Opioids will no longer be manufactured or sold in the United States by J&J

Looks like the NY AG is attempting to close down the pharmas that produce opiate medications.  All FDA approved medication is done so via a (NDA) new drug application…  and it is not clear if the pharma that has a NDA on a medication has a liability tail , even if they are no longer producing the specific medication… BUT… generics are produced under a ANDA ( Abbreviated New Drug Application). Which links the generic med to the brand name med and the Pharma that discovered and owns the NDA for that brand name.  Will these pharmas that still “own” the NDA for a medication…  will the brand name pharma be considered indirectly manufacturing opiates because of the link between the NDA and ANDA ?  Could the brand name pharma be sued because they still own the NDA which allows other pharmas to manufacture generic of the brand name meds ? J&J and their subsidiary Jansen who manufactured Duragesic patch… the last lot of Duragesic patches produced has a expiration date of JULY 31, 2021… SO.. there is no longer any Duragesic patches available, but as long as there is a valid NDA… generic pharmas can have or seek to have a ANDA.  Could these anti-opiate attorneys… go after all the pharmas that own NDA’s on opiates and sue them in court and get them to agree that they are getting out of the opiate business but then go back after these same companies and claim that unless they rescind/revoke their NDA’s… they may go after those same pharmas AGAIN… claiming that those pharmas are “still in the opiate business”…  Could these pharmas with NDA’s end up selling the NDA to a foreign pharma and all of our opiates will be produced over seas…  Of course, if all our brand name pharmas are out of the opiate business… who is going to do any R&D on any ‘non addicting” new opiates ?

Johnson & Johnson confirms opioid business has ended in $230 million settlement with New York

https://www.cnbc.com/2021/06/26/jj-agrees-to-stop-selling-opioids-in-230-million-settlement-with-new-york.html

Key Points
  • New York Attorney General’s office said the agreement bans J&J from promoting opioids through any means and prohibits lobbying about such products at the federal, state or local levels.
  • However, Johnson & Johnson said it had already exited the business.
  • As part of the settlement, the company will resolve opioids-related claims and allocate payments over nine years.
  • The settlement follows years of lawsuits by states, cities and counties against major pharmaceutical companies over the opioid crisis, which has killed nearly 500,000 people in the U.S. since 1999.

Johnson & Johnson has agreed to a $230 million settlement with New York state that bars the company from promoting opioids and confirmed it has ended distribution of such products within the United States.

New York Attorney General Letitia James’ office in a statement Saturday said the agreement bans J&J from promoting opioids through any means and prohibits lobbying about such products at the federal, state or local levels.

Johnson & Johnson has not marketed opioids in the U.S. since 2015 and fully discontinued the business in 2020.

As part of the settlement, the company will resolve opioids-related claims and allocate payments over nine years. It could also pay $30 million more in the first year if the state executive chamber signs into law new legislation creating an opioid settlement fund, according to the press release from James’ office.

The settlement follows years of lawsuits by states, cities and counties against major pharmaceutical companies over the opioid crisis, which has killed nearly 500,000 people in the U.S. in the last couple decades.

Governments have argued that companies over-prescribed the drugs, causing people to become addicted and abuse other illegal forms of opioids, while companies have said they’ve distributed the necessary amount of the product to help people with medical issues.

“The opioid epidemic has wreaked havoc on countless communities across New York state and the rest of the nation, leaving millions still addicted to dangerous and deadly opioids,” James said in a statement.

 “Johnson & Johnson helped fuel this fire, but today they’re committing to leaving the opioid business — not only in New York, but across the entire country,” she said.

“Opioids will no longer be manufactured or sold in the United States by J&J.”

The New York opioid lawsuit trial against the rest of the defendants will begin this week, according to the release. Other defendants in the New York suit include Purdue Pharma; Mallinckrodt LLC; Endo Health Solutions; Teva Pharmaceuticals USA; and Allergan Finance LLC.

In a statement Saturday, Johnson & Johnson said the settlement “is not an admission of liability or wrongdoing by the company” and is “consistent with the terms of the previously announced $5 billion all-in settlement agreement in principle for the resolution of opioid lawsuits and claims by states, cities, counties and tribal governments.”

The company also said it would continue to defend against any lawsuits the final agreement does not resolve.

