Tag Archives: PDMP

Mass. Gov. bans Zohydro amid opioid epidemic

pills and pill bottlesMassachusetts Governor Deval Patrick has declared a public health emergency in response to the state’s growing opioid addiction epidemic, issuing an order banning the controversial new form of hydrocodone, Zohydro, and taking a number of other steps to curb overdoses and help the addicted. In a press release, the governor said the use of oxycodone and other narcotic painkillers, often as a route to heroin addiction, has been on the rise for the last few years in Massachusetts; at least 140 people have died from suspected heroin overdoses in communities across the state in the last several months, levels previously unseen. From 2000 to 2012, the number of unintentional opiate overdoses increased by 90 percent, he added. The prescribing and dispensing of Zohydro, which was recently approved for sale by the FDA despite widespread protests, will be prohibited “until it is determined that adequate measures are in place to safeguard against the potential for diversion, overdose and misuse,” he said. The governor added:

The introduction of this new painkiller into the market poses a significant risk to individuals already addicted to opiates and to the public at large.

Posted in Informational, Policy & Regulation | Tagged , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Ga. pharmacy robberies rise after pill mill crackdown

gunPharmacy officials in Georgia are reporting that robberies are occurring with greater frequency in light of the state’s recent crackdown on pill mills. According to this article, Georgia became a pill mill magnet after neighboring states, including Florida, passed tougher laws regulating pain clinics.

Georgia lawmakers passed similar legislation last year requiring pain clinics to be licensed by the state medical board and owned by physicians, and the state also launched a prescription drug monitoring program, the article says. As the pill mills have dwindled, pharmacy officials say people who have addictions are being forced to seek drugs elsewhere, leading to the spike in robberies, the article says.

In 2010 alone, the Georgia Bureau of Investigation Medical Examiner’s Office reported there were 560 prescription drug-related deaths in the 152 of 159 counties for which it performs autopsies — at least a 10 percent increase since 2009.

Florida’s efforts to combat painkiller abuse resulted in the number of pill mills in that state dropping from 854 to 580 between March 2011 and March 2012, according to this article. In that same time period, the number of inappropriate prescribers of OxyContin in Florida dropped from 98 to 11; Florida previously had the most prescribers of OxyContin in the nation, the article says.

Posted in Informational, Trends | Tagged , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Doctors’ group backs stricter painkiller controls

Doctor with RX padA major doctors’ organization is urging its members to practice greater caution and restraint when prescribing prescription painkillers in light of the abuse epidemic. The American College of Physicians said in a policy letter published in the Annals of Internal Medicine that prescription drug abuse is a “serious public health problem” and that physicians and other health professionals with prescribing privileges play an important role in helping to ensure safe and effective use of drugs like OxyContin and Vicodin.

According to the group, evidence-based, nonbinding guidelines should be established regarding recommended maximum dosage and duration of therapy that a patient taking controlled substance medications may receive.

In addition, the ACP called for the establishment of a national prescription drug monitoring program to help doctors detect and prevent prescription drug abuse by identifying individuals who seek to obtain prescriptions for addictive medications from multiple physicians for themselves or to sell. Former President George W. Bush launched an initiative in 2005 authorizing federal grants for states to establish or enhance PDMPs, the group said, but funding was initially delayed and has been inconsistent.

Posted in Informational, Pharmaceutical Industry, Policy & Regulation | Tagged , , , , , , , , , , , , , , , , , | Leave a comment

Missouri lags behind nation on pill monitoring database

computerpillsForty-nine states have taken measures to implement prescription drug monitoring databases in light of the pill addiction epidemic, but Missouri lacks such a program — despite the fact that it has the seventh highest drug overdose death rate in the country, a majority of which are from prescription drugs, according to this article.

Approximately 3,200 people in Missouri seek treatment for a prescription drug abuse problem each year, and the most commonly used drugs were controlled substances such as Xanax, OxyContin, and Vicodin, the article says, pointing to data from the Missouri Department of Mental Health. Yet efforts to establish a prescription drug monitoring program were stymied when a Missouri senator filibustered the legislation that would have brought the database to the state, citing concerns over patient privacy, the article says.

The U.S. Centers for Disease Control and Prevention recently found that drug overdose deaths increased for the eleventh consecutive year in 2010. According to the agency, 38,329 people died from a drug overdose in the U.S. that year, up from 37,004 deaths in 2009.

Overdose deaths involving opioid analgesics have shown a similar increase, the CDC found: starting with 4,030 deaths in 1999, the number of deaths increased to 15,597 in 2009 and 16,651 in 2010.

Posted in Informational | Tagged , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Few Fla. doctors using prescription monitoring system: report

Florida has been fighting its statewide prescription drug epidemic with a number of measures, including a prescription drug monitoring database. But a recent investigation by the Tampa Bay Times found that the vast majority of medical practitioners don’t even use the system, because they are not required by law to check it to see where and when their patients filled previous prescriptions, the type and quantity of drugs they got and who prescribed them.

Since the system was launched last September, more than 48 million prescriptions have been written in Florida for controlled substances — about 2.5 for every man, woman and child in the state — but prescribers checked the database before writing just 2% of them, the article says.

Meanwhile, TCPalm reports that Florida’s crackdown on painkiller abuse has had an unintended effect: some patients with documented cases of chronic pain say they are being turned away from pharmacies because of the medication they are seeking, according to this article.

The state also continues to grapple with the fallout of prescription drug addiction in its hospital delivery rooms, with a dramatic spike in children born dependant on opioids, a condition known as neonatal abstinence syndrome, this article reports.

Posted in Informational, Pharmaceutical Industry, Policy & Regulation, Surveys & Statistics, Trends | Tagged , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment