FDA’s Opioids Adviser Accuses Agency Of Having ‘Direct’ Link To Crisis

The Guardian Article Here

The Food and Drug Administration is sacrificing American lives by continuing to approve new high-strength opioid painkillers, and manipulating the process in favor of big pharma, according to the chair of the agency’s own opioid advisory committee.

Dr Raeford Brown told the Guardian there is “a war” within the FDA as officials in charge of opioid policy have “failed to learn the lessons” of the epidemic that has killed hundreds of thousands of people over the past 20 years and continues to claim about 150 lives a day.

Brown accused the agency of putting the interests of narcotics manufacturers ahead of public health, most recently by approving a “terrible drug”, Dsuvia, in a process he alleged was manipulated.

“They should stop considering any new opioid evaluation,” said Brown. “For every day and every week and every month that the FDA don’t do the right thing, people drop dead on the streets. What they do has a direct impact on the mortality rate from opioids in this country.”

Brown, an anesthesiologist who chairs the FDA committee of specialists advising the agency on whether to approve new opioid painkillers, said he no longer had confidence in repeated assurances by the FDA leadership that it was taking the epidemic seriously and prepared to put public health above the commercial interests of drug makers.

“I think that the FDA has learned nothing. The modus operandi of the agency is that they talk a good game and then nothing happens. Working directly with the agency for the last five years, as I sit and listen to them in meetings, all I can think about is the clock ticking and how many people are dying every moment that they’re not doing anything,” he said. “The lack of insight that continues to be exhibited by the agency is in many ways a willful blindness that borders on the criminal.”

Brown’s comments echo criticisms by US senators who have condemned the FDA for what they say is its “complicity” in the epidemic, for approving the powerful painkillers that drove the crisis and then failing to use its powers to protect the public as the death toll escalated.

Four US senators wrote to the head of the FDA, Dr Scott Gottlieb, late last year urging him not to allow Dsuvia, a powerful opioid pill, on to the market because it was “to the detriment of public health”.

Dsuvia is a branded narcotic sufentanil pill, a more potent version of fentanyl, made by Californian pharmaceutical company AcelRx. The signatories included Senator Joe Manchin of West Virginia, whose state has the highest rate of opioid overdose deaths in the country.

“This puzzling and unacceptable course of events is unfortunately reminiscent of previous FDA processes and practices that contributed to the opioid epidemic,” the letter said.

The FDA’s credibility has been badly damaged by the opioid crisis amid accusations that at times it behaved less as a regulator overseeing the pharmaceutical industry than a business partner of drug manufacturers. The agency helped unleash the epidemic two decades ago when it approved the sale of a high strength narcotic pill, OxyContin, as safer and more effective than other painkillers on the say so of the manufacturer, Purdue Pharma, and without requiring clinical trials. Since then the FDA has approved other opioids for wide prescribing even as evidence mounted the drugs were addictive, open to abuse and often not effective for long-term use.

The FDA was also embarrassed by revelations that officials responsible for opioid approvals were taking part in “pay to play” schemes in which manufacturers paid to attend meetings to draw up the criteria for approving prescription narcotics.

Donald Trump’s opioid commission identified the failure of the FDA and other federal institutions to properly regulate opioids and their manufacturers as an important factor in the epidemic.

After Trump appointed Gottlieb, the new FDA chief admitted the agency “didn’t get ahead” of the crisis and promised “dramatic” action. He said he favoured examining not only whether an opioid worked but whether it was needed and whether the risks of it feeding the epidemic outweighed benefits for patients.

But that commitment has been called into question by the slow pace of introducing new practices and regulations – and by the approval of Dsuvia, a potent pill developed with the US defense department.

An advisory committee rejected the drug in 2017 over safety concerns. The senators said that they were “deeply troubled” that when Dsuvia was resubmitted for consideration the following year, the FDA excluded members of the agency’s drug safety committee from the hearing. The senators also said they were concerned because the decision was made when Brown, a strong critic of Dsuvia, was absent at a professional conference in San Francisco.

“There’s no question in my mind right that they did that on purpose,” he said. “The FDA has a lack of transparency. They use the advisory committees as cover.”

The FDA is not required to follow the decisions of its advisory committees but has been wary of going against their decisions since 2012, when the agency created a political storm by overruling a decision to reject Zohydro, an opioid 10 times more powerful than regular painkillers.

Doctors and specialists on the committee questioned the safety of the drug and the need for it given the epidemic. The senior FDA official at the hearing, Dr Bob Rappaport, who was head of the agency’s opioid approval division, angered other members by telling them there had to be “a level playing field for business”, which was widely interpreted as putting the right of pharmaceutical companies to make money ahead of public health.

Brown described a breakdown in confidence and trust between his advisory committee and FDA officials responsible for opioid approvals. He characterized them as out of touch with the consequences of the epidemic and locked into a view promoted by drugmakers that those who become hooked are to blame for their addiction not the pills or prescribing practices.

Brown blamed the problem in part on “cozy, cozy relationships between the pharmaceutical industry and various parts of the FDA”. Since a change to the FDA’s funding in the 1990s, the agency division responsible for opioid approvals relies on the drug industry for 75% of its budget. The agency denies the money buys influence.

