Sunday, November 3, 2019

Curmudgeon's Corner: This is why we can't have nice things.

I shared a meme on Facebook this weekend that got a lot of comments. I can't swear to the accuracy of the information in the caption, but just look at that list of ingredients:


Morphine! Cannabis! 10% alcohol! As my father used to say, that stuff will put hair on your chest.

Yes, he would say that to me. Then I'd remind him that I was a girl and didn't want any hair on my chest, and he'd just chuckle. Today's dad jokes are lame in comparison.

Anyway, in chatting with a FB friend about this, I mentioned a particular cough syrup that my mother used to buy. Here's a photo of what the bottle looked like, back in the '60s:


Anybody else remember Cheracol D? It had codeine (an opiate, as is morphine) in it. Mom used to give it to me when I was little and had a cold. You could buy it off the shelf at the local drugstore. Then you started to have to ask the pharmacist for it. That lasted for a few years, and then you had to start signing the pharmacist's log book every time you bought a bottle. Now you need a prescription for it, and the warning list will curl your hair:
Codeine can slow or stop your breathing, and may be habit-forming. MISUSE OF THIS MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription.
Do not give this medicine to anyone under 18.
Seriously? I was raised on this stuff. Now it'll kill you.

(In all seriousness, codeine can kill you. So can morphine, oxycodone, hydrocodone, heroin, and fentanyl -- they're all opioids, and lots of people have died from abusing them. In 2016, the death toll in the U.S. was more than 42,000, with nearly half of those deaths due to abusing fentanyl.)

There's an over-the-counter version of Cheracol D nowadays, but it doesn't have codeine in it. It might help you cough less, but you won't sleep like a baby on it, either.

Which reminds me of another thing: decongestants.

I'm allergic to a number of things: trees (specifically maple trees), dust, and mold. You know, stuff that's easy to avoid. The reaction is usually mild, except for the few weeks a year when the maples are sending their pollen everywhere. When I was in my mid-20s, I saw an allergist, had the pinprick tests (which is how I know what I'm allergic to), tried a bunch of different prescription antihistamines, and survived the series of shots. In my late 20s and early 30s, I had a bunch of sinus infections. Then we left Norfolk, VA, and things got a lot better -- I could basically get by with tissues. (Before you suggest it, I've tried a prescription steroid nose spray, but my nose got used to the regular dose too fast, so I quit using it. I've also tried a neti pot; I'm not a fan.)

But over the past year or so, it's gotten worse. I had a cold in the spring that morphed into a sinus infection, my first in years. Antibiotics knocked that back. But then this summer, I came down with another cold that overstayed its welcome, and I finally picked up a combined antihistamine and decongestant so that one wouldn't turn into a sinus infection, too.

It was heaven. I was able to breathe through both nostrils at the same time! I still had gunk pouring from my nose due to the cold, but now it could get out, instead of backing up into my ears!

Nearly all of the antihistamines I needed a prescription for in the '80s are now available over the counter. You used to be able to get the decongestant pseudoephedrine over the counter, too, but then some enterprising drug lords discovered that you could use pseudoephedrine to make crystal meth. So the decongestants containing pseudoephedrine went behind the pharmacist's counter, and you have to let the pharmacist scan your driver's license and promise that you're only buying it because you're sick.

Oh, you can buy decongestants off the shelf, but they contain phenylephrine hydrochloride, which in my opinion is pretty much useless.

I probably should lay off the decongestants, but it's just such a pleasure to breathe through both nostrils at once. I suspect the true cure will involve moving away from swampy DC to the much drier Southwest. But I expect I'll have just a few years of easy breathing before I develop an allergy to something out there.

Anyway, the point is that my life would be easier if I could get drugs that work when I need them, without having to jump through extra hoops. But too many people make big money by hooking people on dangerous drugs -- and that includes the big pharmaceutical companies that have made big money by hooking patients on opioids. My inconvenience is nothing compared to saving lives. So I guess I'll shut up now.

***
I might also be in a cranky mood because NaNoWriMo's word count widget is borked. The website got a major upgrade after CampNaNo in July, and the word count tracker is not playing nice with the new software. Supposedly fixing the bug is at the top of the programmers' to-do list, but I'm sure it's sharing that #1 spot with a host of other bugs that need to be fixed immediately if not sooner.

Anyway, I am at 5,417 words for Book 4 of the Elemental Keys series, which is right where I want to be. Someday the word counter on the NaNo site will be accurate, but this is not that day.

***
These moments of cranky blogginess have been brought to you, as a public service, by Lynne Cantwell, who nevertheless is grateful for breathing freely.

1 comment:

Jo-Anne Teal said...

Lynne, you said everything when you repeated how wonderful it was to breathe out of both nostrils at the same time! I too remember the days when stronger drugs were available in the pharmacy. In Canada, you could get the infamous 222s with codeine very easily - they were beautiful relief for my constant headaches. Now, Tylenol 3 (rightly) require a prescription and a more thoughtful approach to dosing.

Fentanyl has had a devastating impact in Vancouver, particularly in our troubled Downtown Eastside. There seems to be no stopping it :((

Change, eh?