James said the state will focus on funding for opioid prevention, treatment and education efforts in order to “prevent any future devastation.”

In regards to voting laws… all that matters is the outcome of the election

https://www.painnewsnetwork.org/stories/2021/9/4/why-the-pain-community-should-support-voter-rights-legislation

I take exception to the misinformation in the above article, We just sold a home and moved to another state. In the previous state we had registered to receive mail absentee ballots… within weeks of selling our home we got postcards in the mail asking if we still live in the state and if so supply our new address and if we didn’t respond with 30 days … we would be taken off of the voter rolls… in our new state, I went on to the web and filled out a form to become registered as voters in our new state, mailed them in and a few days later… we got our new voter registration cards and I could have requested to vote absentee ( by mail) … so my COST so far is one postage stamp and if/when we decided to vote absentee … it would cost me another postage stamp. People don’t have to take a day off from work, don’t have to stand in line, don’t have to go any farther than your mail box. Same day registration can be a opportunity for voter fraud… do a web search for “how do I get a fake driver’s license”. the last time that I ran such a search, I got over SIX MILLION HITS…. if 99.999% of the hits were fake or duplicates… that still leaves abt 600 VALID HITS. A person with 12 different driver’s license (name & address) go to 12 different voter sights – register and vote. the possibilities for voter fraud is endless.  Who is to say that there is some individual or group that has deep pockets that organize getting 100’s of fake driver’s license in one or more states and find some people who need some money and hire a 15 passenger van and drive all these “voters ” around and at each stop… the candidate that the “rich person” paid for get 15 more votes…  how many voter locations can that 15 passenger van hit in the typical 10-12 hrs they are open ?   As the member of Congress said this weekend on TV “… ALL THAT COUNTS IS THE OUTCOME …”

There was a member of Congress being interviewed on TV this weekend … talking about all of these changes and attempted changes in various state voting laws. The member of Congress stated that “ALL THAT COUNTS IS THE OUTCOME”… and then stated that “EVERYONE SHOULD BE ABLE TO VOTE “

in the last election I saw video of what was reported as stacks of absentee mail in ballots being put into a counting machine… but if they were mail in ballots … NONE APPEAR TO HAVE BEEN FOLDED… how does a mail in ballot get mailed in… if it doesn’t get folded ?

FDA Approves Intranasal DHE (Trudhesa) for Acute Migraine

While this med has not been officially released yet…there is some out there that are stating that the price of this med may be upwards of $800 for FOUR DOSES.  The cost of this medication may make paying for it MORE PAINFUL than the migraine itself ?

 

FDA Approves Intranasal DHE (Trudhesa) for Acute Migraine

https://www.medscape.com/viewarticle/958174

The US Food and Drug Administration (FDA) has approved an intranasal formulation of dihydroergotamine mesylate (DHE) for the acute treatment of migraine with or without aura in adults.

Trudhesa (formerly INP104), from Impel NeuroPharma Inc, uses the company’s proprietary precision olfactory delivery technology to deliver DHE (0.725 mg per spray) rapidly to the bloodstream via the vascular-rich upper nasal space. This bypasses the gut and potential absorption problems, the company said in a news release.

As previously reported by Medscape Medical News, results from the phase 3 STOP 301 trial showed that the intranasal formulation of DHE was safe and generally well tolerated over 52 weeks for the acute treatment of migraine.

Some of the most frequently reported adverse events related to the nasal spray during the study were nasal congestion, nausea, nasal discomfort, abnormal olfactory test results, and vomiting.

Exploratory outcomes related to efficacy showed that 2 hours after a single dose, 38% of patients reported freedom from pain. Of this group, 7.1% reported migraine recurrence at 24 hours, and 14.3% reported migraine recurrence at 48 hours.

About 52% of patients reported freedom from their most bothersome symptom at 2 hours post treatment; 66.3% reported pain relief at 2 hours after their first attack treated with the nasal spray.

“We welcome an important new treatment that combines the long-established efficacy of DHE with a non-oral, innovative delivery system that allows patients to self-administer wherever they are and at any point within a migraine attack,” Kevin Lenaburg, executive director of the Coalition for Headache and Migraine Patients, in the release.

