New Study Blames Prescription Drugs for Bulk of Fatal Overdoses
Research published today in the Journal of the American Medical Association confirms the growing threat posed by abuse of prescription opiates and calls on clinicians to help prevent future cases of addiction and overdose.
The study, authored by Aron Hall, finds that a majority of drug overdose deaths in West Virginia in 2006 are linked to nonmedical use of pharmaceuticals, primarily prescription opiates like OxyContin, methadone, and Vicodin. Prescription opiates played a part in 93 percent of the 295 deaths examined. The study also found that men ages 18 to 24 were the most likely to obtain pills from friends or relatives.
Along with the high rate of overdoses, abuse of prescription opiates has become a serious concern because it often leads to heroin abuse among teens and 20-somethings, in large part because heroin is so much cheaper.
Hall chose West Virginia for the study because it has one of the highest rates of unintentional drug overdose deaths in the country—and the nation's fastest rising overdose rate. Between 1999 and 2004, the number of overdoses in West Virginia jumped by a dramatic 550 percent, and state records indicate that this trend has continued since 2004, according to the study.
Though the study did not track where those who overdosed obtained their drugs, it does conclude that a majority of individuals using prescription pain relievers to get high procure their drugs for free from friends or relatives. According to the study, pain medication is being prescribed at staggering rates nationwide. Legal purchases of methadone have increased 13-fold in the past decade, while OxyContin prescriptions are up nine-fold.
Because the root of this problem lies in the growing number of pain medication prescriptions written by doctors and filled by pharmacists each day, Hall encourages these professionals to counsel patients who are prescribed opiates about the risk of overdose—both to themselves and to those with whom they share or sell their pills. He also recommends that clinicians not hesitate to refer patients to pain management specialists who can help them identify levels of pain medication that provide relief without being addictive.
- Read about how prescription drug abuse has helped fuel a boom in heroin use in the Northeast's suburbs.
- Watch Jessica Polmann talk about trying to get off heroin after starting at age 13.
- Read Sean O'Conner's story of overdosing on heroin after a friend's party.
Reader Comments
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I can't believe that within your article where you mention the brand name Oxycontin, if you click on it a pop explains how easy you can get the drug right on line.Ever think of becoming a full time pusher.
Plus ca change
Great article. You fell for it. The pharmaceutical industry is pleased that you have participated in its smoke screen once again. The masters of propaganda continue unmatched. You are simply helping them maintain monopoly.
While these issues of addiction, overdose, habituation, unapproved drugs, etc are real, what makes anyone think they can stop it? Or should stop it, beyond reasonable effort? Neither am I saying that safety and efficacy and accurate labeling are not appropriate FDA activities.
As physicians, we do our best to inform patients. We watch for addictive or inappropriate use. We screen for "doctor shoppers". We advise daily on the inadvisability of allowing oneself to become tolerant to medications. We advise on alternative ways to combat or deal with chronic pain. The issues are far more complex than can be addressed here.
These sanctimonious articles and the equally sanctimonious doctors who too often simplistically echo them fail to grasp fundamentals of human nature. And they have an undertone of somehow "the government", usually the FDA, should, or could, put a stop to it. Can you say "War on drugs?" Talk about a lesson in horribly expensive, abject governmental failure. How about Prohibition? Does anyone ever die from tobacco or alcohol misuse?
Gimme a break. You are not going to stop human nature. Nor should you try. Beyond what I mentioned above. Each misfortune, while sad, maybe even tragic and painful, cannot be prevented by enacting draconian, all-encompassing legislation and enforcement actions. Education and awareness is all that has ever worked.
Education, reasonable quality manufacturing and labeling, fair and open competition, real separation of the FDA from Big Phrma. That will work. But don't hold your breath. There's no money in it for the Power Elite, in this case, Big Pharma.
The large pharmaceutical companies have so completely captured the FDA (and Congress and the public) that they continue to shaft the American public to a degree unmatched in the world, while the public continues to lap up these clever diversionary issues of second and third rank manufacturers who cannot afford the largely superfluous and intentionally complex FDA approval processes. And Big Phrma continues to gouge the American public for ten times what the rest of the world pays for drugs.
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