FDA approves new, hard-to-abuse hydrocodone pill


The drug, Hysingla ER, is designed for patients with severe pain that can’t be managed with other treatments. The tablet is difficult to crush, break or dissolve and forms a thick gel when tampered with to discourage snorting and injecting.


The FDA tends to underestimate the creativity of drug abusers.


As a chronic pain patient, this new law concerning refills is a pain in itself. I spoke with my pain doc about this issue and he said that the consensus among specialists is that family practice and general Med physicians were writing way too many scripts for Norco and oxycontin with no good reason. Maybe unless you are at least an internal Med doc you should not write triplicate scripts for pain meds.:shrug:


I applaud their efforts. Even though addicted people usually find creative ways around safety measures I am grateful for the drug companies are at least trying to do something to curb the abuse potential.


It sounds to me as if the new FDA rule will make life more difficult for physicians, for patients, and for pharmacists. The FDA does not, apparently trust docs to do their job. Besides making refills harder to write and obtain, it will probably have the side effect of making the same drugs more costly on the black market, thereby increasing the black market trade due to increased profitability.


Maybe only pain management specialists and specialists who treat patients in a lot of pain should be treating chronic pain, I don’t know.


I’m not using any pain meds so my opinion might mean less, but it does seem that primary care physicians ought to be able to prescribe pain meds for their patients–they know them best–and they ought to be able to do it without a lot of red tape. Primary care physicians are pretty savvy about people who are just drug shopping.


The bad side to this is it can cause serious damage to the body if a drug addict tries to snort or inject it anyway.


Unfortunately, a fair number of physicians in other specialties resort to “pain management specialists” (who are usually anaesthesiologists by training) based entirely on subjective complaints. And, given today’s organizational medicine, is the “pain management specialist” going to discourage those referrals?

I’m not saying I’m right, but I have sure seen a lot of those referrals when neither the referring physician nor the “pain management specialists” even did simple Waddell’s testing, let alone preliminary referral for a functional capacity evaluation.


This is a complex subject that requires a great deal of research. I suggest starting here:


It is a fact that certain people respond to different medications differently. That’s why we see warnings about medications on TV presented in a steady, calm voice as if those soothing words make the potential side effects less real.



Personal responsibility and family/community responsibility should be one way to fight the abuse of legal drugs, which could, depending on other problems the end user may have, lead to serious consequences.



People like you are like bystanders in the war on drugs, innocents caught in the cross-fire. It is time to end this madness and let doctors treat their patients. When Big Brother crossed the line from trying to stop illegal drugs to stopping needed medication, it went too far.

I say this even though I need no pain medication. However, I know I will some day.


I have been on strictly controlled pain medication for nearly a year now. The amount of red tape and control are insane.

To the point that at times I have to do without the pain medicine because of the state government controls. To add to this, my state is adding more and more controls~! (Primarily I think, because one demographic that tends to abuse pain meds a ton are affluent white teenagers, so the ‘outcry’ is obscenely loud and pandered to).

Addicts are going to get the drugs no matter what, it isn’t for everyone else to suffer (Literally!) because person x can’t make good decisions.


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