Tag Archives: pills

FDA OKs new overdose antidote treatment

naloxone-hcl-narcanThe U.S. Food and Drug Administration has approved a prescription treatment that can be used by family members or caregivers to treat a person known or suspected to have had an opioid overdose. The hand-held device, known as Evzio, rapidly delivers a single dose of the drug naloxone and can be carried in a pocket or stored in a medicine cabinet, according to the agency. Naloxone is a medication that rapidly reverses the effects of opioid overdose and is the standard treatment for such situations, but until now it has been available mostly in hospitals and other medical settings.

Evzio is injected into the muscle (intramuscular) or under the skin (subcutaneous), the FDA said. Once turned on, the device provides verbal instruction to the user describing how to deliver the medication.

Drug overdose deaths, driven largely by prescription drug overdose deaths, are now the leading cause of injury death in the United States – surpassing motor vehicle crashes. In 2013, the U.S. Centers for Disease Control and Prevention reported the number of drug overdose deaths had steadily increased for more than a decade.

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For many heroin addicts, treatment barriers remain

heroinspoonThe rise in heroin addiction across the nation, fueled by the prescription drug addiction epidemic, means that increasing numbers of people are in need of inpatient treatment services — but many who need help are contending with a shortage of services and constraints placed on care by insurance companies, according to this article.

Unlike withdrawal from dependencies on alcohol or benzodiazepines, heroin withdrawal isn’t life-threatening – but it is so horrific that many addicts are drawn back to the drug and overdose, the article notes. Because withdrawal is not directly deadly, most insurance companies won’t pay for inpatient rehab, either claiming that the addict does not meet the “criteria for medical necessity” — that inpatient care would be an inappropriate treatment — or requiring that the user first try outpatient rehab, the article says.

Of the 23.1 million Americans who needed treatment for drugs or alcohol in 2012, only 2.5 million people received care at a specialty facility, the article says, citing data from the Substance Abuse and Mental Health Services Administration.

The number of people reporting heroin use in the previous year increased between 2007 and 2012, from 373,000 to 669,000, while nearly 80 percent of people who had used heroin in 2011 had also previously abused prescription painkillers classified as opioids.

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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.

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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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N.J. task force urges action on opiate abuse

bunchofpillsA New Jersey task force on heroin and opiate abuse is calling for a number of measures to address the state’s growing prescription drug and heroin epidemic. In a new report, the Governor’s Council on Alcoholism and Drug Abuse said the number of drug-related deaths in the state is skyrocketing, rising 53 percent from 2010 to 2012, with more than two-thirds of those fatalities involving prescription drug abuse, according to this article. The report proposes major changes to New Jersey’s prescription pill monitoring laws, improvements to an insurance system that stacks the deck against drug addicts, and expanded use of recovery communities for students battling opioid addiction, the article says.

Like many other states, New Jersey has seen a rise in heroin abuse in light of the prescription drug addiction epidemic. Heroin is cheaper than pills, and in many cases easier to obtain. In the report, the task force chairman wrote:

“This is hardly the traditional path to heroin abuse, and that is one of the things that make the present situation so troubling. Because readily-available prescription pills have become a gateway drug, heroin is finding its way into the world of people who never imagined that they would ever confront this terrible substance.”

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Generation Rx

41mx4k+hrxL._SY344_BO1,204,203,200_As you may know, I am a journalist. When my 20-year-old brother Pat died of a heroin overdose in 2009, I had heard about powerful painkillers like OxyContin and knew he was addicted to them, but I didn’t understand the connection to heroin. I started digging deeper, trying to learn more about both Pat’s personal downfall and the painkiller and heroin abuse epidemic. I have spent the past five years traveling the country and talking to people who have been affected by this issue. My book on the subject, Generation Rx: A Story of Dope, Death, and America’s Opiate Crisis, will be published August 12 by Counterpoint Press and is available for pre-order on Amazon. I wanted to share my brother’s story and the stories of other families in the hopes of breaking down the stigma associated with drug addiction.

In 2010, 75% of the 38,000 yearly deaths by drug overdose in the U.S. were related to opioids; in 2011, almost 80% of people who had used heroin in the previous year also had a history of abusing prescription painkillers. This problem is getting worse, not better, and we need to start talking about it. If you’ve been touched by opiate addiction, I hope you’ll read my book and share it with others.

