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Thread: Trying to understand pain management and culture in the USA from a land down under

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    Default Trying to understand pain management and culture in the USA from a land down under

    Over the years I've noticed how PR is generally USA oriented so as an 'outsider' looking in, per se, I've tried to understand how anyone can be prescribed in excess of 160mg a day of OC.

    Chronic pain management down under is generally treated short terms with instant release for break through pain totally 5-10mg MAX whilst supplemented with 10-20mg daily of OC. Later to be referred for specialist management involving either surgery, physiotherapy, psychology and exercises with non-steroidal meds given for the pain and very rarely tramadol. Almost never will anyone be given a script of more than a 28 count of any strength OC and definitely not with any repeats.

    This is of course the case with people that are sent home, not in the case of palliative care or within hospital.

    With all that's going on with Purdue, I find it so difficult to wrap my head around how anyone ends up on over 160mg daily (honestly I don't understand how anyone is on more than 60mg daily).

    Is it a difference in culture or attitude towards pharmaceutical narcotic pain killers? Seeing as in the past year, codeine has been completely scheduled higher and is no longer available OTC (previously available with cold medicine in 8mg per tablet or with paracetamol (APAP) 15/500 dosage) replaced with stricter controls and upscheduling. This was due in part to a prominent Australian rapper opening up about his addiction to these formulations and the ease of access.

    I know that down under we are very well supported regarding extra services and free healthcare, which I think also factor into this a hit, but any informed opinion would be appreciated.

    Cheers
    a single plum, floating in perfume, served in a man's hat

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