great avenue to pain education for providers, patients and their caregivers. This year’s conference consists of an exhibit area and educational sessions that focus on better diagnosis and treatment options for pain patients, motivational presentations, chronic pain issues (as a whole) and an integrative approach to pain care.  From 9am-5pm
RSVP FREE via Eventbrite: http://www.eventbrite.com/e/pain-summit-tickets-11811537627?aff=efbevent

Comic Pain Relief featuring hypnotist, Tom DeLuca. Tickets at: http://chandlercenter.org/performances/1114.html#comic Doors open at 6pm Show starts at 7:30. Pre-event activities: Orange Carpet, Silent Auction, Patient Talent Showcase, display of the International RSD Awareness Quilt Project, Presentation of the Melanie McDowell Pain Awareness and Advocacy award and more. Tickets from $10.

If you have any questions please email or call me: Barby Ingle, 480-882-1342 or barby@powerofpain.org


Can’t wait to meet you there! 🙂

 

Back From Leave- Update

doing-it-in-gods-strengthCame back from leave about a week ago. Trying to get back to my volunteer related activities and other endeavors. I don’t know how often I will be on and won’t be available for all things. Living with Narcolepsy on top CRPS and the rest isn’t easy either and I don’t take medication to wake me up, so I do the best I can with that. It’s extremely hard to have so much going on and it seem so unreal to outsiders looking in, listening, reading my posts. I wake up at times and it’s takes me a few minutes to realize it’s not a bad dream, but soon enough I know it’s the ongoing reality. As some of you know, I’ve been sharing some of my daughter Kharisma’s story under blog posts “Taking a Break” and a little on FB. I just haven’t yet given any specifics. When she seen the Specialist yesterday, we were left confused. He stated he believed the hospital assumed the previous diagnosis due to the size and placement of the lesions on her liver, especially the largest which is resting at the side of the liver wall. He seems like a good doctor.  I’m glad he’s reviewing instead of jumping right into invasive pokes.  I will go ahead and reveal the first believed to be diagnosis now as he thinks it may be another type of cancer instead. The first was Epithelioid Hemangioendothelioma. I had a hard time with it.

For more information,

Towards a Proper Diagnosis and Understanding of the Pathogenesis of Epithelioid Hemangioendothelioma

Now he is reviewing her Biopsies, MRI, CT, Blood tests, X-ray’s and all records before ordering the repeat Biopsies. Now he thinks she may have Colon Cancer. What, how? I research everything I can get my hands on. While people can have Colon Cancer and not even know it and even perhaps have no symptoms, she doesn’t have any symptoms of Colon issues. Only the pain. Pain I know because of my  own liver issues and removal of lesions with my second Gall Bladder surgery just 15 months ago. We’re still left without definite answers so treatment is still in the future. Many more appointments. She’s 26, our oldest and the mother of our 8 year old Grandson.

2 days after the injury to my right hand our 17 years old son Kurtis finally had his appointment at Shriners Children Hospital in Sacramento. We learned that his Degenerative Disk Disease was not the results of his brain injuries when he was 15 and diagnosed with DDD at 15, but instead Congenital Defects of the Spine. He was born with Spinal Stenosis and Spondylosis. We’ve known for 2 years that his 2 of his disks have thinned greatly and now we know they’ve (L2 and L4) deteriorated further with Neuropathy and that he also has a tear at S1.  Yep, my heart broke again. He’s a 4th year Sheriffs Volunteer. Many awards. Even from Senator Steinberg and the California Legislature.

All I could do what tell him/post to him –

“Kurtis, You never knew you were born with it,

Go on like you still don’t. ~Mama”

I was born with Arthritis, too. I went on through life as if it wasn’t apart of me. I’m not saying it didn’t hurt, but the more you dwell on pain, aches, what you can do, might do, or have to rest from the more you give up on life.