Overcomes Current Challenges

The newly approved nasal spray “may provide rapid, sustained, and consistent relief, even when taken late into a migraine attack,” Adrian Adams, chairman and CEO of Impel NeuroPharma, noted in the press release.

“Many of my patients need more from their migraine treatment, and Trudhesa offers a non-oral, fast-acting, reliable option that overcomes many current medication challenges,” Stephanie J. Nahas-Geiger, MD, associate professor, Department of Neurology, Thomas Jefferson University, Philadelphia, Pennsylvania, said in the release.

“Its upper nasal delivery circumvents the GI tract and common phenomena associated with migraine, such as nausea and gastroparesis, that can impact the effectiveness of oral treatments,” said Nahas-Geiger.

Importantly, the drug is self-administered in a single dose as needed, “so patients don’t need to worry about missing the opportunity to benefit from using Trudhesa within a certain time frame,” she added.

The company announced that it plans to launch Trudhesa in early October.

My body… my choice ….

This post is not about anything in particular… but… how many within our population keeping “circling around” with same/similar phrases. This week Texas passed a new abortion law   https://www.plannedparenthood.org/planned-parenthood-center-for-choice/texas-abortion-laws trying to get around the https://en.wikipedia.org/wiki/Roe_v._Wade Supreme Court ruling back in 1973. Of course, this ruling has been a hot button issue for many and I started hearing “MY BODY… MY CHOICE…” being thrown about…

Then we have had for the past nearly one year … anti-vaxers… “circling the wagons” around the same or similar sayings because they did not want  to be vaccination…  The Fed/State bureaucracies did not have the legal authority to mandate the US Citizens to get a vaccination that only had EUA (Emergency Use Authorization) from the FDA… it has been stated that the Feds/state bureaucracies was counting on the business and academia communities to force the mandate to get the vaccination… there is some 25 states with “right to work laws”… meaning that employers can fire any employee for just about any reason… just plain nebulous or NO REASON AT ALL.

It would seem that most of the business and academia communities did not really have the “balls” to mandate that their employees get vaccination with something that did not have the full FDA approval. Congress had indemnified just about every entity that was involved in getting these vaccines to market.  https://www.cnbc.com/2020/12/16/covid-vaccine-side-effects-compensation-lawsuit.html

I am not an attorney, but I think that most businesses and academia were concerned the potential legal consequences of mandating employees to get vaccinations … or get fired… what if a certain percentage of employees have adverse reactions … maybe some of them serious … maybe even fatal…  corporations and academia – all with “deep pockets”

The Feds ordered maybe close to a TRILLION DOSES of vaccination from four different companies,  Pfizer, Moderna, J&J/Jansen, & AstraZeneca… Once Pfizer got “full FDA approval ” all those corporations and academia have started mandating vaccinations or COVID-19 testing every week or some variation.  Moderna & J&J/Jansen still only have EUA and Astra Zeneca version still does not have even a EUA approval.

If so many parts of our society has out there DEMANDING MY BODY… MY CHOICE and the chronic pain community has not joined in on this… and the same thing for those people who have substance abuse issues…  have not done the same.  After all, most of the medications that those two communities needs to help manage their health issues is under the authority of the FDA.

Should the entity who has been ruling over all of these people who are dealing with a number health issues and dominating and adversely affecting all these people’s quality of life (QOL) be declared as a TERRORIST ORGANIZATION our country has eliminated/killed other terrorists ?

 

 

 

Courts decide whether hospitals can deny ivermectin – Judges/DOJ practicing medicine again without a license

Courts decide whether hospitals can deny ivermectin

https://www.beckershospitalreview.com/legal-regulatory-issues/courts-decide-whether-hospitals-can-deny-ivermectin.html

Hospitals are finding themselves in court over their decision to deny giving COVID-19 patients ivermectin, an anti-parasite drug the FDA has warned against using to treat COVID-19.

Five things to know:

1. As of mid-August, prescriptions for ivermectin have climbed to more than 88,000 per week, up from a pre-pandemic average of 3,600 per week, according to CDC data

2. Despite federal warnings, some physicians are prescribing ivermectin to COVID-19 patients. However, not all hospitals agree with physicians’ prescriptions and are refusing to administer the drug, prompting patient lawsuits.