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R.I. boosts access to overdose antidote

overdoseRhode Island authorities are taking emergency steps to address an overdose crisis by making the overdose antidote naloxone more widely available, including to law enforcement agencies. According to this article, the state’s health department says Rhode Island is in the midst of “a severe prescription and street-drug overdose crisis” and that expanded access to naloxone — otherwise known as Narcan — has become “immediately necessary to save lives.”

The emergency regulations allow for naloxone to be prescribed not only to a person experiencing an overdose or at risk of one, but to family members and friends in a position to assist, while police departments would also be able to obtain and administer Narcan under a standing order from a prescriber, according to the article.

Rhode Island reported 55 accidental overdose deaths this year through March 4, about twice the normal number, the article says.

Fifteen states and Washington, D.C. currently have some type of Narcan distribution program, including some where family and friends of addicts receive kits in case of emergency.

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Teen pill abuse down in Ohio

PILLS.jpgThere is evidence that Ohio’s efforts to curb prescription drug addiction among teens is working. Fewer than 12.8 percent of ninth through 12th graders reported using prescription painkillers without a doctor’s orders at least once during their life, according to the 2013 Ohio Youth Risk Behavior Survey. The number marks a 40 percent drop from the previous study, in 2011, when 21.3 percent of students said they had used painkillers without a prescription, according to this article.

But the state’s fight is far from over: many painkiller addicts are turning to heroin when their prescriptions run out or they can no longer afford to get the painkillers from dealers, leading to a surge in overdose deaths in the Greater Cincinnati area, the article notes.

From 2000 to 2011, Ohio’s death rate due to unintentional drug poisonings increased more than 350 percent, and the increase in deaths has been driven largely by prescription drug overdoses, according to the Ohio Department of Health.

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Zohydro critics fear new wave of addiction

Vicodin-half-life-how-long-does-Vicodin-remain-in-your-body2The U.S. Food and Drug Administration’s approval of Zogenix Inc.’s Zohydro painkiller has come under fire from critics who say the agency should not be approving any additional opioids given the current prescription drug epidemic. Forty-two public health groups are urging the FDA to withdraw its support of the painkiller, according to National Public Radio. Zogenix says it will introduce a non-crushable version of Zohydro in three years and plans to closely monitor prescription abuse, and claims that millions legitimately need the drug, NPR reports. But addiction experts say another high-potent, high-dose, long-acting opioid drug will simply add more fuel to the painkiller addiction epidemic, NPR says.

The green light for Zohydro, a new version of pure, extended-release hydrocodone that is said to be 10 times more powerful than Vicodin, came after an FDA advisory panel last year voted against approving the drug, citing concerns about the danger of addiction posed by the opioid drug class.

Unlike other hydrocodone-containing drugs like Vicodin, Lortab and Norco, Zohydro is not buffered with acetaminophen or some other over-the-counter medication. The drug also lacks an abuse-deterrent feature such as the ones used in new formulations of drugs like OxyContin.

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Ky. sees rise in drug-addicted babies

sick babyIn Kentucky, where prescription drug and heroin addiction are rife, hospitalizations for babies born dependent on drugs because of their mothers’ addictions are continuing to increase even as drug overdose deaths level off. In 2012, there were 824 hospitalizations for infants with neonatal abstinence syndrome, up from 678 in 2011 and 28 in 2000, according to this article, which cites a new report by the Kentucky Injury Prevention and Research Center. In addition, the report found that even though drug overdose deaths overall have leveled off and adult drug overdose hospitalizations have gone down, heroin-overdose deaths rose 207 percent between 2011 and 2012, the article says.

According to the article:

Along with the rise in infant hospitalizations has come a similar increase in the charges for these hospital stays in Kentucky, which reached $40.2 million in 2012, up from $200,000 in 2000. Researchers found that 694 of the 824 hospitalizations in 2012 were expected to be paid by government-funded Medicaid, for a total of $34.9 million.

Kentucky currently only has one-tenth of the substance abuse treatment beds it needs, according to data from the Substance Abuse and Mental Health Services Administration.

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