Posted by azdrugrehabctr on February 16, 2016 under Addiction Trends, Prescription Drugs | 
The vast majority of doctors in the United States are committed to fighting the prescription painkiller epidemic. This is because the painkillers often originate out of offices in every state. Doctors either unknowingly write a prescription to a person who is falsifying their maladies, the patient with a legitimate problem sells their prescription to make money, or addicts steal the pills from people who have prescriptions. However, some addicts are able to exploit the system and find a doctor who is willing to write illegal prescriptions for a hefty cost. This was apparently the case with Dr. Hsiu-Ying “Lisa” Tseng.
Tseng was a doctor out of Rowland Heights, a suburb of Los Angeles. The DEA began their investigation after it was discovered that the doctor had written 27,000 prescriptions for narcotic drugs over a period of three years. This means that she averaged 25 prescriptions a day. Despite her lawyer’s claims that Tseng was naïve and had no idea that her patients were abusing the medications, it appears that Tseng was responsible for twelve deaths among her patients. Due to additional reasons for death, like prescription from other doctors and a possible suicide, Tseng was only convicted of three deaths. For her part, Tseng received a thirty year to life sentence.
“(She’s) a person who seemingly did not care about he lives of her patients in this case but rather appeared more concerned about distributing dangerous controlled substances in an assembly line fashion so as to collect payments which amounted to her amassing several million dollars,” commented George Lomeli, the Los Angeles County Superior Court Judge that presided over the case.
This landmark case is intended to show other doctors who may be engaging in the same behavior that they will be prosecuted for the laws they break and the trust they violate. Additionally, doctors who may be suspicious of their patient’s need for prescription drugs are likely to take this case into account when determining the best course of action. Illustrating to the medical community that there are repercussions for the over egregious violations of over-prescribing of narcotics is an important step when it comes to lowering the amount of painkillers available to addicts.
Posted by azdrugrehabctr on December 18, 2015 under Addiction Trends, Opiate Abuse, Prescription Drugs |
In order to effectively change the heroin abuse problem in the United States, researchers, health officials and law enforcement need to understand how the problem has changed throughout the years. Several decades ago it was more common to see heroin abuse in the inner city and among young people. Heroin addicts were usually minorities of the lower class. It was rare to see a heroin addict in their forties or fifties. However, this has all changed over time. Now, most heroin addicts are white, from middle to upper class families and more and more of them are in their fifties and sixties. Why such a big difference from the trends of the past? Most people are pointing to prescription painkillers as the catalyst for such a severe change.
And the change is severe. “According to reports in the Journal of the American Medical Association, the new generation of heroin users is older, predominantly white and living outside of inner-city urban neighborhoods. And the average age of first heroin use has increased from age 16 to over 23 and from equal numbers of white and nonwhite users to about 90% white,” explained Jeannie Diclementi, a psychologist who treats heroin abusers.
Older generations have a higher rate of being prescribed painkillers to manage chronic and acute pain. As people’s body’s age they are more likely to experience problems that prescription painkillers like OxyContin and Vicodin are designed to help. Many physicians prescribe these types of medicines because of the lack of understanding on how addictive these pills actually are. In fact, one of the biggest topics when it comes to prescription painkiller reform is educating doctors on addiction and the signs to watch out for. However, many people wonder if it is too late.
By the time a doctor notices that their patients are exhibiting signs of addiction, the problem has already occurred. This means that even when the painkillers are no longer prescribed, patients are seeking the therapeutic and euphoric effects of the drug. It becomes a quest to acquire the same feeling, a feeling that heroin easily supplies.
Posted by azdrugrehabctr on August 19, 2015 under Addiction Trends, Prescription Drugs |
Citizens of the United States have heard countless stories and warnings about the prescription drug abuse epidemic. Originally starting in areas where heroin was not easy to obtain, such as rural areas, pain pill misuse and abuse spread throughout the country. Now experts are watching other countries throughout the world succumb to the prescription drug epidemic as well.
