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Oct-22-2012 19:32printcomments

'Pseudo-Addiction' - Nucleus of the Prescription Drug Epidemic

"If you tell a lie big enough -- and keep repeating it -- people will eventually come to believe it." Joseph Goebbels (Hitler's Minister of Propaganda)

J. David Haddox, DDS, MD
J. David Haddox, DDS, MD

(MYRTLE BEACH SC) - I have written over the years on someone I refer to as "the gatekeeper" of the prescription drug epidemic we are fighting in all 50 states and Canada. His name is J. David Haddox, DDS, MD, Vice President, Health Policy of Purdue Pharma, maker of OxyContin. OxyContin is synonymous with the words "death" "addiction" "overdose" and "abuse." Haddox was instrumental in pushing OxyContin to the medical profession as less likely to be addictive or abused by coining a word "pseudo-addiction." There was little if any scientific studies on the word pseudo-addiction, but Haddox ran with it and convinced the medical profession that if patients exhibited signs of addiction, it was in fact "pseudo-addiction.".

The definition of Haddox's word "pseudo-addiction" is A drug-seeking behavior that simulates true addiction, which occurs in patients with pain who are receiving inadequate pain medication. So Haddox's message to the medical profession was "more" is appropriate when treating patients with dangerous narcotics -- and the medical profession bought it. In the meantime, Haddox's employer, Purdue Pharma made billions of dollars in the sale of their drug OxyContin.

I maintain this one word "pseudo-addiction" was the nucleus in the prescription drug epidemic we are fighting - made a pharmaceutical company who lied about the dangers of their drug, OxyContin wealthier beyond their expectations and launched J. David Haddox, dentist turned physician as the messenger in misleading a very gullible medical profession into the true dangers of addiction.

Links to some of my writings about the illustrious Dr. Haddox are provided here -- http://www.salem-news.com/articles/october302009/purdue_.php, http://americannewsreport.com/we-dont-want-physicians-to-be-cops-we-want-them-to-be-honest-8814376  http://www.salem-news.com/articles/june212011/oxycontin-abuse-ms.php

This month, Haddox presented the keynote address at the American Medical Association - National Task Force on CME (continuing medical education). Haddox began his address by saying "I am human --therefore I am biased." He went on to discuss his current position at Purdue Pharma working his way up the corporate ladder over the last decade plus. He also mentioned that he had been past president of pain foundations which coincidentally are financially fed by Purdue Pharma.

Whether it was sheer arrogance at his ability to be such a force in prescription drugs being over-prescribed resulting in this epidemic, or his cavalier attitude, Haddox delivered this line "Conflicts are so pervasive—they can't be avoided," Interesting statement coming from "the gatekeeper."

He talked about a medical society that asked him to speak about an FDA initiative to address the prescription drug epidemic called Risk Evaluation & Mitigation Strategy (REMS). The medical society subsequently withdrew their invitation for Haddox to speak about REMS. Seems they had a problem with allowing a pharmaceutical spokesperson to be an "expert" on REMS.

But Haddox didn't agree with the medical society and countered with "Who better to talk about it?" I counter with why should the person responsible for misleading the medical profession about the dangers of addictive painkillers be the spokesperson for an FDA generated directive? Now that's a conflict of interest which falls right on the shoulders of the FDA.

Haddox further stated "Who knows the product safety profiles best? I know my products better than the FDA does. Perhaps industry should be the ones to review REMS CME content." Further he thought it was a "radical idea."

And I counter with -- we are allowing the fox to guard the hen house with this guy aligning himself as spokesperson for the FDA after misleading the medical profession about the dangers of opioids with one word -- "pseudo-addiction."

Haddox delivered this statement in his keynote speech “If they see something in two patients, they call it a series. When they see it in three patients, they say, ‘I see it in patient after patient after patient.’”

Sort of like if you make up a patient study of one patient and use the word "pseudo-addiction" in your scientific study, is it a study -- or is it as bogus as asking J. David Haddox to explain the FDA's generated REMS to the medical profession? I think the gate should be shut closed on Purdue Pharma's "gate-keeper". We have enough death and addiction without giving Haddox another 15 minutes of arrogant fame.

 
LP - I vehemently keep on ticking even when the clock is broken. After all it is correct twice a day. Your new clock has arrived and is in the mailbox with love.
 
 
Investigative Reporter for Salem-News.com on drug epidemic
908-285-1232

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Salem-News.com Investigative Reporter Marianne Skolek, is an Activist for Victims of OxyContin and Purdue Pharma throughout the United States and Canada. In July 2007, she testified against Purdue Pharma in Federal Court in Virginia at the sentencing of their three CEO's - Michael Friedman, Howard Udell and Paul Goldenheim - who pleaded guilty to charges of marketing OxyContin as less likely to be addictive or abused to physicians and patients. She also testified against Purdue Pharma at a Judiciary Hearing of the U.S. Senate in July 2007. Marianne works with government agencies and private attorneys in having a voice for her daughter Jill, who died in 2002 after being prescribed OxyContin, as well as the voice for scores of victims of OxyContin. She has been involved in her work for the past 8-1/2 years and is currently working on a book that exposes Purdue Pharma for their continued criminal marketing of OxyContin.

Marianne is a nurse having graduated in 1991 as president of her graduating class. She also has a Paralegal certification. Marianne served on a Community Service Board for the Courier News, a Gannet newspaper in NJ writing articles predominantly regarding AIDS patients and their emotional issues. She was awarded a Community Service Award in 1993 by the Hunterdon County, NJ HIV/AIDS Task Force in recognition of and appreciation for the donated time, energy and love in facilitating a Support Group for persons with HIV/AIDS.

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Raina Zebo March 1, 2013 1:08 am (Pacific time)

There is a huge difference between an addict seeking a high and a pain patient seeking relief. It's that simple. Once the pain is alleviated the drug seeking ends. Not so with the addict. The drug seeking continues to their detriment. The attitude expressed in this article has caused unnecessary anguish for the pain patient not only labeled an addict but suffering the loss of adequate pain management.


David Scott October 24, 2012 3:58 pm (Pacific time)

I have yet to see studies showing that patients who are < legitimately and eithically > prescribed Oxycxontin for palliative care are likely to form an addiction to it. The reaseach I am familiar with shows that a majority of oncologists and cancer survivors report no "high" from the drug and no wish to continue with it after the pain has been reduced through treatment or other pain management options. In my medical experience, patients are more likely to discontinue it themselves due to unpleasent side-effects and just "live with the pain", which is not recommended. Douglas Benson (above comment) is correct in that undertreatment for pain is well documented and a serious problem, especially in elder care and cancer treatment. The abuse of "Oxy" as a street drug and by inethical or uninformed doctors has only worsened this problem. It should never be used to treat anything but very severe, otherwise unmagaeable pain, but for that it has been a Godsend for many cancer survivors and the terminally ill. We need to have informed discussions about the proper use of ALL medications and the future of palliative care, but let's not confuse the issue with addiction statistics that to proper use of the medication. Thanks, David.


Douglas Benson October 23, 2012 10:02 am (Pacific time)

Marainne keeps writing about this but wont talk about the fact that the Sup Court has ruled that doctors must treat pain adequately which Haddox is complying with . The problem of undertreatment for pain is a well documented fact that the sup court addressed and doctors can find themselves in legal trouble if they do not treat pain sufficiently . I would like Marainne to respond to this issue,but I doubt she will. Peace

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