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Jun-28-2009 23:05TweetFollow @OregonNews Michael Jackson Oxycontin and Demerol: Lethal CombinationDr. Phil Leveque Salem-News.comDr. Leveque, our resident pharmacology/toxicology expert medical writer, predicted that the combination of several central nervous system depressants, depressed the respiratory center which is most sensitive, which then depressed the cardiac center, resulting in a heart stopping, which is what killed Michael Jackson.
(MOLALLA, Ore.) - Michael Jackson's sudden death brings to the headlines the well-known danger of mixing two very strong pain killers whose main adverse side actions are respiratory depression. The effectiveness of these two as pain killers is well-known. To see his dancing gyrations was astonishing for physical endurance. If he had any kind of pain those would have been impossible without strong pain killers. Even recuperation after such physical activity probably required pain killers for rest and sleep. Apparently it was known by many that he was an Oxycontin addict. It is also known as hillbilly heroin for good reason. If he was on it for more than two weeks HE WAS AN ADDICT! If or why he was also given Demerol, an almost equally strong pain killer and respiratory depressant, this could easily explain his death. The respiratory center in the brain is extremely sensitive to these kinds of pain killers. The double effect is called synergy which means the combination of the two will not give a double effect, but probably five times the effect, making them severely dangerous. If respiration goes down the brain is further depressed and the cardiac stimulatory center of the heart itself gets less and less oxygen which it requires for continual function. One source said he complained of chest pains. This could have been from lack of oxygen to his heart from the Oxycontin. The medical response is NOT to give another respiratory depressant but maybe oxygen. It sounds as if he was given Demerol intravenously which would have been correct if it were a "heart attack" or blood vessel occlusion which it probably wasn't, for someone as energetic as he was while dancing. I would hate to be Michael's doctor at this time. I predict when the toxicology reports come in, it will be a further shock to everybody involved. Just like Marylin Monroe, he was a candle in the wind. Do you have a a question, comment, or story to share with Dr. Leveque? Email him: Ask Dr. Leveque More information on the history of Dr. Leveque can be found in his book, General Patton's Dogface Soldier of WWII about his own experiences "from a foxhole". If you are a World War II history buff, you don't want to miss it. Watch for more streaming video question and answer segments about medical marijuana with Bonnie King and Dr. Phil Leveque. Click on this link for other articles and video segments about PTSD and medical marijuana on Salem-News.com: Articles for June 27, 2009 | Articles for June 28, 2009 | Articles for June 29, 2009 | Support Salem-News.com: Quick Links
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Dr. Leveque July 30, 2009 10:31 am (Pacific time)
Skipper: Most patients who have been prescribed Oxycontin like it soooo much they DO become addicted. You seem to be the rare case who doesn't get withdrawl symtoms. Lucky for you. Most Drs and Pharmacologists consider Oxycontin to be as addicting as METH, one of the worst. Thanks for writing.
Skipper Osborne July 28, 2009 9:09 pm (Pacific time)
Well doc, I disagree with your statement "If he was on it for more than two weeks HE WAS AN ADDICT!" I have been, still is, on Oxycontin/Oxycodone since January 11, 2000 (9 years), because of my chronic severe pancreatitis. In the less week I have had three blood tests, to make sure that I am doing well (had an elevated creatinine). There are times when I do not feel any pain, and I will not take the Oxycontin/done; sometimes up to three weeks with not side effects. Must give a shout out to the Veterans Adminitration Hospital, and my primary care provider for keeping a close tabs on me so that I DO NOT BECOME ADDICTED! So I am really curious about your statement "If he was on it for more than two weeks HE WAS AN ADDICT!" Please respond. Thanks.
Osotan; July 1, 2009 4:34 am (Pacific time)
Ah yes,LIMBAUGH chisled into a sandstone block. I pray for it.I hadn't heard of his recent demise and suspect he may be round the bend therepy wise and certainly wouldn't qualify for V.A. care if he is still among the living. Don't get me wrong,I love Rush like a dentist loves an abcess but I think Michael's comparison to Rush is unfair to Michael.Thank you very much.
Anonymous June 29, 2009 11:16 pm (Pacific time)
Hey, why dont you post this again tomorrow only put Rush Limbaughs name as the teaser? such romour mongering is beyond disrespectful.
NancyB June 29, 2009 6:48 am (Pacific time)
Get help for Painkiller and Heroin Addictions Buprenorphine (Suboxone) is a medication when combined with therapy treats the medical condition of opioid addiction in the privacy of a doctor's office. FDA approved in 2002, this treatment has improved quality of life for patients and provided dignity to opiate addiction treatment. The naabt.org Patient/Physician Matching System has connected 22,442 patients with at least one of the 2,531 participating physicians. This confidential system TreatmentMatch.org helps connect people to doctors providing buprenorphine treatment. The free 24/7 service lets patients reach out for help anytime with privacy. Patient registration is fast. A short list of questions helps match patients to physicians. All information is confidential residing on a secure server. Once the application is done, emails are sent to physicians. The System then allows the physician to contact patients confidentially by email. For information visit www.naabt.org
Osotan; June 28, 2009 11:34 pm (Pacific time)
yeah Doc,ain't we all?
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