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Substance Abuse

Education Program Helps Doctors Issue Correct Opioid Prescription

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Prescription drug abuse has become a worldwide health issue, prompting governments and medical organizations to pursue programs that prevent the problem from escalating. One of these programs comes from the Boston University School of Medicine (BUSM), who has been successfully educating clinicians on how to properly prescribe opioid medication to patients.

The program is called Safe and Competent Opioid Prescribing Education (SCOPE of Pain), a three-hour educational program that participants may view either in person or online. The program is aligned with the Risk Evaluation and Mitigation Strategy (REMS) requirement of the U.S. Food and Drug Administration (FDA). As of June 2014, more than 10,000 individuals have undergone SCOPE of Pain since it started in 2013. Roughly 27 percent of this population are clinicians, who are the primary targets of this program.

To monitor the effectiveness of the program, a group of researchers led by Dr. Daniel Alford of BUSM checked the prescription practices of the participants before and after completing SCOPE. According to a news release, about 87 percent of the participants committed to change something in their regular routine to support the objective of the program. After two months, the study discovered that roughly two-thirds of the SCOPE of Pain participants said that they have become more confident in prescribing opioids to follow the guidelines. “Our program improved knowledge, attitudes, confidence and clinical practice in safe opioid prescribing,” said Alford, who also works as course director of the program.

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Substance Abuse

Public Hearing at Michigan Capitol Aims To Fight Prescription Drug Abuse

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Michigan State Capitol will host a public hearing on July 21 (Tuesday) to discuss prescription drug abuse and ask for recommendations in addressing this lingering issue.

The hearing serves as an action plan for the Michigan Prescription Drug and Opioid Abuse Task Force, which was created in June by Gov. Rick Snyder. Lt. Gov. Brian Calley, chairperson of the task force, is asking the general public to help the state come up with tangible plans to prevent the issue on prescription drug abuse from escalating. “We are eager to hear the ideas and thoughts of our state’s concerned residents in order to develop a more effective strategy to address this critical issue,” said Calley in a news item.

Michigan is serious in combatting the drug abuse problem. In fact, the state will set aside $1.5 million for measures to prevent abuse of prescription drugs, painkillers and opioids. The budget will be available in October of this year.

Among the members of the task force include Michigan police chief Kriste Kibbey Etue, Attorney General Bill Schuette, and Human Services head Nick Lyon.

If you are interested to join the hearing, head to the Michigan State Capitol on Tuesday at 5:00 – 7:00 P.M.

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Substance Abuse

Prescription Drug Abuse Linked To History of Illicit Drug Use

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A team of researchers from the University of Georgia investigated various factors that lead people to prescription drug abuse, and one thing is certain: Those who have a history of using illicit substances are prone to abuse painkillers as well.

Regardless of social status or racial profile, results of the nationwide survey point to the same finding. “Male or female, black or white, rich or poor, the singular thing we found was that if they were an illicit drug user, they also had many, many times higher odds of misusing prescription pain relievers,” study lead author Orion Mowbray said in a news item. People at least 50 years old were found to get their pain medication from multiple doctors, while younger adults obtained their prescription drugs from peers or even drug dealers.

Results of the study were based on analysis by the university’s School of Social Work on more than 13,000 respondents of the National Survey on Drug Use and Health. The research was also in agreement with a recent report of the Centers for Disease Control, regarding the higher likelihood of heroin users to abuse opioid medication as well.

The research team said that their study, recently published in the Addictive Behaviors journal, could pave the way for better ways to prevent drug abuse. “This study gives us the knowledge we need to substantially reduce the opportunities for misuse,” Mowbray added.

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Substance Abuse

Opioid Overdose in Veterans Linked To Receipt of Benzodiazepines

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A team of researchers from three medical facilities discovered via a cohort study that many of the cases of veterans drying from opioid overdose involved benzodiazepines as well.

Data from the Veterans Health Administration (VHA) from October 2004 to September 2009 were traced back to identify a link between painkiller abuse and use of benzos. The results were staggering, as reported by study co-author Tae Woo Park. “The risk of receiving both opioids and benzodiazepines during this six-year period was approximately four times higher than in those who received opioids alone,” Park said in a news release. Benzodiazepines are psychoactive drugs usually prescribed to patients who are taking opioid medication for their pain.

