Image taken from arstechnica.com
Opioids are
substances that interact with opioid receptors in nerve cells, resulting in signals
that are transmitted to the brain. These signals result in pain reduction but
can also cause euphoria. As a result, opioids are often used recreationally.
Continued use of opioids can lead to psychological and physical dependence, and
stopping the medication can lead to withdrawal symptoms. An overdose of opioids
can lead to respiratory depression and death.
There are several
types of opioids. Endogenous opioids
participate in cellular signaling. Natural opioids such as morphine are derived
from plants and are commonly used as a pain reliver. Within the last century,
pharmaceutical companies have been exploiting the pain-relieving effects of
opioids and have developed numerous synthetic opioids, which are usually more
potent than their natural counterparts.
Structure of
fentanyl, a common synthetic opioid. Image taken from PubChem.
In the past few
decades, recreational opioid use in the United States has increased
dramatically. An increase in overdoses and deaths has corresponded with the
prevalence of opioid abuse as well as the higher potency of opioid substances.
Many people have accused pharmaceutical companies of fueling this “opioid
crisis” through irresponsible advertising of pain medication. It has been
argued that pharmaceutical companies were not open about the side effects and
risks of the medications, which ultimately resulted in the over-prescription of
these medications and unnecessary opioid dependence. Pharmaceutical companies
have been subjected to numerous lawsuits over the past few decades and have
been found to be responsible for contributing to the opioid crisis through
irresponsible advertising. However, a recent lawsuit in Georgia found that
several pharmaceutical companies were not liable for damage caused by the
opioid epidemic.
Despite the topic
being discussed, this article did not seem to paint pharmaceutical companies or
chemists in a negative light. The author suggests several times that the opioid
epidemic is a complex issue, and the entirety of the blame should not lie on
the pharmaceutical companies. The article also describes how individual
pharmacies and physicians were responsible for the over-prescription of opioids
and states that pharmaceutical companies did not have the ability to monitor how
their drugs are being described. The author highlights how quickly the jury reached
a decision, perhaps suggesting it should be obvious that pharmaceutical
companies should not be held responsible for the consequences of the opioid
epidemic.
References
Centers for Disease Control and Prevention. (2022, June
1). Understanding the opioid overdose epidemic. Centers for Disease
Control and Prevention. Retrieved March 8, 2023, from
https://www.cdc.gov/opioids/basics/epidemic.html
Hoffman, J. (2023, March 2). Opioid distributors
cleared of liability to Georgia families ravaged by addiction. The New York
Times. Retrieved March 8, 2023, from
https://www.nytimes.com/2023/03/01/health/opioid-victims-trial-georgia.html
National
Center for Biotechnology Information (2023). PubChem Compound Summary for CID
3345, Fentanyl. Retrieved March 9, 2023 from https://pubchem.ncbi.nlm.nih.gov/compound/Fentanyl.
Your title is direct and informative and likely to attract readers interested in the opioid abuse epidemic. Your graphic is very effective. Your explanation of the opioid problem is quite concise and understandable. I think I might have put the fact that a court ruled a pharmaceutical company not liable for harms from abuse of their products in the first paragraph (the "lede") before the details in your subsequent paragraph. I might have noted in discussing synthetic opioids that one of the most harmful is fentanyl whose structure is shown. Since you show the structure you might even have noted that the synthetic opioids all have at least one nitrogen atom (N), one oxygen atom (O) and one hexagonal ring of carbon atoms with alternating double bonds (-=) all held together with chains and rings of carbon atoms. If these constituents have the right spatial arrangement the molecule can activate the enzyme that triggers the signal that alleviates pain and induces euphoria. It might help the reader feel like chemical structures like this have some real meaning. On the other hand it is a bit far afield and might distract from your main point. Your explanation of the complexity of the legal issues is very good. The piece does not seem to have made the point that not all pharmaceutical companies necessarily behaved in the same way in promoting their products. Assigning differing degrees of liability is not necessarily unreasonable. There does not to seem to be much on the importance of carefully used opioids in the treatment of pain in the piece. Overall I think you imply that chemistry is portrayed in a more-or-less positive, if somewhat problematic, way.
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