3. In Springfield, Ill., Memorial Medical Center won a court order to deny administering ivermectin to a COVID-19 patient on a ventilator, according to an Aug. 31 report in The State Journal-Register. A judge sided with Memorial Medical Center, which argued that ivermectin is an unproven treatment for COVID-19 and is potentially unsafe.

4. However, a court ordered a different Illinois hospital to administer the drug to a COVID-19 patient. Elmhurst (Ill.) Hospital administered ivermectin to a comatose COVID-19 patient May 3 after a judge’s order. The patient eventually was weaned off a ventilator, according to the Journal-Register. 

5. A judge also ordered West Chester (Ohio) Hospital on Aug. 23 to administer the drug to a COVID-19 patient in the intensive care unit, according to the Ohio Capital Journal. The hospital will need to provide the patient with 30 milligrams of ivermectin each day for three weeks.

4% of all opiate Rxs is accused of causing the ENTIRE OPIATE EPIDEMIC

 

How can one company that provided just 4% of all opiate prescriptions be faulted for all those opiate deaths and addiction … especially when ADDICTION is a mental health issue – perhaps this Father can’t deal with the fact that his family’s gene pool has a “mental health gene”. Our legal system is suppose to separate the assets of a corporation’s and that of the stock holder assets.. what should happen if our legal system goes after Coke & Pepsi for “causing diabetes” because of all the “sugars ” in their products and after this type of settlement… should all of those people, retirement funds and mutual funds besides seeing the value of their company stock holdings becomes valueless and then those who have suffered from diabetes the court system goes after the assets of all those entities that own stock in Coke & Pepsi. Isn’t’ that what is happening here to the Sacklers. Why aren’t these law firms going after all the assets of the employees of Purdue Pharma… they made a living from the selling of Oxycontin ? OR just the sales people that called on doctors to convince them to prescribe Oxycontin. Seems like the mindset behind the Salem Witch Trials is still alive and well.

$7 million awarded to family of man who killed himself after pain medication denied

Commonwealth Pain and Spine

 

$7 million awarded to family of man who killed himself after pain medication denied

Videos on link below

https://www.wdrb.com/news/7-million-awarded-to-family-of-man-who-killed-himself-after-pain-medication-denied/article_92db6b14-09c0-11ec-b39b-7b711a46b1c7.html

LOUISVILLE, Ky. (WDRB) — A lawsuit blamed a man’s suicide on a St. Matthews pain clinic, and a jury agreed.

On Sept. 18, 2017, Brent Slone texted this message to his wife: “they denied script im done love you”. Thirty minutes later, he killed himself.

According to the lawsuit filed against Commonwealth Pain and Spine in Jefferson Circuit Court, Slone’s suicide could have been prevented.

Excerpt from pain management clinic lawsuit
Pictured: a quotation from a text mentioned in a lawsuit filed against Commonwealth Pain and Spine in St. Matthews, Ky., by the family of a man who took his own life after he was denied pain medication. 

The jury’s verdict awards Slone’s family $6,925,000, including $3,000,000 specifically for his daughter. The lawsuit, filed in 2018, said Slone was involved in a car crash in 2011 that left him with significant injuries. After surgery, he entered an inpatient recovery center in San Diego, California, where he was prescribed oxycodone and oxycontin.

While visiting Louisville, Slone went to the emergency room at Baptist Health for a dislocated hip and ulcer. He was prescribed a small amount of pain medication, as he had run out of the prescription from the San Diego clinic, and was advised to follow up with Commonwealth Pain and Spine. According to the suit, after he was discharged, he called Commonwealth Pain and Spine and requested a “bridge prescription.”

The suit claims that Commonwealth Pain and Spine cut Slone’s prescription by 55% from what he was receiving from the San Diego clinic. The suit says that notes from the clinic indicated that Dr. Stephen Young said he “needed to see the records from this facility in California.” Later that day, the suit says Slone faxed the documentation to Commonwealth Pain and Spine. To learn more, you can get valuable information from an experienced lawyer. To dig deeper into this topic, feel free to read her explanation.

However, Young still refused to fill the prescription, because, according to call log notes, the documentation was from July, and there had been no communication since that time. Slone was advised that he would need to wait for six days for his appointment.

Slone killed himself a few hours later.

