Tag Archives: hydromorphone

ERs prescribing more painkillers: study

RXIncreasing numbers of Americans are being prescribed powerful opiate painkillers during emergency room visits, a new study has found. Between 2001 and 2010, emergency departments in the United States showed a 49 percent increase in prescriptions for narcotic painkillers despite the fact that there was only a small increase in the percentage of visits for painful conditions.

The study, published in the journal Academic Emergency Medicine, found that in 2010, 31 percent of ER visits involved a narcotic painkiller prescription, up from about 21 percent in 2001.

These increases were seen for conditions including abdominal pain, back pain, headache, joint and muscle pain, and toothaches.

In addition, the study found that hydromorphone and oxycodone had the greatest increase in ER administration between 2005 and 2010, while oxycodone and hydrocodone had the greatest increases in discharge prescriptions.

About 12 million Americans abused prescription painkillers in 2010, while roughly 15,000 Americans die annually from overdosing on such drugs, according to the U.S. Centers for Disease Control and Prevention.

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Fentanyl, hydromorphone replacing Oxy in Canada

PillsTighter controls on the popularly abused painkiller OxyContin in Canada have had positive results, but experts say the country’s massive pill addiction problem is still spiraling out of control: in 2010, for the first time, Canada surpassed the United States to become the highest opioid-consuming country, per capita, in the world, according to this article.

Moreover, in 2011, twice as many Ontarians were killed by opioid overdoses as drivers killed in car accidents, and addiction treatment programs are overflowing with people addicted to publicly funded drugs, the article adds.

As you may remember, OxyContin manufacturer Purdue Pharma replaced the painkiller last March in Canada with OxyNEO, an alternative billed as “tamper-resistant” because it is harder to crush. Today, Ontario’s OxyNEO prescriptions are about 60% what OxyContin prescriptions were a year ago; in Newfoundland, they’re 22%; in B.C., 67%, according to the article.

But other long-acting opioids such as fentanyl and hydromorphone — including Hydromorph Contin, also made by Purdue — are now among the fastest-growing causes of Ontario’s opioid overdose deaths, the article says.

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OxyContin Activists: Amy Nicole Graves

Amy Nicole Graves of Nova Scotia, Canada lost her 21-year-old brother Josh to an accidental overdose of the prescription painkiller Dilaudid (hydromorphone) in March 2011. She has since become an outspoken activist against prescription drug addiction through her website “Get Prescription Drugs Off the Streets.” Oxy Watchdog asked Graves to share about her efforts to bring more education and awareness to the issue of pill abuse.

Watchdog: Tell us about your brother Josh and what happened to him.

Amy Graves: It’s interesting because growing up, Josh wasn’t the addict in my family, it was actually our other brother who struggled with an addiction to prescription drugs. At the time he died, Josh wasn’t having any problems in his life. He had just gotten a new car, he got a great job transfer [back to our home town], he was looking for a mortgage. He had only been home four weeks when he attended a party with dealer who had sold drugs to my other brother. Josh split a Dilaudid pill with him. He was already intoxicated, and because he wasn’t a regular user, he had no tolerance. The combination with alcohol slowed down his heart rate and he never woke up.

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