I didn’t. I still played 8 years of softball and made sure that when I began working it was on my feet. Moving. All Kurtis needs to do right now is protect his back and spine by moving it or losing it. There are no options for surgery at this time and he will not be placed on any pain medication.  He is strong and he has goals for the future.

Kharisma, while going through all this has been promoted at work and is seeming doing well.  It’s always ‘seemingly” isn’t it?. We are fighters! We just hide most of it that’s how we go on. Emotions.

And then there’s Erykah, our daughter who is getting ready for her and her other half to move into their first home next week. A beautiful home. How can I not feel bad for her, I know she’s pained too, getting lost in all the medical health chaos of her family. She was our Army girl.

The human body when it reaches a certain point in pain will pass out, shut down, the human psyche will either hold on, break, come back, attempt, or kill itself.  It’s emotions that take control of the mind.  It really hurts to hurt. None of the above includes my husband, or myself. Not really. Not any of his medical appointments, PT, etc. And me, I’ve put mine on hold, I had to, my 5 lights will always come first.

So here we are the ride isn’t over, there’s still another story I haven’t shared yet, not in its entirety. When I do, I want it to help others. It may be later down the line.

That injury I sustained was without a single pain pill. I’m not saying it didn’t hurt or it isn’t hurting, I’m just saying (for me) I didn’t have to go there. #StrongerThanPain I still haven’t and on the 15th it will be a month. Vitamin C, Ibuprofen, deep breathing, meditation, focal points and going to my happy place in my mind where there is no emotional pain. Where there are no mis diagnosis’, and delayed help. Those lesions were found on my daughters liver 16 months ago, but she was dismissed due to no insurance (assumed). Or maybe just because it didn’t seem important enough at the time. My happy place where we’re all camping at Rumsey in Yolo County. Our spot for several years.

Change the direction of your mindset and you change the direction of your pain.  ~T

 

 

 

 

 

RSD/CRPS Poetry Contest

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RSD/CRPS Poetry Contest

Tell us your thoughts on this monster’s effects on you, to be shared in the month of November for awareness.

Rhyming or non, doesn’t matter. All that matters is getting the word out that this disorder is complex and debilitating, that it’s affect reaches far beyond the patient, to family and friends.

And tell the flip side, the friends you’ve made, new skills you’ve learned, gratitude gained.

What’s your story?

Send your unpublished poem(s) to mgonzales182@comcast.net .

The prize for the winning poem (1st place) will be a $25.00 donation to American RSD Hope in your name.

 

Submission deadline is Wednesday, October 22, 2014

Vaca woman continues to advocate for those with painful nerve condition

Pain Awareness Month 2014

Read Jo Hewitt’s story here

http://www.thereporter.com/news/ci_26449322/vaca-woman-continues-advocate-those-painful-nerve-diseases

She also founded the Jingle Bell Benefit Run/Walk to Candy Cane Lane two years ago to benefit RSD and raise awareness by doing an annual event.

This years event will be held on December 11, 2014. Find Jo on Facebook for more information and to see how you can help.

RSD MEDICAL TREATMENT EXPENSE by Sara Elizabeth – GoFundMe

Pain Awareness Month 2014

Help Sara move forward in her life by considering to support her medical treatment fund. Sara, like many of us has CRPS/RSD and is trying hard to work toward her dreams.

RSD MEDICAL TREATMENT EXPENSE by Sara Elizabeth – GoFundMe.

Nerves, Estrogen, Dr. Mikovits and Paradoxes: The INTiDYN Approach to Fibromyalgia and Chronic Fatigue Syndrome

“They used their ability to provide detailed analyses of microvasculature and the vascular sensory and autonomic nerves innervating the skin in their Fibromyalgia study. That study grew out of work they’d done with chronic regional pain syndrome CRPS patients.”

via Nerves, Estrogen, Dr. Mikovits and Paradoxes: The INTiDYN Approach to Fibromyalgia and Chronic Fatigue Syndrome.