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Urge FDA to Protect the Rights of People with Pain

Urge FDA to Protect the Rights of People with Pain

Target:
U.S. Food & Drug Administration
Sponsored by: 

Please sign this petition TODAY to help protect the rights of people with pain to make sure they continue to have access to effective pain care, including prescribed opioid medications.

Your voice and the voices of other pain advocates are needed to remind decision makers that the lives and livelihoods lost to pain are worth no less than victims of drug misuse or abuse. The FDA needs to hear how vital access to these medications is to people with pain and what tragic results could occur if they were denied access to these medications or if additional barriers were created making access more difficult for people who are legitimately prescribed these medications.


Pain is a serious public health issue affecting more Americans than diabetes, heart disease and cancer combined. More than one-quarter of Americans, age 20 years and over, or an estimated 76.5 million people, report that they have had a problem with pain.

The U.S. Food & Drug Administration (FDA) is currently working with makers of long-acting opioid pain medications to develop a plan ensuring the benefits of these medications continue to outweigh the risks, including misuse, abuse and accidental overdose. This plan is known as Risk Evaluation and Mitigation Strategies, or REMS. The FDA is currently accepting comments from the general public until June 30, 2009 surrounding this issue. Some of the comments the FDA has received have called for an outright ban or moratorium on certain opioid pain medications.

The petition is designed to harness the collective voices of the pain community, including patients, providers, family members and friends, and urge the FDA to consider the recommendations provided by the pain community and endorsed by the American Pain Foundation. These recommendations encourage the FDA to use a balanced and rational approach when creating a REMS plan for opioid pain medications in the attempt to curb misuse, abuse, diversion and intentional or unintentional overdose of opioid medications while, also protecting patient access to and safe use of these medications for people who need them.

Please join with the American Pain Foundation in sending an important message to the FDA.While abuse and misuse of opioid medicines are serious public safety concerns, the agency must protect the rights of the millions of people who rely upon prescription opioid medication in order to get up each morning and face their day with some semblance of worth and dignity. Curbing abuse must be balanced with the need for legitimate access!

Please sign this petition TODAY to help protect the rights of people with pain to make sure they continue to have access to effective pain care, including prescribed opioid medications.

Your voice and the voices of other pain advocates are needed to remind decision makers that the lives and livelihoods lost to pain are worth no less than victims of drug misuse or abuse. The FDA needs to hear how vital access to these medications is to people with pain and what tragic results could occur if they were denied access to these medications or if additional barriers were created making access more difficult for people who are legitimately prescribed these medications.


Pain is a serious public health issue affecting more Americans than diabetes, heart disease and cancer combined. More than one-quarter of Americans, age 20 years and over, or an estimated 76.5 million people, report that they have had a problem with pain.

The U.S. Food & Drug Administration (FDA) is currently working with makers of long-acting opioid pain medications to develop a plan ensuring the benefits of these medications continue to outweigh the risks, including misuse, abuse and accidental overdose. This plan is known as Risk Evaluation and Mitigation Strategies, or REMS. The FDA is currently accepting comments from the general public until June 30, 2009 surrounding this issue. Some of the comments the FDA has received have called for an outright ban or moratorium on certain opioid pain medications.

The petition is designed to harness the collective voices of the pain community, including patients, providers, family members and friends, and urge the FDA to consider the recommendations provided by the pain community and endorsed by the American Pain Foundation. These recommendations encourage the FDA to use a balanced and rational approach when creating a REMS plan for opioid pain medications in the attempt to curb misuse, abuse, diversion and intentional or unintentional overdose of opioid medications while, also protecting patient access to and safe use of these medications for people who need them.

Please join with the American Pain Foundation in sending an important message to the FDA.While abuse and misuse of opioid medicines are serious public safety concerns, the agency must protect the rights of the millions of people who rely upon prescription opioid medication in order to get up each morning and face their day with some semblance of worth and dignity. Curbing abuse must be balanced with the need for legitimate access!

