Requests that the FDA produce a study on control of alprazolam products in relation to the overall effect on the Opioid crisis in the USA.
Citizen Petition CDER Justice for Jake produce a study on control of alprazolam products in relation to the overall effect on the Opioid crisis in the USA OPEN
2018-08-10 2018-03-19 2018-07-25 2018-07-25 2018-08-10 2018-08-14
FDA-2018-P-0673-0007 FDA-2018-P-0673-0004 FDA-2018-P-0673-0005 FDA-2018-P-0673-0006 FDA-2018-P-0673-0008 FDA-2018-P-0673-0010
04:00:00 04:00:00 04:00:00 04:00:00 04:00:00 04:00:00
https://api.regulations.gov/v4/comments/FDA-2018-P-0673-0007 https://api.regulations.gov/v4/comments/FDA-2018-P-0673-0004 https://api.regulations.gov/v4/comments/FDA-2018-P-0673-0005 https://api.regulations.gov/v4/comments/FDA-2018-P-0673-0006 https://api.regulations.gov/v4/comments/FDA-2018-P-0673-0008 https://api.regulations.gov/v4/comments/FDA-2018-P-0673-0010
Anonymous Anonymous Anonymous Anonymous Anonymous Anonymous
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If someone is poisoned by lacing punch, gummie bears or whatever, it is not the drugs fault, it is the person delberately tampering with the food, beverage committing murder. Does the date rape drug take the rap when someone puts it in another persons drink? Is it guilty of the crime?Despite what ignorant individuals are stating, the only people suffering from the opioid crisis are the people that need the medication to live. The lives of people with horrible medical conditions have been destroyed. The lives of the elderly have been destroyed. The correct od stats are 17k. People do not take the time to fact check the current fad.  Govt quietly corrects data while continuing to disseminate erroneous data, MILLIONS OF PEOPLE WITH ILLNESSES WHO PREVIOUSLY WERE ABLE TO FUNCTION, CONTRIBUTE TO SOCIETY ARE NOW INCAPACITARED AND IN EXRUCIATING PAIN. YOU HAVE DESTROYED THEIR LIVES AND THEIR FAMILIES AND WE BY FAR OUTNUMBER THE POOR LITTLE ADDICTS WHO COULD CARE LESS ABOUT ANYTHING OTHER THAN GETTING THEIR ILLEGAL FIX ON THE STREET.THE SICK ARE NOW COMMITTING SUICIDE DUE TO NONSTOP PAIN.STOP PICKING ON PEOPLE WITH ILLNESSES OF ANY KIND.THERE SHOULD NOT BE A SIGN IN A CANCER DOCTORS OFFICE STATING THEY CANNOT GIVE YOU THE MEDICATION YOU NEED FOLLOWING CHEMO AND RADIATION.THE DEA LIES ABOUT DRUG SHORTAGES FOR THE SICK, WHILE THE FDA WEBSITE LISTS THEM AS SHORT.IGNORANT AMERICANS YET TO BE AFFECTED BY THE FACT THAT PAIN KILLS CONTINUE TO PREACH WITHOUT KNOWING THE CORRECT STATS OR THE TRUTH.PERSECUTION OF PEOPLE IN PAIN OR ANY ILLNESS NEEDS TO STOP.MAKING IT HARDER FOR SOMEONE THAT MEDICALLY NEEDS OPIOIDS OR XANAX IS IRRESPONSIBLE.Figures Lie and Liars Figure  Why the Demographics of the So-Called Prescription Opioid Crisis Dont Work, Richard  Lawhern, National Pain Report, 11/17/17http://nationalpainreport.com/figures-lie-and-liars-figure-why-the-demographics-of-the-so-called-prescription-opioid-crisis-dont-work-8834839.htmlCDC Researchers State Overdose Death Rates From Prescription Opioids Are Inaccurately High, CATO INSTITUTE, JEFFREY A. SINGER, 3/22/18https://www.cato.org/blog/cdc-researchers-state-overdose-death-rates-prescription-opioids-are-inaccurately-highAre Prescription Opioids Driving the Opioid Crisis? Assumptions vs Facts. Rose ME1.Pain Med. 2018 Apr 1;19(4):793-807. doi: 10.1093/pm/pnx048.https://www.ncbi.nlm.nih.gov/pubmed/28402482B.C. doctors cant limit opioids or discriminate against pain patientsCAMILLE BAINS, VANCOUVER THE CANADIAN PRESS, 6/6/18https://www.theglobeandmail.com/canada/article-bc-doctors-cant-limit-opioids-or-discriminate-against-pain-patients-2/The Opioid Epidemic In 6 Charts Designed To Deceive You, ACSH, Josh Bloom, 10/12/17https://www.acsh.org/news/2017/10/12/opioid-epidemic-6-charts-designed-deceive-you-11935The truth about the US opioid crisis  prescriptions arent the problemMarc Lewis is a neuroscientist/author on addiction, The Guardianhttps://www.theguardian.com/commentisfree/2017/nov/07/truth-us-opioid-crisis-too-easy-blame-doctors-not-prescriptionsFentanyl  Heroin Deaths Lead Soaring Overdose Rate, 12/21/17, PNNhttps://www.painnewsnetwork.org/stories/2017/12/21/fentanyl-heroin-deaths-exceed-overdoses-from-pain-medsWhy Untreated Chronic Pain is a Medical Emergency1/28/18 by Pharmaciststeve http://www.pharmaciststeve.com/?p=23988Untreated Chronic Pain can Kill!  6/20/17 Suzanne Stewart, NPRhttp://nationalpainreport.com/untreated-chronic-pain-can-kill-8833859.htmlCDC Report Ignores Suicides of Pain Patients, June 07, 2018, Pat Anson, PNNhttps://www.painnewsnetwork.org/stories/2018/6/7/cdc-report-ignores-suicides-by-pain-patientsJeffrey M Geurin, Staff Sergeant, United States Air Force 1997-2008https://www.regulations.gov/document?D=FDA-2018-N-1621-1264Why