Results of the study revealed that close to half of veterans who died due to opioid overdose were also receiving benzos. “From a public health perspective, this is deeply troubling, because drug overdoses are a leading cause of death in the U.S. and prescribing benzodiazepines to patients taking opioids for pain is quite common. In 2010, 75 percent of pharmaceutical-related drug-overdose deaths involved opioids,” Park added.

The researchers hope that their study could pave the way for better methods of pain treatment. “As we learn more about pharmaceuticals and how they interact with each other, we can try to reduce the risk of harm to patients,” Park said.

The study was jointly conducted by Boston Medical Center, Rhode Island Hospital, and Veteran Affairs Ann Arbor Healthcare System.

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Substance Abuse

Study: Emergency Department Important In Decreasing Prescription Drug Overdose Cases

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A study recently published in the Western Journal of Emergency Medicine revealed that emergency departments (EDs) play a vital role in curbing the long-standing issue on prescription drug abuse.

Researchers from Boston Medical Center (BMC) and Boston University School of Medicine (BUSM) surveyed beneficiaries of Project ASSERT from 2011 to 2012 to check the effectiveness of the campaign to offer education and intervention in opioid overdose cases. The initiative provides nasal naloxone rescue kits to emergency departments as a counter-measure for drug overdose patients, as well as education programs focused on overdose prevention.

Results of the survey showed that 73 percent were able to receive nasal naloxone rescue kits from EDs or other sources to counter the overdose. Meanwhile, more than 50 percent of survey respondents were able to report an overdose case and contacted 911 for the necessary assistance, while roughly one third of them were able to use the naloxone kit onto the overdose patient during the rescue.

Study lead author Dr. Kristin Dwyer, who works at the emergency department of BMC, expressed the importance of their research. “This study confirms that the emergency department provides a promising opportunity for opioid overdose harm reduction measures through overdose education and naloxone rescue kit distribution… Our program reached a high-risk population that commonly witnessed overdoses, called for help and used naloxone to rescue people, when available,” Dwyer said in a news release.

Project ASSERT is a banner program of BMC. Beginning in 1993, the project has conducted intervention programs, treatment referrals, and screening for drug and alcohol intoxication.

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Substance Abuse

FDA Shifts Focus On Manufacturers To Combat Prescription Drug Abuse

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In a move to prevent the growing issue on prescription drug abuse, the U.S. Food and Drug Administration (FDA) revealed a new set of guidelines aimed at helping drug manufacturers formulate abuse-deterrent medication. According to the FDA News Release, the document is entitled “Guidance for Industry: Abuse-Deterrent Opioids – Evaluation and Labeling,” which delineates the appropriate study methods in ensuring that manufactured drugs prevent potential abuse.

FDA chief Margaret A. Hamburg, M.D. said that this latest initiative aims to help both drug companies and consumers to make drugs safer. “The science of abuse-deterrent medication is rapidly evolving, and the FDA is eager to engage with manufacturers to help make these medications available to patients who need them… We feel this is a key part of combating opioid abuse. We have to work hard with industry to support the development of new formulations that are difficult to abuse but are effective and available when needed,” Hamburg said.

The latest statement from FDA also includes several recommendations on the method of conducting studies about abuse-deterrent drugs, the correct way of evaluating these studies, and the appropriate claims placed on labels. Despite the newness of the concept, abuse-deterrent medication is being envisioned by the FDA as a good sign of things to come, especially in defeating the rising problem of prescription opioid abuse. “Development of abuse-deterrent products is a priority for the FDA, and we hope this guidance will lead to more approved drugs with meaningful abuse-deterrent properties,” according to FDA Center for Drug Evaluation and Research director Janet Woodcock, M.D.

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Indiana Dealing with HIV Outbreak Due to Prescription Drug Abuse

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Indiana has called in federal experts from the Centers for Disease Control and Prevention to help with an HIV outbreak that has swelled to 55 confirmed cases and 13 other preliminary positive cases, the Indiana State Department of Health said.

“We are engaging local, state, and national partners to determine where we can most effectively focus our efforts,” Health Commissioner Dr. Jerome Adams said in a news release. “Extra care is being taken to invest resources in getting people off drugs and into treatment, since drug abuse is the clear driving force behind this outbreak.”

Most of the infected people had shared needles while injecting the painkiller Opana, a prescription drug that’s more potent than Oxycontin, the agency has reported, while some of the HIV cases have been linked to unprotected sex.