Petition Urging the U.S. Food & Drug Administration to Protect the Rights of People with Pain

Target:  U.S. Food and Drug Administration (FDA)
Sponsored by:  American Pain Foundation (APF)
Petition to:  Protect the rights of people with pain


With this petition we, the undersigned members of the pain community, support a multi-modal approach to pain treatment and advocate for access to opioid pain medication when legally and legitimately prescribed. We urge the FDA to protect the rights of the millions of people living with pain and take a balanced and rational approach when finalizing their Risk Evaluation Strategies (REMS) plan for opioid medications. We strongly believe FDA decisions must not cause harm to one substantially larger group of Americans in order to attempt to protect another group from harm. We encourage the FDA to listen to our voices and finalize a REMS plan that is equitable to people who medically require these important pain medications to function each day.

We implore the FDA to consider the following recommendations:

 1)  REMS should not interfere with the ability of prescribers and other appropriate healthcare practitioners to responsibly develop, provide and adjust pain-care management regimens for their patients.

 2) REMS elements should be designed so they can be measured to determine their effectiveness in reducing risk of abuse, misuse and overdose. A pilot program is advised to determine effectiveness of the REMS plan before it is finalized.

3)  Appropriate metrics are needed to determine successful outcomes for patient care as well as abuse, misuse and diversion. Success thresholds should be predefined, reasonable and achievable.

4)  Short-acting opioids should also be subject to the class-wide REMS. Focusing only on extended or long-acting medications will result in prescribers switching to less regulated, shorter-acting medication at the cost of effective pain relief.

5)  New patient registries should NOT be included as an element of a REMS for opioids. Registries will place an unnecessary barrier to pain care and additional burdens for healthcare providers.

6) Prescriber and dispenser risk mitigation education should be conducted as effectively as possible, and tied to DEA registration requirements or otherwise incentivized to encourage responsible prescribing and ensure compliance.

7) Patient education materials can be developed for individual products to assist prescribers and dispensers in providing patients with appropriate use, storage and disposal information, as well as any specific precautions relating to individual products.

With over 76.5 million Americans struggling with pain, people in pain deserve access to effective pain care.  Do not impose barriers preventing this care!

The above recommendations have been delivered to the FDA with full explanation of each recommendation. Please read these recommendations in their entirety at http://www.painfoundation.org/PositionStatements/REMSTaskForceRecommendations.pdf


For more information on REMS, please read APF%u2019s Frequently Asked Questions at http://www.painfoundation.org/Publications/REMS_FAQ.pdf

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The American Pain Foundation Thanks YOU! YOUR voice is being heard and YOU are making the difference in the movement to remove barriers to effective pain care for all Americans.

In just six days (June 22 to June 29, 2009), we received 4,075 signatures in support of the petition; many of you added powerful and heartfelt comments! Every state of the union was represented, as was Washington DC. In addition, residents of 24 foreign countries & U.S. territories submitted comments in support of U.S. citizens. On June 29, 2009, APF submitted its comments and position statement, along with this petition, to the FDA. We also included each of the powerful and personal comments that petitioners wrote for the ultimate impact.

Thank you for all you are doing to improve pain care! We could NOT have done this without YOU!

We hope that you will keep up to date on critical issues about pain and its management that affects you or those you love. Please visit http://action.painfoundation.org/site/Survey?ACTION_REQUIRED=URI_ACTION_USER_REQUESTS&SURVEY_ID=3200 and further show your support of our continuing efforts for hope and power over pain. Become an APF member - join the pain movement so together we can improve pain care in America and our world! Sign up to receive our newsletters and e-alerts. Join our grassroots efforts and become part of the Power Over Pain Action Network. Watch for and respond to our calls to action from our Take Action page. Make a donation, no amount is too small. APF is committed to supporting individuals who live with pain and removing the barriers to effective pain care.

