Nov 30, 2008
For the first time in my life, I've just been prescribed an opioid painkiller: hydrocodone/acetaminophen, commonly known by the brand name Vicodin. The occasion was a medical procedure known as brachytherapy. I'll explain more about that below, but it's pretty low on the fun meter. There can be lingering pain for a few days, hence my introduction into the fabulous world of narcotic pain drugs.
I can't help but notice some odd contrasts with medical marijuana.
My prescription bottle came with a warning label affixed by the pharmacy, cautioning me about acetaminophen (best known as the active ingredient in Tylenol): "Taking more acetaminophen than recommended may cause serious liver problems." It's rather disconcerting that the most prominent warning in one's first narcotic prescription concerns a pain drug that's handed out almost like candy, one of the most common ingredients in combination cough-and-cold remedies sold over the counter. But the warning is a good idea: Overdoses of acetaminophen, mostly accidental (due to people combining cold medications and not knowing they're getting multiple doses of the stuff), are estimated to cause 458 U.S. deaths each year due to acute liver failure.
Hydrocodone, a Schedule III narcotic, can cause physical dependence. Overdose can cause respiratory failure, cardiac arrest, and death.
Yet this useful but potentially deadly combination was handed to me in an ordinary prescription bottle, without even a childproof cap.
Now consider medical marijuana. It's far less addictive than hydrocodone or other opioids. No fatal overdose has ever been documented. And yet it's in Schedule I, so doctors are legally barred from prescribing it. In many of the states where patients are permitted under state law to grow marijuana for medical use, they are required to do so in an indoor, securely locked facility -- while my narcotic cocktail doesn't even rate a childproof cap. This is crazy.
This might be a good time to mention that if you want to help change some of this insanity, please sign up now for MPP's free email alerts.
Finally, as promised, a word about brachytherapy. It's a treatment for prostate cancer, involving the implantation of dozens (in my case precisely 85) tiny, radioactive seeds in the prostate gland. Over about six months or so, the radiation zaps the cancer and you live happily ever after. Please do not be alarmed. My little malignancy is early, localized, and non-aggressive. I'll be fine.
And at this point I don't actually have a need for medical marijuana. But dumb laws shouldn't tie my doctor's hands for no good reason.