The International Narcotics Control Board (INCB) monitors the drug patterns throughout the world. The organization has reported that prescription drugs have moved up to the second most abused and trafficked class of drugs worldwide. Second only to marijuana, prescription drugs are making their mark around the globe including places like Europe, Asia and Australia.
Prescription painkillers like oxycodone and hydrocodone make up much of the prescription drug problem, but stimulants, sedatives and tranquilizers are included in this group as well. The INCB also reported that heroin and cocaine use has gone down, despite the recent surge in heroin use here in the United States.
Prescription drug trafficking isn’t just being done by criminal organizations, as there are reports that doctors around the world have also been a huge part of the problem through careless and sometimes intentional prescribing practices in exchange for money.
The INCB concurred with most experts in that most people seek out prescription drugs because they are considered safer than street drugs. This misconception has helped to encourage worldwide addiction problems.
Posted by azdrugrehabctr on July 15, 2015 under Opiate Abuse, Prescription Drugs |
A migraine is an intense headache that is often accompanied by impaired vision and stomach nausea. Many people who get migraines are unable to function and must wait out the severe pain for several hours. Because of the impaired vision, it is common to have to protect one’s eyes in a room that is completely dark. It is estimated that around 18% of women and 6% of men suffer from migraines and there is a big push in the medical community to come up with effective and safe solutions to debilitating condition. While there are several medications on the market that are designed to eliminate the migraine or ease it once it attacks, new research shows that many people are simply prescribed painkillers.
While it may seem obvious to prescribe someone that is in excruciating pain a narcotic painkiller, experts agree that migraine sufferers should not be given a heavy opioid for their discomfort as a first option. In fact, studies show that opioids can actually induce more intense migraines or more frequent migraines over time. So why are so many physicians prescribing something that is addictive and can actually cause the problem the pills are supposed to be fixing?
Researchers believe that it is a lack of education regarding migraines and the effective treatments. When a person is experiencing a migraine they often go to the Emergency Room. Doctors seeing patients in the ER are generally not specialists and respond to extreme pain in the only way they know how, by administering narcotic painkillers. However, doctors that specialize in the treatment of migraines are aware that there are certain medications on the market that are designed to treat the migraine while ensuring that the patient is not introduced to opiate painkillers that have a high potential for addiction.
There has been a push lately to educate the medical community about the dangers of prescription painkillers and the treatment of migraines is one such example. By quickly prescribing a narcotic such as hydrocodone or oxycodone, they may be temporarily relieving the pan but not actually solving the problem. Stories like these that share research into the prescribing patterns and results of those drugs help reduce the overall painkiller problem in America, even if only a little bit at a time.
Posted by azdrugrehabctr on June 9, 2015 under Addiction Trends, Opiate Abuse, Prescription Drugs |
Needle exchanges are the controversial program set up to allow intravenous drug users a safe place to acquire new, clean needles. These facilities are intended to help prevent the spread of diseases that are associated with IV drug use and dirty needles. This type of program is often regarded as one of the more drastic forms of harm reduction.
Many people are cautious of needle exchange facilities for fear that it will normalize drug use and encourage others to experiment with drugs like heroin and prescription painkillers. However, studies show that such programs don’t impact the situation negatively by attracting new users, and some reports show that they help get more people into treatment by having referral centers available for detox and treatment.
The state of Indiana is currently facing an outbreak of HIV infections due to needle-using substance abusers. In the rural section of the state there have been 149 reported cases of HIV. In other parts of the country, residents are facing a Hepatitis C crisis. The amount of people that have contracted the liver disease have more than tripled in some parts of the country. One of the reasons for this incredible spread is that many people who are carrying the Hepatitis C virus are unaware that they are infected. Unfortunately the most common way to contract Hepatitis C is by blood to blood contact, and for drug addicts this comes in the form of a needle.
The Governor of Indiana, Mike Pence, ordered an emergency needle exchange to stop the rapidly spreading HIV virus throughout the population, and other states are wondering if they should follow suite. “It is critically important that needle exchange programs like the temporary one in Indiana be replicated across the country, and be permanent. Studies have repeatedly proven that needle exchange programs reduce HIV, hepatitis and other infections among people who use intravenous drugs without increasing intravenous drug use,” explained Paul Samuels, president of the Legal Action Center.
Whether you are an advocate of harm reduction strategies such as needle exchange programs or not, it is hard to argue with the notion that we should be using every tool available that helps mitigate the damage caused by addiction.
Posted by azdrugrehabctr on February 17, 2015 under Opiate Abuse, Prescription Drugs |
The Centers for Disease Control and Prevention (CDC) recently released a startling figure – more than 25 percent of all women who could become pregnant in the near future are taking prescription painkillers. This means that potential mothers could already be addicted to pills like OxyContin, Percocet or Vicodin. Since the withdrawal symptoms and cravings are so intense for these medications, mothers are more likely to abuse them while they are pregnant, exposing their unborn children to powerful and dangerous drugs before they ever take a breath of air.
While these drugs are meant for those suffering from chronic or acute pain, and only supposed to be provided for by a physician, the appetite for these pills is so intense that addicts have gotten around current restrictions. Sometimes a person with a valid pain issue and a valid prescription will sell their pills on the black market, prices can be as high as $100 per pill. Other times an addict will fake an injury or get copies of phony X-rays or a fake MRI. Once presented to a physician they can then acquire the pills necessary to fuel their drug habit. Other times doctors begin writing prescriptions to addicts who have no need for the heroin-like painkillers – essentially becoming drug dealers.
However a person gets a hold of these pills, it is clear that future generations are poised to feel the effects of this epidemic. Mothers who are dependent on or abuse narcotics or any other opiate-based painkiller put their unborn children at risk for birth defects and physical withdrawal pains from the drug.
Children who receive drugs prenatally have to go through a period of withdrawal upon being born. This means that they have become physically dependent to the drug and now that they are no longer receiving the drug through their mother they have to overcome severe withdrawal symptoms. Withdrawal symptoms from narcotic painkillers include; vomiting, diarrhea, body aches and insomnia. These symptoms are often too much for grown adults to handle, let alone day-old infants.
This study is important because many pregnancies are not planned. Oftentimes when a person is leading a life that involves regular drug use they are unaware of how their actions can affect themselves and others.
Posted by azdrugrehabctr on December 31, 2014 under Prescription Drugs |
Medicare’s Part D data provides transparency in finding doctors who prescribe controlled substances most frequently. Medicare has started to use prescribing data to identify potentially problematic doctors. Beginning in mid-2015, Medicare will have the authority to remove doctors from the program if they prescribe in abusive ways.
“It’s a real area of concern for us,” said Shantanu Agrawal, director of the Center for Program Integrity within the federal Centers for Medicare and Medicaid Services.
In 2012, 12 of Medicare’s top 20 prescribers of highly addictive Schedule 2 drugs such as oxycodone, fentanyl, morphine and Ritalin faced disciplinary actions by their state medical boards. Some even faced criminal charges related to their medical practices. Because of their risk of abuse and dependence, Schedule 2 drugs require written prescriptions and cannot be refilled.
The data from Pro Publica’s analysis shows the upward trend line for prescriptions of controlled substances: 269 providers wrote at least 3,000 prescriptions for Schedule 2 drugs. Florida led the country with 52 providers, followed by Tennessee with 25.
In September, Medicare sent more than 750 letters to doctors who prescribed far more Schedule 2 drugs compared to others in their medical specialty and state. Officials hope the initiative will cause doctors to examine their prescribing and make changes.
“Simply being an outlier doesn’t establish that you’re doing something wrong,” said Agrawal. “What we are trying to do is give physicians the ability to assess themselves, given their comparative data.”
Medicare’s drug program, known as Part D, covers about 38 million seniors and disabled people and pays for more than one of every four prescriptions dispensed in the U.S. Concerns about oversight of controlled substances date back to at least 2011,when the Government Accountability Office highlighted abuse of opioids in Part D and called on Medicare to take action.
Posted by azdrugrehabctr on October 20, 2014 under Addiction Trends, Prescription Drugs |
A closer look at the statistics surrounding drug addiction and drug use show that the drug problem is continuing to get worse in our country. While the President explained that the war on drugs needed to change tactics, some people are still fighting against drugs using the old playbook. Instead of focusing on prevention, education and treatment, some people are still blindly incarcerating addicts and punishing them instead of trying to solve the core issues.