Living In Pain Will Eventually Kill You, By Kristin Hayes, RN, 7/27/17https://www.verywell.com/why-living-in-pain-will-eventually-kill-you-3972227Response to: FDA-2017-N-5608 by: Stefan G. Kertesz, MD, MSc and Ajay Manhapra, MDU Alabama at Birmingham School of Medicine  Yale School of Medicine https://www.regulations.gov/contentStreamer?documentId=FDA-2017-N-5608-0938attachmentNumber=1contentType=pdfTime:  Report: Chronic, Undertreated Pain Affects 116 Million AmericansBy Maia Szalavitz 6/29/11http://healthland.time.com/2011/06/29/report-chronic-undertreated-pain-affects-116-million-americans/10 Myths About the Opioid Crisis, Pnn https://www.painnewsnetwork.org/stories/2017/12/24/10-myths-about-the-opioid-crisisThe other opioid crisis: hospitals are running short of powerful painkillersPAULINE BARTOLONE, KAISER HEALTH NEWShttp://www.latimes.com/business/la-fi-opioid-painkiller-hospitals-20180316-story.html#In the midst of a massive opioid crisis, hospitals are experiencing an opioid shortageAaron Schachter, 5/14/18https://www.marketplace.org/2018/05/14/health-care/midst-massive-opioid-crisis-hospitals-are-experiencing-opioid-shortage We highly object. Making it difficult for people who legitimately need medication is not the way to stop overdoses from illegal street drugs which are many times laced with heroin. The majority of deaths are due to ILLEGAL drugs bought on the street.  By restricting opioids and in this case xanax, you are only driving up the black market for these illicit drugs. People who actually need these medications are being denied access and in some cases are probably now desperate enough to try impure illegal drugs in order to manage medical conditions. Who benefits? The drug cartels which now have even more people to sell to as  restricting access has now driven up demand.  Since the crackdown on opioids began, we now have even more ER overdose cases.  Guess what, they arent from legitimate prescriptions, but street laced copies especially fentanyl.  And for the record, someone could just as easily kill them-self with alcohol (a central nervous system depressant) tobacco, tylenol, aspirin, antihistamines...To combat illegal drugs, you should be looking to the DEA to crack down on drug cartels, pill mills and hey how about looking into those drug and alcohol Rave parties. Children and teens need to be properly educated by their parents. It is time for people to start taking responsibility for themselves and to stop blaming drugs. This is like blaming steak knives for every stabbing death and banning them. What about butter knives?  They can kill as well. And knives dont just get up off the table and stab someone, just like drugs dont just jump out of their bottle into peoples mouths or up their noses. There will always be something illegal on the street that entices some people to get high. Targeting legitimate prescriptions only creates additional suffering and hardship for those that need the medication, while those abusing it still have access to their illegal supply. In order to ensure that Alprazolam (Trade Name Xanax) be more strongly controlled in distribution and use I support moving it from Schedule 4 to Schedule 2.In the United States the drug continues to show up in overdose cases implicating it as a contributor to overdose situations which lead to hospital visits, temporary or permanent debilitation and death. I find this petition to be in good order becamse Alprazolam has an actual and growing potential for abuse not only of the drug by itself but in combination with other drugs such as both the natural and synthetic opioids.Scientific evidence of its pharmacological effect continues to indicate it is a serious mood, mind and body altering drug which must be distributed in only rare cases.The state of current scientific knowledge regarding the drugs interactions with other drugs, such and natural and synthetic opioids as well as the psychiatric states it can trigger have been recorded in studies that the manufacturers continue to marginalize.Over the course of its (relatively) brief history a pattern of abuse has arisen for the drug itself and it is now being used in combination with other drugs to create specific life endangering effects.The scope, duration, and significance of abuse is increasing at a high rate over time.  The control of the current supply has clearly been lost.The risk there is to the public health continues to be loss of mental ability, physical ability and life.  The debilitating effects of the drug lead to the curtailing of economic activities by family members which damage growing children, other family members and the entire community in which these tragedies occur.  