Tag Archives: prescription opioids

The First National Public Opinion Research On Opioids

opioidsThe unprecedented spike in prescription opioid use in America has raised a number of questions with regard to how the country found itself in the grips of an epidemic. Certainly, most people who experience pain which requires an analgesic of some kind; the pain goes away and they stop taking the prescription. On the other hand, many people continue using prescription opioids long after the pain dissipates, resulting in dependence and/or addiction. Many Americans understand that the country is in the midst of a prescription drug crisis, with thousands of overdoses every year and even more people in need of addiction treatment. Some people will use prescription opioids that were prescribed for someone else, despite having the knowledge that opioids are dangerous and addictive. A new study, which may be the first national public opinion research on opioids, has found that in the past year more than one in four Americans took a prescription opioid, ScienceDaily reports. What’s more, fifty-eight percent of those surveyed say they understand that opioid abuse is major public health problem. The study was conducted by researchers at Johns Hopkins Bloomberg School of Public Health.
"This study shows that many Americans have had direct experience using prescription pain relievers and a sizable share have misused or abused these medications themselves or have close friends or family members who have done so," says study leader Colleen L. Barry, PhD, MPP, an associate professor in the Department of Health Policy and Management at the Bloomberg School. "The seriousness of the issue has become salient with the American public."
The findings indicate that the American public may be in a unique position to pass bills that could combat the opioid epidemic, according to the article. The public could support:
  • Better medical training for safely controlling pain and treating addiction.
  • Curbing “doctor shopping” (seeing multiple doctors for the same drugs).
  • Requiring pharmacists to check identification.
"We think this is the perfect time to work on passing policies that can truly impact the crisis of prescription pain reliever abuse," says study co-author Emma E. "Beth" McGinty, PhD, MS, an assistant professor in the Department of Health Policy and Management at the Bloomberg School. "The issue has not yet been highly politicized like some public health issues such as the Affordable Care Act, gun violence or needle exchanges, so we may have an opportunity to stem this epidemic."
The findings were published in the journal Addiction. ___________________________________________________________________________ If you are or a loved one is abusing opioids, please contact Pace Recovery Center.

Back Pain, Anxiety, and Depression – Opioid Abuse

A large percentage of people who seek treatment for substance or alcohol use disorder also have other mental health disorders on board, such as depression or anxiety. When this is the case, it is referred to as having a co-occurring disorder, and successful recovery hinges on treating both. What’s more, people’s depression or anxiety may play a part in people forming an addiction. In fact, new research suggests that people living with high levels of depression or anxiety, and experience chronic lower back pain, are significantly more prone to developing a problem with prescription opioids, Medical News Today reports. People with chronic lower back pain and high levels of depression or anxiety were 75 percent more likely to abuse opioids than people with low levels, and their back pain was less likely to improve. The researchers involved in the study examined 55 patients with chronic lower back, as well as major or minor levels of anxiety or depression, according to the article. Over the course of 6-months, the patients were given oral forms of morphine, oxycodone or a placebo. The patient's pain levels and the amount of drugs taken were recorded daily. There was 50 percent less improvement and 75 percent more opioid abuse among patients who had high levels of depression or anxiety, compared with patients with low levels. The findings suggest that doctors treating patients with lower back pain, who show symptoms of mental illness, should make sure that the mental illness is being treated rather than "refusing to prescribe opioids," according to lead researcher Prof. Ajay Wasan, at the University of Pittsburgh School of Medicine. This may reduce the likelihood of opioid abuse and reduce pain. “High levels of depression and anxiety are common in patients with chronic lower back pain,” Wasan said in a news release. “Learning that we are able to better predict treatment success or failure by identifying patients with these conditions is significant. This is particularly important for controlled substances such as opioids, where if not prescribed judiciously, patients are exposed to unnecessary risks and a real chance of harm, including addiction or serious side effects.” The study is published in Anesthesiology. ___________________________________________________________________________ If you or a loved one is struggling with opioid addiction and depression or anxiety, please contact Pace Recovery Center.