Together, as we have done with this petition, our collective voices will make a difference!

Sincerely,
American Pain Foundation

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We signed the "Urge FDA to Protect the Rights of People with Pain" petition!
# 4,075:
10:27 am PDT, Jun 29, Deon Cox Hayley, Illinois
# 4,074:
11:15 pm PDT, Jun 28, Name not displayed, Wisconsin
Please make exceptions for hospice patients by having the physicians note their hospice status on the actual prescription.
# 4,073:
11:09 pm PDT, Jun 28, Tania Munk, New Jersey
# 4,072:
10:03 pm PDT, Jun 28, Alice M. Aquino, California
I just have one question to those of you who are making these laws have you ever seen a person in horrific pain? It is not something I would wish on my worst enemy. I understand about control and the need to regulate medications but the importance of the quality of life one has no matter what the time frame is a basic human right and is fundamental to the concept of humanity. Please protect this right for all and may you never need to call upon this right but if you do may it stand strong in the principle of care and comfort for all.
# 4,071:
9:57 pm PDT, Jun 28, Mark Maginn, California
I am one of millions who rely on oxycontin. If this medicine was harder to get, or completely banned, millions would be adversely affected. I would be thrown back into a dark hell of pain. Not only would it affect me directly, but my family would also be adversely affected. I don't know if I could live without this medicine. I hope I'll never have to find out. Mark Maginn Leader California Power Over Pain Action Network
# 4,070:
9:52 pm PDT, Jun 28, Paula Marks, Texas
# 4,069:
9:38 pm PDT, Jun 28, Name not displayed, New Jersey
# 4,068:
9:33 pm PDT, Jun 28, Beverly Alves, New York
My brave and courageous husband spent the last two months of his life battling pancreas cancer. He had unrelenting, unmitigated pain because he was not given adequate/appropriate pain medication. Health care providers need the knowledge and freedom to provide essential pain medications to patients with acute and/or chronic pain. No one should have to suffer pain needlessly. It is inhumane!
# 4,067:
9:30 pm PDT, Jun 28, Mary Ann Capocaccia, Tennessee
For more impact, add a personal comment here
# 4,066:
9:04 pm PDT, Jun 28, Mary Louise Johnson RN CRRN, Minnesota
As a Hospice RN, I see the impact of unrelieved pain on patients at the end of life, their families and the healthcare system. Pain relief is all we have to offer patients at the end of life with no curative treatments left. Removal of these opiod medications will severely hinder end of pain management for these patients. For these patients dosing with opiods is carefully weighed and considered and we take care that unused medications are destroyed and guard against drug diversion in patients homes. Taking these medications off the market will adversely effect quality of life for Hospice patients and their families, maybe yours, in ways that you can't imagine. Can you imagine how long a night is when your cancer, or heart pain is rated 10 out of 10 and you have no hope that anyone has anything they can bring you to relieve it? Can you watch your loved one in that kind of pain day after day? I hope not.
# 4,065:
8:55 pm PDT, Jun 28, Irene Fischer, Wisconsin
One of the greatest support we can give our dying population is the quality of life during their last six months. Should this time be spent taking pills every two to four hours because our laws will not allow extended release medication? Hopsice patients don't need to become a part of the national drug problem. They are dying and need to have excellent pain and symptom management allowing them the best quality for those personal goals.
# 4,064:
8:54 pm PDT, Jun 28, Jason Dunn, RN, Oregon
