Kuwait Times

Duterte painkiller use draws concern

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Philippine President Rodrigo Duterte’s admission that he used a powerful painkiller has prompted concern about his health, with lawmakers urging him yesterday to undergo a medical examinatio­n and disclose the results. Duterte on Monday revealed that he used to take fentanyl, often prescribed for cancer pain and other chronic ailments, because of a spinal injury from previous motorcycle accidents. He however said his doctor made him stop using it on learning he was “abusing the drug” by using more than the prescribed patches.

The firebrand leader has attracted controvers­y over his war against suspected users of illegal drugs, which has claimed thousands of lives, and his incendiary language against the United States and the United Nations. Lawmakers said Duterte’s remarks revived speculatio­n about his health, including rumors during the election campaign that he suffered from cancer - a claim Duterte repeatedly denied.

“To end this speculatio­n, it would be better if his physician explains how the president manages the pain that he suffers,” Duterte ally congressma­n Carlos Zarate told AFP. Zarate added that a medical bulletin would clarify the state of Duterte’s health, as fentanyl became controvers­ial after pop legend Prince died of an accidental overdose of the drug in April. Fentanyl, highly potent and addictive, is estimated to be up to 100 times stronger than morphine. An outspoken Duterte critic, Senator Leila de Lima, supported Zarate’s call. “It is not just the illness itself that we should be worried about, but also the impact or side effects that the medication­s he is taking may have, especially on his lucidity and ability to make decisions with a clear mind.” At 71, Duterte is the oldest president of the Philippine­s. He has said he suffers from daily migraine and ailments including Buerger’s disease, a cardiovasc­ular illness characteri­zed by inflammati­on of blood vessels usually due to smoking.

Duterte cited ill health as the reason for skipping events during summits abroad. In Cambodia last week he said he might not even finish his six-year term. Another critic, Senator Antonio Trillanes, told AFP Duterte’s admission that he took more than the prescribed fentanyl dosage showed he “qualified as a drug addict”. However Duterte on Saturday denied any addiction. “When there’s regularity, my friend, when you take it and when there’s a monkey on your back, that’s addiction,” he told a BBC reporter.

Doctors said fentanyl was regulated in the Philippine­s, with physicians needing a license from the drug agency to prescribe it. “The ones using (fentanyl) are usually people with harrowing pain or terminal diseases. Doctor monitoring manages risks of addiction,” said Leo Olarte, former president of the Philippine Medical Associatio­n. “A medical bulletin is good so the public won’t be rattled.”

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