In a social media post, attorney Hans Poppe said the verdict is to “punish and deter them and others from similar conduct in the future.” 

https://www.mypainsolution.com/

At Commonwealth Pain & Spine, run-of-the-mill care simply doesn’t cut it for the practice’s team of experienced, highly skilled pain management physicians. With 12 conveniently located

It is not recommended to practice medicine without a license – some pharmacists don’t seem to get that

Kroger recently denied and totally removed my rx from their system so I couldn’t transfer it. It was for Ivermectin and they said they felt it was being used for Covid-19 and its not recommended to treat it.  That is the case but they were not told that… They even called the Pharmacy (Walgreens) where I was going to have it transferred to, to let them know. So now I cannot transfer to another pharmacy anywhere. Is this legal. If not what can I do to engage the Pharmacist legally? 
One of the basics of the practice of medicine is the starting, changing, stopping a pt’s therapy.  When a pharmacist does not contact the prescriber to discuss their concern about the appropriateness of a medication for a particular pt because of a known allergy or a level one drug interaction  with the pt’s other medications or some other concern about the Rx and unilaterally decides to not only not fill a pt’s prescription, but basically shreds the pt’s Rx.  Interferes with the pt getting the Rx at another pharmacy – by telling the pharmacist at the other pharmacy that they are refusing to fill the Rx and basically refuses to transfer the Rx to the other pharmacy.  This is a classic example when a Pharmacist should have a conversation with the pt and make sure that they are aware of the pharmacist’s concerns and let them make the decision what they want to do… and the Pharmacist makes notes on the Rx in the computer system of the conversation and the pt’s decision and then if there is some sort of back lash in the future… the pharmacist has documented that the pt made an informed consent about having the Rx filled.

Avoid any pharmacy advertising that they are providing Monoclonal antibody treatments to active COVID-19 pts

If the state you live in comes up with this “loony idea” … DON’T PATRONIZE ANY PHARMACY that is advertising that they are doing this… BECAUSE they could have one or more COVID-19 POSITIVE PTS sitting around in their pharmacy for 90+ minutes. Monoclonal antibodies is passive antibodies to treat ACTIVE COVID-19 PTS.  Regardless of your vaccination status… this is probably not a place that you want to be, especially while pts are receiving COVID-19 treatment or shortly after they have left.

 

 

 

 

https://i.redd.it/x54g6qngb7k71.jpg

 

HEALTH EQUITY LANGUAGE by the CDC – no more “dehumanizing language”

CDC’s ‘inclusive’ language guide discourages saying ‘alcoholic,’ ‘smoker,’ ‘uninsured,’ ‘elderly’

https://www.foxnews.com/politics/cdc-publishes-guide-for-inclusive-language-to-encourage-health-equity

The Centers for Disease Control and Prevention published a guide to “inclusive language” in order to promote “health equity” and “inclusive communication.”

“Language in communication products should reflect and speak to the needs of people in the audience of focus.,” the CDC guide reads.

The guide has multiple sections with suggestions for more inclusive language, including a section dedicated to “Corrections & Detentions” that suggests replacing terms such as “Inmate,” “Prisoner,” “Convict/ex-convict,” and “Criminal” with terms such as “People/persons,” “Persons in pre-trial or with charge,” “Persons on parole or probation,” or “People in immigration detention facilities.”

Other sections in the guide include “Disability,” “Drug/Substance Abuse,” “Healthcare Access & Access to Services and Resources,” “Homelessness,” “Lower Socioeconomic Status,” “Mental Health / Behavioral Health,” “Non-U.S.-born Persons / Immigration Status,” “Older Adults,” “People Who are at Increased / Higher Risk,” “Race & Ethnicity,” “Rural,” and “Sexual Orientation & Gender Identity,” all which suggests replacement terms for common language typically used to refer to the groups.

“These terms are vague and imply that the condition is inherent to the group rather than the actual causal factors,” the guide explains. “Consider using terms and language that focus on the systems in place and explain why and/or how some groups are more affected than others. Also try to use language that explains the effect (i.e., words such as impact and burden are also vague and should be explained).”

The guide also encourages people not to use “dehumanizing language” language, instead insisting that “person-first language” be used in its place.

“Consider the context and the audience to determine if language used could potentially lead to negative assumptions, stereotyping, stigmatization, or blame,” the guide says. “However, these terms may be appropriate in some instances.”