Death is also expensive.The psychic and physiological dependence liability is clear and warned about.  It is hard to manage with an individual of general intelligence and strength let alone someone suffering from the very symptoms this drug is supposed to alleviate. I am a 55 year old female and disabled since MVA in 2005. I am a RN and worked as a nurse for 35 yrs. I have had multiple surgeries due to the accident and also was diagnosed with Hep C that was contracted in the late 80s from a blood transfusion. I was infected for more than 20 years before being aware and it quietly destroyed my liver. I was blessed to bedcover a perfect match at the very last moment and I have been cured of the Hepc now. However I continue with severe chronic pain and my new liver has complicated my options for pain relief. My doctors had found the best medication for me wS Fentanyl patch. It worked well for me for many years. My life and activities were greatly improved. My liver health had been great for 5 years. Since the opioid rules I have lost two of my PCP because they could not prescribe to me. My liver enzymes have been spiking since they took the patch away. My BP has been extremely high at times. I have allergies to a few pain medications and many I simply cant have for reason of causing harm to my liver. Now being sent your in paon management clinics that insist on painful injections that I was told by my doctors I could not have. I pay huge copays and family must run me to appointments that last for hours. They never put hands involved me nor read my piles of records. They send me for repeated Scans MRIs and such for proof that I already have in my records. I am now on oxycodone pills that they previously took me off due to allergy. I continue to have pinching in my liver and my daily pain is 9-10. I never sleep through the night due to constant pain. I need more oregano surgeries but due to my health now I worry about the risks. My life now is very difficult I am depressed and tearful most days. I have 5 sons and 4 grandchildren and fur to my pain I rarely can participate with them and depression again.Before all of this Opioid crisis my quality of life was good. Pain was minimal and I enjoyed my family had normal relations with my husband. I even thought I could possibly work a few hours a week sitting at a desk. I very much miss my job as a nurse. Even if u could not go back to work at least I felt a timed I could be purposeful. Its no longer the case.all I can do now is happily retire and spend days enjoying life and my grandchildren Burbank thats option is gone. I have to have pain control and the proper medication that does not harm me. Like it or not Fentanyl worked well and I had  complications. I seem to put that small percentage that. Policy and lawmakers has not considered. I refuse to have my life taken away after all I have been through. I want my PCP back and not be told he will risk losing his license to care for medical  I am a 41 year old disabled women. This is ridiculous on how Congress want to restrict the people who really need pain meds even more. I had to get 3 spinal surgeries and still have pain, muscle spasms, permanent nerve damage and pain. It is hard doing everyday activities. In my spine I have 15 titanium rods, 4 cages and 2 spacers. My back is permanently damaged. I have depression and anxiety disorder. It is a hassle to see the doctor and they consumed with the fear of prescribing pain meds. What are the people with real pain going to do? You guys are going at this wrong. Us economically disproportionate patients will suffer. The people with money will have access. I am tired of the lack of care. The state of Florida medical is worse. I am always compliant,  get drug tested and go to my appointments. Why do I have to suffer? I object to this matter. I have been on alprazolam for 4 years. Obtaining this medication was not simple. I had multiple breathing attacks during the day, Ive had my left side go numb, and multiple physical symptoms due to severe anxiety. The stigma already surrounding mental health is a hindrance to individuals who seek care. Why make this more complicated thus increasing the likelihood of self medicating a mental issue? This issue would been seen heavier on other sides such as alcohol as patients self treat anxiety in ways not helpful. Stop hindering the accessibility to mental health, and medications used appropriately are far less likely to be abused, because when someone needs it, they dont feel it. I dont feel Xanax. I begin to have a normal heart rate and other symptoms gone. Yes counseling helped give me tools to help, but xanax is also a necessary tool. We deserve a quality of life. We did not choose this. 