The FDA declined to respond to Brown’s specific criticisms.

Gottlieb has previously defended Dsuvia by saying it is required for use in circumstances where other drugs cannot be administered, such as a battlefield. The FDA chief promised “very tight restrictions” on its distribution to stop the drug appearing on the illicit market. He insisted the FDA had “learned much from the harmful impact” that prescription opioids have had.

But Brown remains skeptical.

“Nothing is fundamentally being done to effect change in the regulation of opioids. If the FDA continues to encourage the pharmaceutical industry to turn out opioid after opioid after opioid, and the regulation of those opioids is no better than it was in 1995, then we’ll be cleaning this up for a long time,” said Brown.

Chris McGreal is the author of American Overdose: The Opioid Tragedy in Three Acts

We Now Have an App for Detecting Opioid Overdoses

“And that could save thousands of lives since over 130 people die every day due to opioid overdoses, according to the National Institute on Drug Abuse.”
See App Article HERE

My area of focus when studying Clinical Neuropsychology was Substance Use Disorders, & I’ve gotten some hands-on experience in clinics specializing in Vivitrol and Naltrexone treatments to maintain a clean lifestyle for many people on the road to recovery from addiction.

There always seems to be a new types of technology that are designed to help the modern-day addict who happened to may have overdosed ….again. The last pretty innovative gadget was then device picture below. A pocket-size Narcan dispenser that is user friendly to almost any age group that can follow simple spoken directions.

The “The app, called Second Chance, was created by researchers at the University of Washington. By using sonar to monitor a person’s breathing rate – one of the main indicators of an overdose – the app can determine whether a person is overdosing from up to three feet away. And if the phone owner is using opioids all by themselves, the phone could save their lives by automatically reaching out for help.

“The idea is that people can use the app during opioid use so that if they overdose, the phone can potentially connect them to a friend or emergency services to provide naloxone,” said co-corresponding author Shyam Gollakota. “Here we show that we have created an algorithm for a smartphone that is capable of detecting overdoses by monitoring how someone’s breathing changes before and after opioid use.”

And that could save thousands of lives since over 130 people die every day due to opioid overdoses, according to the National Institute on Drug Abuse.

On top of monitoring sound waves, the app as well as monitoring the person’s movement to see if they have lost consciousness. For now, it can’t interact with phone owners, but this is something the creators will look toward in the future.

“When the app detects decreased or absent breathing, we’d like it to send an alarm asking the person to interact with it,” Gollakota said. “Then if the person fails to interact with it, that’s when we say: ‘OK this is a stage where we need to alert someone,’ and the phone can contact someone with naloxone.”

So the smartphone could become the tool that health officials have been desperately seeking to combat the opioid epidemic. ”

-The Website

Suicide Flashbacks

This fucked me up. It is almost an actual play-by-play of my failed suicide attempt. Except I got the cap off, & nothing fell on the floor. Dramatics are on point.

Now with the antidepressants having done some good, seeing this is really screwing with me. I can see the stress I saw in my boyfriend’s eyes, the almost word-for-word dialogue before he carried me to the bathroom, the reality of how she really isn’t just screwing around. That’s me.

I promise new Snowboarding & Suicide Series posts are on their way.  I was working on one when I saw this, & I need a minute. Dab pen time.

How Big Pharma Profits From Overdoses & More News On America’s Opioid Epidemic

I used to be a drug addict. I haven’t touched an opioid since August 22, 2011, but I get the struggle and barely made it out. I can’t count on all of my fingers and toes how many of my friends and acquaintances have died from overdoses. I know if you are in the throes of addiction, this won’t make you quit, but keep it in your back pocket.

I don’t know why I am surprised at these headlines anymore:

Study Finds Disturbing Link Between Opioid Overdose Deaths And Big Pharma Payments to Doctors

Opioid Makers Are Looking Especially Evil This Week

*The rate of overdoses AMONG FUCKING CHILDREN has doubled.
*The percentage of opioid overdoses seen in emergency rooms across the country has gone up 30%
*The life expectancy in the U.S. is down because of the spike in OD’s.

CNN provides a really informative “visual guide” for these statistics
America on Opioids

**A little dated, but number of overdoses has greatly increased even since 2015

Be well. Always here for support

“Break The Silence For Suicide Attempt Survivors” A TedTalk

“Research shows that 19 out of 20 people who attempt suicide will fail. But the people who fail are 37 times more likely to succeed the second time. This truly is an at-risk population with very few resources to support them. And what happens when people try to assemble themselves back into life, because of our taboos around suicide, we’re not sure what to say, and so quite often we say nothing. This causes further isolation”

Quote from https://www.ted.com/talks/jd_schramm?referrer=playlist-the_struggle_of_mental_health&utm_campaign=tedspread&utm_medium=referral&utm_source=tedcomshare
I love this quote.

There is so much truth in this quote. After I survived, I almost did the exact same thing 5 days later. I was still scared to tell most of my support system & was not the least bit grateful or happy to still be alive. Half of the time I did not know how people would react, & half of the time I worried I would be committed to a Psychiatric Ward for Observation. There is massive stigma even around mentioning suicide, let alone discussing a failed attempt. It is hard to decide to live. You can do it, though!