<?xml version='1.0' encoding='UTF-8'?><?xml-stylesheet href="http://www.blogger.com/styles/atom.css" type="text/css"?><feed xmlns='http://www.w3.org/2005/Atom' xmlns:openSearch='http://a9.com/-/spec/opensearchrss/1.0/'><id>tag:blogger.com,1999:blog-7579373589295053000.post3140036066592195787..comments</id><updated>2011-12-27T09:38:30.535-06:00</updated><category term='neuropathy'/><category term='guidelines'/><category term='overdose'/><category term='naloxone'/><category term='foot pain'/><category term='NSAID'/><category term='EBPM'/><category term='death'/><category term='IBS'/><category term='side effects'/><category term='analgesic'/><category term='medication guide'/><category term='elderly'/><category term='FDA'/><category term='abdominal pain'/><category term='GI pain'/><category term='Tai Chi'/><category term='acute pain'/><category term='ergonomics'/><category term='magnetic therapies'/><category term='naltrexone'/><category term='somatization'/><category term='acetaminophen'/><category term='UDT-Urine Drug Testing'/><category term='arthritis'/><category term='knee pain'/><category term='cardiac'/><category term='morphine'/><category term='methadone'/><category term='DMARD'/><category term='exercise'/><category term='Making Sense of Pain Research'/><category term='antidepressant'/><category term='drug interactions'/><category term='migraine'/><category term='Anouncements-Warnings'/><category term='propoxyphene'/><category term='coping skills'/><category term='oxycodone'/><category term='abuse-addiction'/><category term='legal issues'/><category term='depression'/><category term='cancer pain'/><category term='black box warning'/><category term='shockwave therapy'/><category term='REMS'/><category term='interventional procedures'/><category term='complementary-alternative med'/><category term='marijuana'/><category term='suicide'/><category term='Editor&apos;s Notebook'/><category term='chronic pain'/><category term='vitamin D'/><category term='headache'/><category term='conferences'/><category term='homeopathy'/><category term='neck pain'/><category term='opioid rotation'/><category term='Tension Myositis Syndrome'/><category term='repetitive strain'/><category term='TENS'/><category term='surgery'/><category term='vertebroplasty'/><category term='hypnosis'/><category term='meditation'/><category term='yoga'/><category term='feedback'/><category term='dietary supplements'/><category term='fibromyalgia'/><category term='CRPS/RSD'/><category term='treatment agreements'/><category term='RF therapy'/><category term='Alcohol'/><category term='birth defects'/><category term='pain-and-the-brain'/><category term='massage'/><category term='pediatrics'/><category term='placebo'/><category term='obesity'/><category term='Guest Author'/><category term='shoulder pain'/><category term='laser therapy'/><category term='hyperalgesia'/><category term='_IMPORTANT INFORMATION: About These UPDATES'/><category term='fentanyl'/><category term='women-men'/><category term='liver failure'/><category term='shingles-PHN'/><category term='relaxation'/><category term='opioids'/><category term='PENS'/><category term='anticonvulsant'/><category term='buprenorphine'/><category term='language matters'/><category term='acupuncture'/><category term='back pain'/><category term='hand pain'/><category term='education/CME'/><title type='text'>Comments on Pain-Topics.org News/Research UPDATES: New Opioid, Exalgo, on Slippery Slope of REMS</title><link rel='http://schemas.google.com/g/2005#feed' type='application/atom+xml' href='http://updates.pain-topics.org/feeds/3140036066592195787/comments/default'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default'/><link rel='alternate' type='text/html' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html'/><author><name>SB. Leavitt, MA, PhD</name><uri>http://www.blogger.com/profile/11568656049984688554</uri><email>noreply@blogger.com</email><gd:image xmlns:gd='http://schemas.google.com/g/2005' rel='http://schemas.google.com/g/2005#thumbnail' width='32' height='32' src='http://1.bp.blogspot.com/_c6OGZNS3CPQ/TE8748KQ2SI/AAAAAAAAALQ/xdXgW_bHceg/S220/SBLeavitt-sml.jpg'/></author><generator version='7.00' uri='http://www.blogger.com'>Blogger</generator><openSearch:totalResults>6</openSearch:totalResults><openSearch:startIndex>1</openSearch:startIndex><openSearch:itemsPerPage>25</openSearch:itemsPerPage><entry><id>tag:blogger.com,1999:blog-7579373589295053000.post-184689390165953995</id><published>2010-10-09T14:32:10.853-05:00</published><updated>2010-10-09T14:32:10.853-05:00</updated><title type='text'>I have been taking this medicine for 1 month and h...</title><summary type='text'>I have been taking this medicine for 1 month and haven&amp;#39;t seen a huge relief in pain. I was taking oxycontin 30mg and was not getting any relief at all. This Med is new and is supposed to be the safest and strongest out there. I am not very impressed with it at all. I wish there was something out there that would help me......</summary><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default/184689390165953995'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default/184689390165953995'/><link rel='alternate' type='text/html' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html?showComment=1286652730853#c184689390165953995' title=''/><author><name>Anonymous</name><email>noreply@blogger.com</email><gd:image xmlns:gd='http://schemas.google.com/g/2005' rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img1.blogblog.com/img/blank.gif'/></author><thr:in-reply-to xmlns:thr='http://purl.org/syndication/thread/1.0' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html' ref='tag:blogger.com,1999:blog-7579373589295053000.post-3140036066592195787' source='http://www.blogger.com/feeds/7579373589295053000/posts/default/3140036066592195787' type='text/html'/><gd:extendedProperty xmlns:gd='http://schemas.google.com/g/2005' name='blogger.itemClass' value='pid-1020737093'/></entry><entry><id>tag:blogger.com,1999:blog-7579373589295053000.post-5064286167951450449</id><published>2010-08-21T17:47:44.691-05:00</published><updated>2010-08-21T17:47:44.691-05:00</updated><title type='text'>MY HUSBAND TAKES THIS MEDICATION AND HE FOR TWO WE...</title><summary type='text'>MY HUSBAND TAKES THIS MEDICATION AND HE FOR TWO WEEKS NOW AND HE HAS BEEN THRU A LOT OF WITHDRAWLS FROM OXY THAT HE WAS ON NOW THIS MEDICATION SORRY COMES OUT IN STOOL THERE IS NO WAY THAT THE MEDICATION COMES OUT THE TINY PIN HOLE JUST A INDENT OF A HOLE THAT IS IN A DIFFERENT PLACE ON ALL THE PILLS IT SAID IT TAKES TWO THREE DAYS TO WORK WELL HE ALREADY PASSED IN STOOL IT WAY BEFORE IT EVER </summary><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default/5064286167951450449'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default/5064286167951450449'/><link rel='alternate' type='text/html' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html?showComment=1282430864691#c5064286167951450449' title=''/><author><name>Anonymous</name><email>noreply@blogger.com</email><gd:image xmlns:gd='http://schemas.google.com/g/2005' rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img1.blogblog.com/img/blank.gif'/></author><thr:in-reply-to xmlns:thr='http://purl.org/syndication/thread/1.0' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html' ref='tag:blogger.com,1999:blog-7579373589295053000.post-3140036066592195787' source='http://www.blogger.com/feeds/7579373589295053000/posts/default/3140036066592195787' type='text/html'/><gd:extendedProperty xmlns:gd='http://schemas.google.com/g/2005' name='blogger.itemClass' value='pid-1687319001'/></entry><entry><id>tag:blogger.com,1999:blog-7579373589295053000.post-5921813280547499400</id><published>2010-07-16T17:59:11.041-05:00</published><updated>2010-07-16T17:59:11.041-05:00</updated><title type='text'>I have recently been prescribed Exalgo for long-te...</title><summary type='text'>I have recently been prescribed Exalgo for long-term chronic pain. To answer the question about &amp;quot;crushablilty&amp;quot; : I accidently dropped one on the floor and then rolled over it with my very heavy desk chair (heavy enough to pulverize any other pill I&amp;#39;ve ever come across). Aside from some bruising to &amp;quot;paint&amp;quot; (the thin orange coating on which the pill&amp;#39;s information is </summary><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default/5921813280547499400'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default/5921813280547499400'/><link rel='alternate' type='text/html' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html?showComment=1279321151041#c5921813280547499400' title=''/><author><name>Anonymous</name><email>noreply@blogger.com</email><gd:image xmlns:gd='http://schemas.google.com/g/2005' rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img1.blogblog.com/img/blank.gif'/></author><thr:in-reply-to xmlns:thr='http://purl.org/syndication/thread/1.0' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html' ref='tag:blogger.com,1999:blog-7579373589295053000.post-3140036066592195787' source='http://www.blogger.com/feeds/7579373589295053000/posts/default/3140036066592195787' type='text/html'/><gd:extendedProperty xmlns:gd='http://schemas.google.com/g/2005' name='blogger.itemClass' value='pid-1378827976'/></entry><entry><id>tag:blogger.com,1999:blog-7579373589295053000.post-6019292601346074287</id><published>2010-02-23T21:05:28.835-06:00</published><updated>2010-02-23T21:05:28.835-06:00</updated><title type='text'>In reference to above comment… we didn’t understan...