Drug use continues to be a problem throughout towns, cities, states and the entire country. The number of people who have died from heroin overdoses has doubled since 2012. The United States reports more deaths from drug and alcohol overdoses than car accidents. Older adults are contributing to the increase in addicts in our country as well, not just teenagers or young adults. Many addicts obtain their drugs from their doctors, as the biggest increase in drug problems throughout the country involve prescription medications.
It is clear that as a nation, we are facing a problem regarding the way we deal with pain. Since millions of people are abusing painkillers, and then often resorting to heroin abuse because it is cheaper than purchasing pills, we need to address our policies on prescription painkillers. While most states have implemented some type of prescription monitoring tool to help doctors and pharmacists keep track of who is getting what and ensuring that less people are going from doctor to doctor in search of painkillers, this is not the ultimate solution. Not everyone uses the system and if you look at the prescription painkiller problem closer you will see that what needs to be addressed is our lack of willingness to feel pain, says Allen Frances, Professor Emeritus from Duke University.
As the leader of the task force for the fourth edition of the Diagnostic and Statistic Manual (DSM-IV), Frances is basing his opinions on a large body of data. He says that in an attempt to avoid pain, doctors are willing to put their patient at risk of developing a severe addiction to prescription painkillers. There was once a time when prior to such a severe course of action doctors would prescribe an exercise regimen, new diet or physical therapy. These are the alternatives that can prevent an addiction before it ever even starts.
While not everyone can be pleased with the drug policy of our country, it does seem to be continuing to shift more in favor of treatment over incarceration This should help to have a positive impact that should be noticed in the near future as well as man years down the road.
Posted by azdrugrehabctr on April 10, 2014 under Opiate Abuse |
A hand-held device, called Evzio, recently received approval from the Federal Drug Administration (FDA) and is expected to be available to the public this summer. The device is similar to an EpiPen used to stop allergic reactions, and is intended to be a life-saving treatment when administered during an overdose.
In a news release following approval, the FDA recommends that family members or caregivers become familiar with the instructions for use before administering Evzio. When the device is turned on, it gives verbal operating instructions to the user, similar to automated defibrillators that hang in public buildings.
The device is designed to deliver a single dose of the opioid overdose antidote, naloxone. The medication works by blocking the ability of heroin or opioid painkillers to attach to brain cells. The FDA notes that because naloxone may note work as long as opioids, repeat doses may be needed. The news release also states that users should seek immediate emergency medical care after administering the antidote.
“This is a big deal, and I hope it gets wide attention,” said Dr. Carl R. Sullivan III, Director of the Addictions Program at West Virginia University. “It’s pretty simple: Having these things in the hands of people around drug addicts just makes sense because you’re going to prevent unnecessary mortality.”
FDA officials say that they speedily approved the device in just 15 weeks because it is critical to prevent deaths by overdose, which have been on the rise despite the agency’s recent efforts. In the past year, the FDA has recommended tightening prescription practices and the changing of labeling requirements for opioid prescription drugs, although many experts believe these are just baby steps on the way to tackling the bigger issues.
“They’re plucking the low-lying fruit, but the hard things haven’t been done,” said Dr. Katz of Tufts University. FDA Commissioner, Dr. Margaret Hamburg, agrees with Dr. Katz’s suggestion to require doctors who prescribe highly addictive opioids to get training in how to do it properly. Such training is currently voluntary.
To address the concerns like those of Dr. Katz, Dr. Hamburg emphasized that “tackling the opioid epidemic is a high priority for the FDA,” according to the release. The FDA has made a point to be outspoken about it’s efforts to fight opioid abuse since receiving criticism last fall when it approved the powerful hydrocodone drug, Zohydro, against the advice of the expert panel.
Even though some are concerned that the existence of an overdose antidote will encourage drug users to be even more cavalier with their drug use, many are hopeful that the increased availability of the Evzio device will result in benefits that significantly outweigh the risks.
