Finn, Kenneth. “Why Marijuana Will Not Fix the Opioid Epidemic.” Missouri Medicine 115.3 (2018): 191-193. Web.
Voelker, Rebecca. “States Move to Substitute Opioids With Medical Marijuana to Quell Epidemic.” JAMA 320.23 (2018): 2408-2410. Web.
How the Back Pain Industry Is Costing Us More and Giving Us Less—and What You Can Do to Inform and Empower Yourself in Seeking Treatment
The first two sources being peer-reviewed articles I made my research very specific towards the question I have. Looking at the opioid epidemic and marijuana is a pretty popular topic and has a decent amount of research already done. But, I noticed a lot of subtopics arise as I kept reading with things like other countries and looking at illegal opioids like fentanyl and heroin would be productive. The first article looks at how Medical Marijuana would have no effect on the opioid epidemic which is counterintuitive at first but point me towards the challenges of proving that Marijuana can replace opioid-containing drugs. Some valuable information I learned was that it can help curb the epidemic but will not solve it. The research is still unsubstantial and is used better as a companion dug rather than as a primary treatment. Marijuana is a companion drug rather than substitution drug and that marijuana use may be contributing to the opioid epidemic rather than improving it. Now the challenge lies in trying to see how people who are pro-Marijuana treatment respond. The article looks at statistics that both help my case and contradict it. For example, although there is evidence of fewer prescriptions for opioids in legal states; Colorado saw the highest opioid related deaths in 2017 despite legalization starting in 2011. There is also information that ties part of the problem to illegal opioids by the cartel. Saying that when legalization started the cartels saw a 40% decrease in sales as US crop replaced it.
The second article looks at whether Marijuana fuels the opioid epidemic. However, in the journal, there cam more articles that provide equally useful. This article included lots of talk on Mexico and the Sinaloa Cartel. Saying that with marijuana legalization cartels had to up sales of other drugs to replace the 40% decrease in Marijuana sales as these were replaced by US crop. “legalized cannabis inadvertently may have contributed to today’s fentanyl and heroin epidemic by replacing Mexico’s illegally imported marijuana with U.S. produced crops, driving cartels to
seek a new source of revenue.” The employment part of the journal said that employer policies focus more on illicit drug use rather than misuse of prescription drugs. Stating that the cost of opioid use loses around 10 thousand dollars more than without an opioid prescription. Other statistics saying that around a third of employees surveyed in accidents found Hydrocodone in their system after driving vehicles, operating machinery, and being injured. This is a 30% increase from pre-employment surveys that found many come to work under the influence of opioid medicines and are injured due to misuse of the drug. Since none of those activities are allowed when taking hydrocodone it shows that these were accidents related to misuses of a prescription. The surrounding articles are the ones that are proving more information for my topic than the original article that the library found. A lot of these articles aim at providing a culture of widespread misuse of prescriptions that lead to more injuries and misuse.
The final article looks at painkillers the most and goes deep into the history and important movements that cause an increase in opioid prescriptions. Saying that the pain scale doctors use contributes to the increased pain medicine dosing. Patients who claim 5/10 pain will often get the prescription to keep patience less bothersome. Saying that part of this is the marketing and advertising that come behind opioids comes from a cycle of dependency. Like said earlier the cycle starts legally and can turn into addiction or dependence. It wasn’t until 1989 where there was a movement to increase opioid prescriptions for cancer patients and those in terminal illness. Yet, cancer is only about 8% of the reasons for opioid prescriptions, the most popular reason being back pain. Acknowledging that opioids at low doses can help with arthritis but due to dependency and tolerance it is an ineffective treatment.