</title><summary type='text'>In reference to above comment… we didn’t understand the FDA panel&amp;#39;s concerns either, since there was nothing in the background data to suggest any exceptional abuse potential for Exalgo, via crushing or otherwise. Jurnista isn’t marketed in the U.S. and, while it appears to use the same technology as Exalgo, perhaps it is somehow different (ie, crushproof?).&lt;br /&gt;&lt;br /&gt;The FDA is expected to </summary><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default/6019292601346074287'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default/6019292601346074287'/><link rel='alternate' type='text/html' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html?showComment=1266980728835#c6019292601346074287' title=''/><author><name>SB. Leavitt, MA, PhD</name><uri>http://www.blogger.com/profile/11568656049984688554</uri><email>noreply@blogger.com</email><gd:image xmlns:gd='http://schemas.google.com/g/2005' rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:in-reply-to xmlns:thr='http://purl.org/syndication/thread/1.0' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html' ref='tag:blogger.com,1999:blog-7579373589295053000.post-3140036066592195787' source='http://www.blogger.com/feeds/7579373589295053000/posts/default/3140036066592195787' type='text/html'/><gd:extendedProperty xmlns:gd='http://schemas.google.com/g/2005' name='blogger.itemClass' value='pid-811281944'/></entry><entry><id>tag:blogger.com,1999:blog-7579373589295053000.post-3306815009164394024</id><published>2010-02-23T19:56:05.195-06:00</published><updated>2010-02-23T19:56:05.195-06:00</updated><title type='text'>I don&amp;#39;t understand this comment here:

-&amp;gt; A...</title><summary type='text'>I don&amp;#39;t understand this comment here:&lt;br /&gt;&lt;br /&gt;-&amp;gt; According to panel chairman, Jeffrey Kirsch, MD, the panel felt Exalgo was &amp;quot;…very prone to crushing and other methods of abuse. On the spectrum of abuse, I think it&amp;#39;s toward the top.&amp;quot;&lt;br /&gt;&lt;br /&gt;According to drug users online, Jurnista (exactly the same as exalgo) is unbreakable! This is coming from guys who are trying to </summary><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default/3306815009164394024'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default/3306815009164394024'/><link rel='alternate' type='text/html' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html?showComment=1266976565195#c3306815009164394024' title=''/><author><name>Anonymous</name><email>noreply@blogger.com</email><gd:image xmlns:gd='http://schemas.google.com/g/2005' rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img1.blogblog.com/img/blank.gif'/></author><thr:in-reply-to xmlns:thr='http://purl.org/syndication/thread/1.0' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html' ref='tag:blogger.com,1999:blog-7579373589295053000.post-3140036066592195787' source='http://www.blogger.com/feeds/7579373589295053000/posts/default/3140036066592195787' type='text/html'/><gd:extendedProperty xmlns:gd='http://schemas.google.com/g/2005' name='blogger.itemClass' value='pid-472732598'/></entry><entry><id>tag:blogger.com,1999:blog-7579373589295053000.post-2384388687055724360</id><published>2009-09-28T13:29:14.268-05:00</published><updated>2009-09-28T13:29:14.268-05:00</updated><title type='text'>Onsolis and possibly Exalgo getting approval with ...</title><summary type='text'>Onsolis and possibly Exalgo getting approval with their own proprietary opioid REMS is the beginning of a mudslide which could result in the FDA losing interest in developing a unified, comprehensive opioid REMS because the drug manufacturers bring them to the approval table already figured out, making things very easy for the FDA to leave them untouched (or slightly modified).  This then ignores</summary><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default/2384388687055724360'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7579373589295053000/3140036066592195787/comments/default/2384388687055724360'/><link rel='alternate' type='text/html' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html?showComment=1254162554268#c2384388687055724360' title=''/><author><name>sulley</name><uri>http://openid.org/sulley</uri><email>noreply@blogger.com</email><gd:image xmlns:gd='http://schemas.google.com/g/2005' rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img1.blogblog.com/img/openid16-rounded.gif'/></author><thr:in-reply-to xmlns:thr='http://purl.org/syndication/thread/1.0' href='http://updates.pain-topics.org/2009/09/new-opioid-exalgo-on-slippery-slope-of.html' ref='tag:blogger.com,1999:blog-7579373589295053000.post-3140036066592195787' source='http://www.blogger.com/feeds/7579373589295053000/posts/default/3140036066592195787' type='text/html'/><gd:extendedProperty xmlns:gd='http://schemas.google.com/g/2005' name='blogger.itemClass' value='pid-1165106838'/></entry></feed>
