地平线系列：止痛药上瘾

在美国这是一种流行病现在，新的证据引起了人们对英国处方阿片类药物使用的关注。迈克尔·莫斯利(Michael Mosley)展开了一场身临其境的旅行，他想问问我们可以为此做些什么。

In America it’s an epidemic. Now new evidence raises concern about the UK’s use of prescription opioids. Michael Mosley goes on an immersive journey to ask what can be done about it.
The opioid epidemic has devastated America. But what’s the situation here? A new report from Public Health England raises serious concerns about Britain's own relationship with painkillers. Dr Michael Mosley embarks on an immersive journey to Britain’s opioid frontline and meets patients struggling with addiction and GPs fighting a constant battle to help those suffering from chronic pain. He also uncovers worrying evidence of people abusing over-the-counter opioids and discovers how easy it is to buy strong opioids online.
Nearly six million people in England and Wales were prescribed an opioid last year. Michael wants to uncover how and why we’re consuming twice the amount of opioids as twenty years ago, especially when the scientific evidence he encounters disturbingly suggests that for the majority of people taking them for chronic pain, these drugs mostly don’t even work. Though a vital tool in our doctors’ armoury to combat acute pain and in cancer and end-of-life care, the Public Health England report revealed that more than half a million people have been on opioids for more than three years.
Michael cautions that people taking these drugs should not suddenly stop taking them. Nevertheless, as he discovers, long term or high dose use does leave them exposed to greater risk of side effects including dependency, addiction and even accidental death by overdose.
As many as 28 million Britons endure chronic pain - and if we’re to kick what seems like a dangerous national opioid habit, Michael believes that the critical issue is deprescribing. Millions now require help coming off opioids and drug-free alternatives to them. For Michael this is nothing short of a challenge as important as the fight against cancer and heart disease.
So how much do people on the ground really know about these powerful painkillers, some of which, including fentanyl, can be many times stronger than heroin? On his travels, Michael meets Karen in Hastings who now believes her five years on increasingly strong opioids ‘turned her into a zombie’. But he also encounters Brenda in Salford who thinks the morphine she has taken for fifteen years to help with her excruciating back pain is the thing that makes her life just about bearable. And he spends time with Vicki whose 50+-a-day over-the-counter painkiller habit led to overdose and near death before she finally admitted her addiction and started detox.

值得科普
慢性疼痛致郁
非常有意义，阿片类药物会让人产生依赖性，而且会让人变得孤独抑郁，少吃为妙。因为疼痛在人群中太普遍了，无论是慢性疼痛还是癌痛等。记录片很全面的介绍了阿片类药物对人影响的方方面面，喜欢BBC的纪录片！
为了能更容易的过一天，很多没有痛的人开始沉溺。而真正痛苦的人又无法从止痛药上获得实质的帮助。GP的话是对的，病人的痛苦是很具体的。但是永远针对痛的解决容易，真的痛苦的解决反而最难。
疼痛是痛苦可怕的，而比疼痛本身更痛苦可怕的是对这些止痛片的成瘾。科技的发达，人们的盲目的自信以及对于药物的滥用，最终只会毁了自己。
太短了
每个国家都有着自己难以解决的问题，而医学问题有时候不仅仅是医学问题，反而政治话了，用伤害民众来达到自己的目的，呵呵~~~（只因这些人是韭菜啊，割了一茬，反正还有下一茬.....可悲）阿片类药物滥用和中国的抗生素滥用可能对于人类历史来说也差不多吧.....
想起裸体午餐里的描述 成瘾类似大脑生长出了像吃饭喝水的新需求 不过是对毒品 身体 粘膜 静脉 只是变成满足幻觉需求的工具
很好！区分急性疼痛和慢性疼痛，以前看网飞纪录片认为cure pain这一行为是不对的，但当急性疼痛转变为慢性疼痛时，慢性疼痛本身成为了一种疾病（无患处的系统故障）。止痛药对慢性疼痛有效性仅为十分之一。另外，处在悲伤抑郁状态会加重疼痛感知，贫穷社区的恶性循环。
上瘾的止疼片。
尴尬的味道的确都从屏幕里溢出来了，又不能阻止使用，又不想要上瘾，最后竟然用“快乐疗法”解救患者的疼痛，跟学术垃圾也没啥区别。
这个片子似乎想要揭露止痛药被滥用的危害，可是又面临止痛药难以被代替的尴尬。它试图让一些人出来指责止痛药带来的副作用，可是同时又无法阻挡其他人觉得止痛药有用。 所以看完竟然还有觉得服用止痛药还是很有必要的，哪怕对有些人有比较大的副作用。毕竟整天疼痛是非常难以忍受的吧。 最后，地平线这个系列竟然没有完整按季打分的页面，都是零零碎碎的单集打分。
补。
奥施康定
正好配合《成瘾剂量》这部讲奥斯康定的故事。痛与瘾似乎是个难以处理的问题。
看到病患大量服止痛药，真觉得应该用更好的方法来帮助他们。要学会适应和改变，而非一味抵抗。
不寒而栗……
Michael大叔再次登场讲解阿药的滥用。bbc生物健康类的纪录片从来少不了迈克大叔的身影。片子的亮点在于认识了n多种止痛药，羟考酮到盐酸吗啡到芬太尼。一个比一个厉害，长时间的生理依赖会导致极严重的问题。另一个提高情绪可以影响对疼痛的感知。片中的那位女士最后也终于戒断并且外出行走，很有决心。数百万的英国人在滥用止痛药,幸好现在限制了购买的容易度。片子很棒。
是药三分毒啊，节目很厉害，敢于说出弊端，并且真正有行动。