Indiana’s health department said it has created a public awareness campaign dubbed “You Are Not Alone” that provides information on drug abuse, safe sex, needle disposal and HIV testing and treatment. The three-month campaign began recently and will include radio, digital and social media ads and billboards along Interstate 65.

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Addiction Substance Abuse

Abuse-Deterrent Drugs Not A Guarantee To Prevent Prescription Drug Abuse

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Several studies aimed to combat prescription drug abuse involve altering the medicine formulation in order to prevent or tame down addiction. However, a recent study claims that some measures are still abuse-prone.

The study was conducted by St. Louis’ Washington University School of Medicine, and involved conducting a survey on close to 11,000 drug dependents listed in drug treatment centers all over the U.S. Despite the modification of components in the prescription painkiller Oxycontin, survey results showed that nearly 25 percent of drug users checked into rehab facilities admitted to abuse the drug, according to a news item.

Study lead author Theodore J. Cicero, who works at the university as professor of neuropharmacology in psychiatry, said that some users “who have figured out how to circumvent abuse-deterrent formulation.” This is contrary to claims by Oxycontin manufacturer Purdue Pharma L.P., which has reformulated the product to prevent abuse. “The product’s label states that OxyContin has physical and chemical properties expected to make abuse via injection difficult and to reduce abuse via snorting,” said Purdue Pharma VP for corporate affairs Raul Damas.

The study suggests that prescription drug dependents have created ways to skip past the reformulation and still use Oxycontin against its intended purpose. Some survey respondents said that procedures to circumvent abuse-deterrent drugs are available in online chat rooms and forums. Worse, some people who find it difficult to abuse the prescription opioid have turned to heroin use. “It used to be an inner city problem, heroin use involving poor minority groups… That problem has now moved in to the suburbs and in rural areas, white middle class individuals who are basically now peddling heroin,” Cicero added

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Addiction Real Drug Stories Substance Abuse

US Schools Switch Focus of Anti-Drug Programs to Prescription Drugs

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Anti-drug programs in United States schools are switching things up, focusing more on prescription drugs than illicit drugs and focusing more on the science of addiction than outright scare tactics.

One such program, Narcotics Overdose Prevention and Education (NOPE) offers high school and middle school students education about prescription opiate painkillers. Developers of the programs emphasize the of use studies and interactive computer programs and focus on the science of addiction and how that affects the teens who abuse these drugs.

testcountry bannerHowever, it still does employ some of those old-fashioned scare tactics, although rooted in reality rather than the ridiculous fried eggs of the past. One tactic is to play a real 911 call for students from a mother who has just discovered her son’s body. His ashes sit in an urn for the students to look at as they listen to the call recording.

NOPE instructors also teach students how to recognize the symptoms of a drug overdose and emphasize the importance of quickly seeking medical attention for overdose victims. The programs also work to teach teens that prescription drugs are not safe to use other than under a doctor’s orders.

The Heroin Prevention Education program, meanwhile, uses interactive software based on the life of a recovering teen heroin addict who began abusing opioid painkillers after having his wisdom teeth removed and gradually started abusing heroin intravenously.

 

 

 

Substance Abuse

Obama Sets $100 Million in 2016 Budget To Address Prescription Drug Abuse

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In one of the biggest declarations of the federal government against prescription drug abuse, President Barack Obama’s financial budget for 2016 includes more than $100 million to be invested in programs of the Department of Health and Human Services (HHS). The budget allocation will be granted to U.S. states that have prescription drug monitoring programs (PDMPs) put in place.

The budget provision will complement the government’s plans to increase the number of agencies that monitor, collect and analyze data from controlled substance prescriptions, as well as provide support for the five-step Strategic Prevention Framework implemented by the Substance Abuse and Mental Health Services Administration (SAMHSA). Budget for the 2016 fiscal year is estimated at $27.6 billion, and strategies for drug control are included in the top priorities for the government on that year.

Despite the bulked-up battle of the U.S. government against drug abuse, not everyone is happy. A recent report from Forbes revealed that Dr. Andrew Kolodny, a chief medical officer in one of the country’s drug treatment providers, was unimpressed by the government’s plans. “The response from President Obama to this crisis is shameful… I wouldn’t mind so much that he doesn’t speak about the problem if his agencies were working together to control the problem and if he was allocating the appropriate resources. But that’s not happening,” Kolodny said.

The Centers for Disease Control (CDC) pegged the number of deaths due to prescription opioids in 2013 at more than 16,000, while the total number of fatalities dur to drug overdose reached almost 44,000.

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