As a Registered Nurse in an interventional & multidisciplinary pain clinic I understand the need to protect against opioid misuse/abuse/diversion. Our clinic employs random mid-script urine drug screens and pill counts for all patients after assessing and assigning a risk level (which is constantly re-addressed). We are always looking for new ways to detect aberrant behavior. But even with the most aggressive appropriate risk assessment and multi-disciplinary compliance monitoring, pain care will be dismal at best if the full complement of opioid analgesics are restricted, or banned. As outlined by the World Health Organization (WHO), an essential principle in using medications to manage pain is to individualize the regimen to address patient needs based on thorough assessment, which requires flexibility in opioid choice, formulation, and dosage. Moreover, with respect to the issue of decreasing opioid abuse & diversion, many states now have Prescription Drug Monitoring Programs in place, and many more are in the process of setting up, or securing funding for, such a program. Recent published studies on the effectiveness in decreasing prescription abuse & diversion in states that first started these have been very promising. I respectfully request that you keep in mind the needs of this chronically underserved population, and allow pain specialists to provide the best possible pharmacotherapy based on their assessment.
# 4,063:
8:53 pm PDT, Jun 28, Leah Hughes, Ohio
# 4,062:
8:50 pm PDT, Jun 28, Beverly Allbritten, Kansas
I have suffered with chronic and debilitating Migraines for 18 years. Still, doctors believe I am "drug searching". I've lost my quality of life since a Pain Clinic quit prescribing narcotics. I am seeing that you have to be near death to get any sort of pain relief. Veternarians do not even treat animals this harshly. WHY DO THESE INSENSITIVE PEOPLE BECOME DOCTORS?
# 4,061:
8:47 pm PDT, Jun 28, Jessica Boyle, Massachusetts
My mother is a single mother of us three children. She lives everyday in pain, and if it weren't for the medications she's prescribed, she wouldn't be able to function at all, or be able to give me, my brother, and my sister the life that we've lived. Her depression, which is already bad enough, will worsen to extents even I could not cope with. Please don't take away my mother's life. Support!
# 4,060:
8:46 pm PDT, Jun 28, Sal Pistolese, New York
I suffer from chronic pain due to a severe accident that has left me disabled. Without pain medication for my chronic pain I would have no quality of life! Please do not make me suffer as well as the rest of chronic pain patients!
# 4,059:
8:21 pm PDT, Jun 28, Malinda Nelson, Louisiana
# 4,058:
8:13 pm PDT, Jun 28, Linda Harries, California
Pain relief for those who are suffering from chronic, unrelenting pain needs to continue to be available so they may live their lives as best they can.
# 4,057:
8:06 pm PDT, Jun 28, Courtney Harley, Illinois
I am a hematology/oncology RN who takes care of patients in all stages of their disease. Cancer patient experience a lot of pain whether it be from surgery or at the end of their lives, the pain medications we prescribe them are lifesavers and they would not have any quality of life without them. I don't believe patients that benefit from these drugs should be punished because of the misuse of others.
# 4,056:
7:59 pm PDT, Jun 28, Name not displayed, Pennsylvania
People in chronic pain need adequate pain medication simply to function.
# 4,055:
7:58 pm PDT, Jun 28, Suzanne Rosenberg, Connecticut
As a hospice professional, I have worked with hundreds of people during the last days and weeks of their lives. Some of them have had difficulties in obtaining adequate pain management at end of life because their physicians were afraid to order too much opioid medication. Dying in pain is simply inhumane, and has significant negative consequences for the survivors who are forced to watch this. Opioid pain medication must remain available for patients at end of life, without physicians having to fear prosecution or sanctions for ordering them.
# 4,054:
7:53 pm PDT, Jun 28, Name not displayed, Michigan
I am a hospice nurse who's wishing to petition for many people in such painful state that only these medications can minimize their suffering. Thanks.
# 4,053:
7:47 pm PDT, Jun 28, Joseph Conaty, New York
# 4,052:
7:40 pm PDT, Jun 28, Name not displayed, Michigan
As a responsible prescribing hospice & palliative care provider it is essential that opioid medications continue to be available to my patients. These medications can be vital to their comfort & quality of life.
# 4,051:
7:37 pm PDT, Jun 28, Charles Reichardt, Connecticut
my sister has rsd and has suffered with severe pain for the past 3 years PLEASE HELP
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