It may seem odd to want regulations on controlled drugs, such as morphine, to be loosened in the UK, but laws designed to protect people are now causing harm to those with COVID-19.
Opiates, which include morphine, are proven to be effective at relieving pain and relaxing patients who have acute shortness of breath. Whether a patient is in pain or experiencing severe breathing problems, it is critical that doctors intervene quickly. Any delay increases the risk of cardiac arrest, which can be fatal.
Opiates are used to treat patients with COVID-19 in hospices and care homes, as well as in hospital wards. The recent surge in COVID-19 cases has placed significant pressure on the supply and dispensing of these important medicines.
Another example of how limiting the existing rules can be is the strict way that surplus and unused opiates prescribed to a named patient have to be destroyed. The Department of Health introduced new guidance at the end of April for care homes and hospices on how to reuse surplus medication, but this doesnt cover most patients who are in their own homes. Before the pandemic, this seemed wasteful, but it didnt create much of a problem. Now it is more serious.
Having to destroy perfectly good medicine when there is a temporary shortage is nonsensical, and it means some patients suffer longer than they need to.
Home Secretary Priti Patel is responsible for the legislation on controlled drugs and has been aware of problems for some time. On April 1 she asked her scientific advisers for their view on her plans to loosen regulation. They supported the changes that Patel had proposed, which prompted the home secretary to amend the law.
One of these amendments would allow pharmacists to change a prescription for a controlled drug if it would benefit the patient. But there was a caveat: I must be clear that these measures will not come into use with immediate effect. The government, in close liaison with the NHS service and devolved administrations, will carefully consider when to switch on these measures.
Along with fifty clinicians, academics, public health experts and others, we sent an open letter to Patel calling on her to switch on these measures, urgently.
We are not alone in our concern. The Royal College of General Practitioners has also pleaded with the home secretary to relax these regulations to alleviate patients suffering.
We have still not had a response from Patel or the Home Office. We can only speculate why we are in the bizarre position of having the legislation in place to ease the suffering of some patients with COVID-19 but not the political will to implement this change in the law.
It is understandable that ministers might be concerned about the consequences of easing restrictions on these powerful drugs. Given the significant mortality in North America in part due to a loosening of controls on these types of medicines, those fears are logical. However, if managed clinically, in a responsible way, the risk of problems such as dependence can be minimised.
It is possible that Patel is wary of introducing changes that might be used to prematurely end patients lives (drugs such as morphine are believed by some people to have been used in this way, even though this is illegal in the UK). Or it could be due to concern that loosening regulations will lead to misuse of opiates, with some finding their way onto the black market. Although this is possible, diversion of opiates to the black market has always been a risk. Irrespective of how tightly there use is controlled there is little evidence for this happening. Equally, this lack of action could be ideologically driven.
The Conservative party supports the war on drugs so the government may feel any action that loosens controls, irrespective of patient need and benefit, risks sending a message of going soft on drugs.
The regulations for all medicines, including more potent varieties, such as morphine, are based on a risk-benefit calculation. Essentially, do the regulations minimise the risks while ensuring the potential for human benefit is maximised?
Many aspects of the COVID-19 crisis have been beyond our control, but this issue is firmly within our ability to intervene and solve a problem. As clinical scientists, we are limited to providing advice. We are reminded that it is politicians who decide. But for every day that the decision to switch on these regulations is delayed, suffering continues, and that is both cruel and unnecessary.
