“It is more important to know what sort of person has a disease than to know what sort of disease a person has.”

In this quote, Hippocrates reveals his focus on the person before the disease. Unlike purely Western treatment modalities, this philosophy is at the heart of the Eastern Indian system of Ayurveda or, literally, “science of life.”  In this practice, which is more than 50 centuries old, healers learn basic aspects of a patient’s physical and mental constitution before deciding which treatments (and, more often, preventatives…) would be best for general wellness as well as specific conditions.

Patients have been asking me about a new medication called Zohydro.  Zohydro contains a extremely large dose of hydrocodone, a narcotic pain medication. However, this formulation is an easily crushable capsule. Hydrocodone is the most abused prescription pain medication in the United States. A pure, easily crushable form has the potential for abuse, overdose, and death.
There are several new opioid pain medications that will become available in the next few years. There is a mandate from the FDA that all new opioid medications be evaluated on a four-tier system in regard to their potential for abuse. Just yesterday, Purdue Pharma announced its progress with its own long-acting hydrocodone product that comes as a tamper-resistant formulation. Given the potential risks inherent in formulations that lack abuse-deterrent properties, I personally would give Zohydro a pass and wait for other medications that will be available in the near future.


Hello! Thank you for your interest in the San Francisco Pain Management Center.  We are here to help you feel better, get healthier and get back into life!  Adrian Bartoli, MD is one physician with ALL the tools to help you achieve this goal, and part of the reason we have created this blog is to help everyone understand all the ways our office can help you.  While Dr. Bartoli is a boardcertified Interventional Pain Specialist who does spinal surgery and implants pumps and spinal stimulators, he also does acupuncture, is a certified Yoga Therapist and is also an Ayurvedic Healer/Herbalist.  Trained at top medical schools (UCLA, USC, UCSF) in molecular biology, biochemistry and Internal Medicine in addition to Anesthesia and Pain Management, he also has a deep understanding of nutrition, supplements and other physical and mental treatment modalities.  Whatever your condition/diagnosis, Dr. Bartoli balances leadingedge Western expertise with Eastern philosophy and complementary alternatives, your personal profile and your preferences to develop a program that will ease your symptoms, improve your overall health and increase resistance to recurrence and new injury/disease.  Please stay tuned here for a regular checkin with wellness tips and ideas to help in your journey. Thank you!