The Cost of Neonatal Abstinence Syndrome (NAS)

opioidsThe prescription opioid crisis in America has led to a number of babies being born with what's known as Neonatal Abstinence Syndrome (NAS). Expectant mothers who expose their fetus to opioids of any kind face the risk of giving birth to a child with NAS. The syndrome is the result of withdrawal from the opioid pain medication. Treating infants with NAS is complicated and requires trained medical personnel which can be costly. A new report has found that the costs of NAS treatment for babies have increased dramatically, Science Daily Reports. "At our institution, costs associated with treating infants with NAS are exponentially higher than the costs associated with infants not affected," write Dr. Kay Roussos-Ross, Assistant Professor of Obstetrics and Gynecology, and colleagues of University of Florida College of Medicine, Gainesville. The researchers analyzed cost trends for infants with NAS at one university-affiliated hospital between 2008 and 2011. Over the course of the three year study, Dr. Roussos-Ross and coauthors found 160 opioid-exposed newborns:
  • 40 in the first year.
  • 57 in the second year.
  • 63 in the third year.
About 50 to 60 percent of opioid-exposed infants developed symptoms of NAS each year of the study, according to the article. Most of the babies (95) were exposed to "opioid agonist" medications, drugs like methadone and buprenorphine, which are given to pregnant women who have an opioid use disorder. The other 65 babies were exposed to prescription opioids used illicitly by their mothers during the pregnancy. When compared to healthy infants, the researchers found that the cost of treating babies born with NAS is 15 to 16 times higher. Each year, the total costs for treating NAS increased dramatically, the article reports.
  • About $1.1 million in the first year.
  • $1.5 million in the second year.
  • $1.8 million in the third year.
Healthy babies typically spend one or two days in the hospital post-birth. Whereas, babies born with NAS are kept in the hospital for an average of 23 days. Babies that are exposed to opioids in utero that did not develop NAS stay in the hospital for about five days. The findings were published in the Journal of Addiction Medicine.

California Emergency Rooms Treating Heroin Poisonings

heroin-overdoseAs the federal government and the implementation of state prescription drug monitoring programs make it more difficult for opioid abusers to get their hands on OxyContin ® (oxycodone), many have turned to heroin as an easier, cheaper and stronger alternative. When compared to a decade ago, today it is much easier for opioid addicts to get their hands on heroin - resulting in a surge of heroin overdoses across the country. “Most people who use heroin in the U.S. today used prescription opioids first. Reducing inappropriate prescribing will prevent overdose from prescription opioids and heroin,” said CDC Director Tom Frieden, MD, MPH, in a news release. Heroin overdose deaths nearly tripled from 2010 to 2013 in the United States, according to the U.S. Centers for Disease Control and Prevention (CDC). In California, emergency departments have seen a six-fold increase in heroin poisonings in the last decade, Reuters reports. In 2014 alone, California emergency rooms treated 1,300 young adults between the ages of 20 and 29 for heroin poisoning. "It's consistent with what we're seeing in our narcotic treatment programs - just a lot more young people," said Tom Renfree, who heads substance abuse disorder services for the County Behavioral Health Directors Association in Sacramento. "There's been a real spike." Heroin poisoning is not exclusive to overdoses; it also represents those who used a product ‘cut’ with something potentially lethal, according to the article. Across the country, there has been a rise in heroin cut with the opioid analgesic Fentanyl ®, users are often unaware just how powerful Fentanyl ® (100 times the strength of morphine) is, making dosing extremely difficult. Young adults were not the only age group affected in recent years. During the same period, adults ages 30 to 39 who were seen in emergency rooms for heroin poisoning doubled - from about 300 to about 600. Among teenagers, in 2014 there were 367 teens treated for heroin poisoning - compared with about 250 in 2005.