After reviewing the data, the researchers concluded that prescribers, pharmacists, drug companies and the FDA — all of whom had agreed to special rules and monitoring for use of the powerful opioid — had allowed it to fall into the hands of thousands of inappropriate patients. Over time the FDA and drug companies became aware this was happening but took no action, the researchers found…Using five years of insurance claims data, the researchers found that between 34.6 percent and 55.4 percent of patients shouldn’t have received the drugs. https://www.washingtonpost.com/national/health-science/fda-drug-companies-doctors-mishandled-use-of-powerful-fentanyl-painkiller/2019/02/19/25106364-343e-11e9-af5b-b51b7ff322e9_story.html?utm_term=.192aee2dcd5e
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3-5-19 Perhaps 40 percent of global pharmaceutical output is from China https://www.heritage.org/crime-and-justice/commentary/china-poisoning-america-fentanyl
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6-5-19 In the agreement, the drugmaker admitted orchestrating a nationwide scheme in which it set up a sham "speaker program.” Participating doctors were not paid to give speeches but to write prescriptions of Insys Therapeutics' fentanyl-based medication, Subsys. Often the painkiller was prescribed to patients who did not need it. …
"Today's settlement sends a strong message to pharmaceutical manufacturers that the kinds of illegal conduct that we have alleged in this case will not be tolerated," said Assistant Attorney General Jody Hunt in a statement. https://www.heritage.org/crime-and-justice/commentary/china-poisoning-america-fentanyl NO ONE GOES TO JAIL AGAIN AGAIN AGAIN AGAIN AGAIN AGAIN AGAIN AGAIN AGAIN
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In Garoua, Cameroon, hospitals can trace 80 percent of all traffic accidents resulting in hospital visits to tramadol,8 suggesting that at least half of adults in the city use tramadol. To make it even more apparent how dire tramadol addiction has become, hospital staff reported that people waiting for patients outside of the hospital gates would start convulsing, the sign of a tramadol overdose.9 In some countries, tramadol deaths outnumber heroin deaths.10…
Indian tramadol networks have even been linked to ISIS and Boko Haram, raising security concerns. There have been several instances of seizures of tramadol from India destined for Islamic State territory. In May, $75 million worth of tramadol, about 37 million pills, was seized in Italy en route to Misrata and Tobruk, Libya12; ISIS had purchased them for resale to ever-growing markets. The group has been involved in both the trafficking and consumption of tramadol,13 and the quantity of drugs being purchased by ISIS is so great that it can be assumed the group is selling a significant portion for profit.
The 37 million tramadol tablets purchased by ISIS had taken a familiar route from India through Southeast Asia. Neither India nor many Southeast Asian countries regulate tramadol, and since tramadol is not on the international drug schedule, it is only regulated if individual countries decide to classify it.
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