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Tag Archives: pill mills
Pharmacy 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.
The California Senate has given the green light to two bills aimed at combatting prescription drug abuse and overdose deaths by helping authorities track painkiller prescriptions and enabling enhanced scrutiny of deaths involving such drugs.
The proposed legislation would require coroners to report prescription overdose deaths to the state’s medical board for review, according to the Los Angeles Times, which earlier reported on the nearly 4,000 accidental deaths involving prescription drugs in Southern California and found that in half the cases, drugs that caused or contributed to a death had been prescribed by that person’s physician.
The legislation would also enhance and provide sustained funding for California’s prescription drug monitoring system, known as CURES, which contains detailed data on prescriptions for painkillers, the LA Times said.
The two bills now head to the desk of Gov. Jerry Brown for approval.
Federal regulators have launched a massive crackdown on Internet pharmacies that are selling unapproved and potentially dangerous prescription medicines that could pose significant public health risks. The U.S. Food and Drug Administration said it has shut down 1,677 websites for selling counterfeit or substandard medication, or for selling drugs without appropriate safeguards. Regulators have also seized more than $41 million worth of illegal medicines and arrested 58 people, while a number of additional websites have received regulatory warnings, according to the FDA.
Several sites had interfaces and names that could easily be confused with legitimate pharmacy retailers, such as Walgreens-Store.com, which imitated the well-known drugstore chain’s website, which is actually Walgreens.com, the agency said.
The crackdown marks the largest Internet-based action of its kind, the agency said, adding that prescription medicines, including those purchased online, should only be used with a valid prescription and under the supervision of a licensed health care provider.
Although regulators have long had their eye on the online market for prescription pills, it is still disturbingly easy to find a rogue Internet pharmacy that will sell painkillers like codeine and hydrocodone without a prescription, according to this article. Research shows that 97% of Internet pharmacies are not operating legitimately and most of those do not require a prescription at all, the article says. Many of these pharmacies are based overseas, and will provide the medication even if customers are underage, the article says.
Although federal regulators have long had their eye on the online market for prescription pills, it is still disturbingly easy to find a rogue Internet pharmacy that will sell painkillers like codeine and hydrocodone without a prescription, according to this article. Research shows that 97% of Internet pharmacies are not operating legitimately and most of those do not require a prescription at all, the article says. Many of these pharmacies are based overseas, and will provide the medication even if customers are underage, the article says.
According to the article:
With an estimated 40,000 to 50,000 rogue Internet pharmacies in operation, law enforcement agencies face an uphill battle shutting down online pharmacies dispensing drugs without a prescription, especially when their operations cross many international jurisdictions.
Buying prescription medicine from fraudulent online pharmacies can be dangerous, or even deadly, according to the FDA. Such pharmacies are likely to be selling counterfeit medicines, which may be less effective or have unexpected side effects; in addition, online pharmacies may intentionally misuse the personal and financial information provided by customers, and sell this information to other illegal websites and Internet scams, the agency says.
The Minnesota Medical Association is considering requiring doctors to take continuing education courses on pain management and addiction and increasing use of the Minnesota Prescription Monitoring Program in order to deal with the state’s prescription drug abuse issue, according to this article. As of March 2013, only 40% of pharmacists and 30% of doctors in Minnesota were using the monitoring system, according to the article.
Florida has taken a number of measures to combat its prescription drug addiction problem, with the unintended consequence of the resurgence of heroin as a popular substitute for painkillers. From July 2010 to June 2011, there were 45 heroin-related deaths statewide, according to this article, which cites data from the Florida Medical Examiners Commission. That number jumped to 77 heroin-related deaths from July 2011 to June 2012, the article says.
The article also notes that addiction treatment numbers are up in Florida, with treatment centers in Broward County seeing an 87% increase in admissions in 2012 among addicts using heroin as their drug of choice, up from 169 to 316; in Miami-Dade County, such admissions jumped from 227 to 308 in the first half of 2012.
It was reported earlier this year that while the number of oxycodone-related deaths in Florida plunged during the first half of 2012 compared with the same period in 2011, heroin-related deaths were holding steady.
Florida’s crackdown on painkiller abuse has resulted in the number of pill mills in the state dropping from 854 to 580 between March 2011 and March 2012, according to this article.
Georgia’s new prescription drug monitoring database, which is set to become operational in June, may run out of the money it needs to operate soon after its implementation because lawmakers failed to appropriate any funding for the program when they passed legislation to create it in 2011, according to the Atlanta Journal-Constitution.
A two-year, $400,000 federal grant that pays startup costs for a new prescription monitoring program grant expires Sept. 30, the paper says.
In Georgia — which is among the last six states in the nation to put a prescription monitoring program in place, according to the National Alliance for Model State Drug Laws — prescription drug abuse causes or contributes to the overdose deaths of 11 people every week.
Florida’s crackdown on pill mills has dried up the supply of pills to much of the East Coast, with the unintended consequence of fueling heroin abuse. As this article notes, the rise in heroin use on Cape Cod “follows a predictable course seen nationwide: when the pills disappear, heroin sweeps in.”
Between Feb. 26 and March 30, the Cape saw at least eight drug-related deaths; in the same period, police responded to another four suspected heroin overdoses in which the person was revived, the article says.
A few years ago, most cases handled by the Cape Cod Drug Task Force involved pills, but now the police estimate that as much as 95% of their caseload is heroin-related, according to the article.
The trend highlights the fallout from Florida’s efforts to turn around its reputation as the nation’s epicenter of prescription drug abuse. On the bright side, the tougher regulations resulted in the number of pill mills in the 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.
In a sign that some of the measures Florida has taken to combat its prescription drug addiction problem are working, state authorities are reporting that the number of oxycodone-related deaths plunged during the first half of 2012 compared with the same period in 2011. From January 2012 to June 2012, there were 759 oxycodone-related deaths, down from 1,058 during the same period in 2011, according to this article.
In that time period, there were 42 oxycodone-related deaths in Orange and Osceola counties — fewer than half the number of those deaths during the same period of the previous year — while heroin-related deaths remained the same, the article says. Meanwhile, in Seminole County, the number of oxycodone-related deaths during the 2011 and 2012 periods remained the same, 19, and there were increases in deaths associated with cocaine, methadone and morphine, according to the article.
While these numbers are encouraging, the Miami Herald recently called into question how effective the state’s crackdown on pills has really been. Although many of Florida’s so-called “pill mills” seem to have shifted to the more permissive regulatory environment in nearby Georgia, some operators have switched to weight-loss or anti-aging clinics, where they continue to sell profitable pharmaceuticals right on the premises, the article noted.
Parents whose children died of drug overdoses urged California’s medical board on Monday to utilize a tracking database of prescriptions to help identify doctors who over-prescribe powerful narcotics amid the state’s growing addiction epidemic. The testimony came from members of advocacy organizations, including the National Coalition Against Prescription Drug Abuse, and other individuals and experts who said the board’s failure to investigate complaints of physician misconduct in a timely manner has often had deadly results.
By the time parents were allowed to start their testimony, several of the board’s members had wandered out of the hearing, leaving only five active listeners (the board currently has 15 members.) When one of the parent speakers – a registered nurse whose son was addicted to pills and died of a heroin overdose last year – asked when the full board would be available, one of the members replied “soon” and added that everyone’s testimony would be transcribed.
Not very reassuring.
Among the powerful speakers were Bradley DeHaven, whose son was previously addicted to OxyContin; April Rovero, the founder of NCAPDA after her son died of a prescription drug overdose; and Jodi Barber, producer of the short film Overtaken who lost her son to an Opana overdose.