View post:
Coronavirus: why the law on morphine should be loosened - The Conversation UK
- The dark legacy of extrajudicial killings in the Philippines - WBUR News - March 12th, 2024 [March 12th, 2024]
- Step up war on drugs and illicit liquors - Nation - March 12th, 2024 [March 12th, 2024]
- Forum From the Archives: Brutality of Philippines War on Drugs Laid Bare in Some People Need Killing - KQED - February 22nd, 2024 [February 22nd, 2024]
- Commentary: We need to rethink how we address drug use - Maryland Matters - February 22nd, 2024 [February 22nd, 2024]
- Liberia: Boakai's War on Drugs Gains Momentum - Liberian Daily Observer - February 22nd, 2024 [February 22nd, 2024]
- Tactics are shifting in the war on drugs - Financial Times - September 23rd, 2023 [September 23rd, 2023]
- End overreliance on punitive measures to address drugs problem ... - OHCHR - September 23rd, 2023 [September 23rd, 2023]
- HSCSO making a dent in the local war on drugs - Malvern Daily Record - September 23rd, 2023 [September 23rd, 2023]
- The Drug War on the Border Doesn't Work - Progressive.org - September 23rd, 2023 [September 23rd, 2023]
- 'When I walk to school, I can see people shooting up.' How Seattle's ... - KUOW News and Information - September 23rd, 2023 [September 23rd, 2023]
- The best gifts ever? Being named after drugs and declaring war on ... - POLITICO Europe - September 23rd, 2023 [September 23rd, 2023]
- Latin America This Week: September 20, 2023 - Council on Foreign Relations - September 23rd, 2023 [September 23rd, 2023]
- The drug trade is taking over Latin America - PRESSENZA International News Agency - September 23rd, 2023 [September 23rd, 2023]
- Safe Supply Streaming Co. Ltd. Completes Reverse Take-Over ... - The Dales Report - September 23rd, 2023 [September 23rd, 2023]
- Critics claim drug use clemency proposal to reduce overcrowding in ... - asianews.network - September 23rd, 2023 [September 23rd, 2023]
- War on illicit drugs | Police warn of meth production, collusion with ... - Fiji Times - September 23rd, 2023 [September 23rd, 2023]
- From Grief to Action - The Stranger - September 23rd, 2023 [September 23rd, 2023]
- Police in region to discuss war against drugs - Khmer Times - September 23rd, 2023 [September 23rd, 2023]
- Five die in suspected drug turf war in Richards Bay - Durban - IOL - September 23rd, 2023 [September 23rd, 2023]
- Mayor Bruce Harrell Shares His New Pitch for the War on Drugs - The Stranger - August 2nd, 2023 [August 2nd, 2023]
- Illinois Governor Signs Supervised Release Bill To Help Drug War ... - Marijuana Moment - August 2nd, 2023 [August 2nd, 2023]
- Activist: Automatically expunging cannabis convictions is step ... - MPR News - August 2nd, 2023 [August 2nd, 2023]
- What the crack epidemic reveals about America - The Boston Globe - August 2nd, 2023 [August 2nd, 2023]
- 'The war on drugs has failed: Sir Richard Branson tells LBC there ... - LBC - August 2nd, 2023 [August 2nd, 2023]
- An Enemy in Mexico - The New York Times - August 2nd, 2023 [August 2nd, 2023]
- Betrayal on the Bayou, a New Season of Hit Podcast Smoke Screen ... - Sony Music - August 2nd, 2023 [August 2nd, 2023]
- Worldwide Wednesday's International Roundup: Bangladesh, China ... - Death Penalty Information Center - August 2nd, 2023 [August 2nd, 2023]
- 46 Bacolod local government workers test positive for drug use - Rappler - August 2nd, 2023 [August 2nd, 2023]
- Jon Bernthal's 12 Best Movies, Ranked by Rotten Tomatoes - MovieWeb - August 2nd, 2023 [August 2nd, 2023]
- We Are Continuing the War on Drugs - The Stranger - April 23rd, 2023 [April 23rd, 2023]
- Clemency Is One Answer to the War On Drugs | American Civil ... - ACLU - April 23rd, 2023 [April 23rd, 2023]
- As Evidence Mounts That 'War On Drugs' Has Failed, Harm ... - Health Policy Watch - April 23rd, 2023 [April 23rd, 2023]
- Families of victims await justice as the ICC reopens Philippines drug ... - NPR - April 23rd, 2023 [April 23rd, 2023]
- Why Trump and other Republicans want to go to war in Mexico - Vox.com - April 23rd, 2023 [April 23rd, 2023]
- New Queensland drug laws will keep thousands of people out of justice system, advocates say - ABC News - April 23rd, 2023 [April 23rd, 2023]
- Ben Cohen's Cannabis Company Tries to Undo the Harm of the War ... - Seven Days - April 23rd, 2023 [April 23rd, 2023]
- Pt. 2: The war on cannabis - Cabrini College Loquitur - April 23rd, 2023 [April 23rd, 2023]
- Globe editorial: The tide is turning, but the war on drug overdoses is ... - The Globe and Mail - April 23rd, 2023 [April 23rd, 2023]
- Eric Clapton Bringing Crossroads Guitar Festival to L.A., With 41 Guests Ranging From Buddy Guy to the War on Drugs - Variety - April 23rd, 2023 [April 23rd, 2023]
- Evaluation of all PNP senior officers has significant impact on war on ... - Manila Bulletin - April 23rd, 2023 [April 23rd, 2023]
- War on Drugs Poster Campaign launched at Pangei bazaar - Pothashang - April 23rd, 2023 [April 23rd, 2023]
- Mary Jane, MJ, Weed, Oh my! - The Post - The Post - April 23rd, 2023 [April 23rd, 2023]
- Opinion: In defence of drug dealers' humanity - The Globe and Mail - April 23rd, 2023 [April 23rd, 2023]
- DECRIMINALIZE MARIJUANA: Incarceration for marijuana needs to ... - The Daily Orange - April 23rd, 2023 [April 23rd, 2023]
- Today in History: April 23, Hank Aaron's first home run - Sent-trib - Sentinel-Tribune - April 23rd, 2023 [April 23rd, 2023]
- GUEST COLUMN: Legislation would have helped war on opioids - Colorado Springs Gazette - April 23rd, 2023 [April 23rd, 2023]
- Positioned to succeed: Organization offers educational program for ... - Youngstown Vindicator - April 23rd, 2023 [April 23rd, 2023]
- Miniature organs driving precision medicine and new drug discovery - University of Arizona - April 23rd, 2023 [April 23rd, 2023]
- 18 concerts to see this week, including Father John Misty, Nickel ... - The Key @ XPN - April 23rd, 2023 [April 23rd, 2023]
- 'They are not helping PRRD' | Philstar.com - Philstar.com - April 23rd, 2023 [April 23rd, 2023]
- Brandon Ali: By 18 he had a shotgun. At 19 he was smuggling drugs. Age 20 he had murdered a man - Teesside Live - April 23rd, 2023 [April 23rd, 2023]
- Kindiki team shores up gains in drugs, illicit brews fight - The Star Kenya - April 23rd, 2023 [April 23rd, 2023]
- The US Has Spent $1 Trillion Fighting The War On Drugs A Failure, Say The Authors Of New Cannabis Book - Forbes - April 17th, 2023 [April 17th, 2023]
- Gov. Kathy Hochuls cannabis crime bill will destroy lives and restart the War on Drugs (guest column) - newyorkupstate.com - March 31st, 2023 [March 31st, 2023]
- Official says war on drugs is 'here, local' following discovery of 10K fentanyl-laced ecstasy pills in Silsbee - 12newsnow.com KBMT-KJAC - March 26th, 2023 [March 26th, 2023]
- The War on Drugs: History, Policy, and Therapeutics - Dominican University - March 11th, 2023 [March 11th, 2023]
- The War on Drugs - Crime Museum - March 11th, 2023 [March 11th, 2023]
- What Is the War on Drugs? - WorldAtlas - March 11th, 2023 [March 11th, 2023]
- 9 Important Pros and Cons of the War on Drugs ConnectUS - March 11th, 2023 [March 11th, 2023]
- The War on Drugs and Mass Incarceration - A Brief History of Civil ... - March 11th, 2023 [March 11th, 2023]
- The Former Mexican Official Who Oversaw His Nation's War on Drugs Went on Trial in the ... - Latest Tweet - LatestLY - January 25th, 2023 [January 25th, 2023]
- Women and the Drug War | Drug Policy Alliance - January 6th, 2023 [January 6th, 2023]
- The War on Drugs as Structural Racism - Penn LDI - January 6th, 2023 [January 6th, 2023]
- The Phony War on Drugs - The New York Times - January 6th, 2023 [January 6th, 2023]
- Biden pot pardon to help with War on Drugs' harms to Black people : NPR - December 21st, 2022 [December 21st, 2022]
- War on Ivermectin: The Medicine that Saved Millions and Could Have ... - November 23rd, 2022 [November 23rd, 2022]
- IN NUMBERS: The Philippines' 'war on drugs' - RAPPLER - November 23rd, 2022 [November 23rd, 2022]
- Race, Mass Incarceration, and the Disastrous War on Drugs - October 30th, 2022 [October 30th, 2022]
- The Irrational War on Drugs - consortiumnews.com - October 30th, 2022 [October 30th, 2022]
- Race and the Drug War | Drug Policy Alliance - October 30th, 2022 [October 30th, 2022]
- Sound Summit 2022: a guide to the Bay Areas highest music festival - SF Chronicle Datebook - October 17th, 2022 [October 17th, 2022]
- Here's how health and wellness will show up on Denver's November ballot - Denverite - October 17th, 2022 [October 17th, 2022]
- 10 Monday AM Reads - The Big Picture - Barry Ritholtz - October 17th, 2022 [October 17th, 2022]
- Colombian president Gustavo Petro calls for an end to the War on Drugs ... - October 15th, 2022 [October 15th, 2022]
- The U.S. has spent over a trillion dollars fighting war on drugs - CNBC - October 15th, 2022 [October 15th, 2022]
- From wounded Latin America, a demand comes to put an end to the ... - October 15th, 2022 [October 15th, 2022]
- The War On Drugs, 'Oceans Of Darkness' - WNCW - October 15th, 2022 [October 15th, 2022]
- How the War on Drugs failed Democracy and society - IPS Journal - October 15th, 2022 [October 15th, 2022]
- This Day in History, October 14th, 2022 War on Drugs - Signals AZ - October 15th, 2022 [October 15th, 2022]
- Best Phoenix Concerts This Week: The Black Keys, Karol G, The War on Drugs - Phoenix New Times - October 15th, 2022 [October 15th, 2022]