Opioid use in the US has increased over the years, and this has led to an increase in substance abuse. Substance abuse is not only associated with use of illicit drugs but also prescription drugs. In 2015, of the 20.5 million reported cases of substance abuse, 2 million had an abuse disorder related to prescription pain relievers and 591,000 associated with heroin.1 The increase in substance abuse disorder has led to an increase in opioid related death. In 2015 drug overdose was the leading cause of accidental death in the US with 52, 404 lethal drug overdoses.2
This rise in opioid abuse and overdose, warrants an increase in awareness. Over the years reversal agents have been developed and others are still under investigation. The most commonly used opioid reversal agent in the US is naloxone. Many organizations are reporting an increase in the number
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Part of this team are pharmacy interns who distribute naloxone (Narcan) rescue kits to the patient every saturday morning. The naloxone rescue kits were donated by the Steve Rummler Hope Foundation. The Steve Rummler Hope Foundation partnered with HCMC with a mission to heighten awareness of the dilemma of chronic pain and the disease of addiction and to improve the associated care process.4 The pharmacy intern spends about fifteen minutes educating the patients on signs and symptoms of opioid overdose, how to respond and how to use the naloxone rescue kits. This program has been successful with distribution of a total of 150 kits as of October of 2016. In addition, patients often provide success stories of occasions when they saved the lives of a loved one or a friend using the naloxone rescue
Last year there were over 64,000 reported opioid-related deaths in the United States – making it the leading cause of accidental death in people under the age of 50 in this country (Katz). Opioids, also referred to as painkillers, have become a growing problem over the past two decades particularly in rural communities all across the country where the death rates are higher per capita compared to the death rate in cities (“America’s Opioid Epidemic is Worsening”). These narcotics, such as codeine, fentanyl, hydrocodone, morphine and oxycodone are extremely addictive and, as a result, this silent killer has quadrupled the overdose death toll since 1999
Opioid drugs are some of the most widespread pain medications that we have in this country; indeed, the fact is that opioid analgesic prescriptions have increased by over 300% from 1999 to 2010 (Mitch 989). Consequently, the number of deaths from overdose increased from 4000 to 16,600 a year in the same time frame (Mitch 989). This fact becomes even more frightening when you think about today; the annual number of fatal drug overdoses in the Unites States now surpasses that of motor vehicle deaths (Alexander 1865). Even worse, overdose deaths caused by opioids specifically exceed those attributed to both cocaine and heroin combined (Alexander 1865).
In Nolan and Amico’s article, “How Bad is the Opioid Epidemic?” they argue the opioid epidemic has become the worst drug crisis in American history. Heroin and other opioids overdose kill more than 47,055 people a year. Deaths caused from drug overdose has outnumber as much as 40 percent compared to the death caused from car crashes in 2014 (Nolan and Amico 3). Furthermore, in 1999 there were only 15000 people died from drug overdose. This number has tripled in 15 years. Also, in his article, “America’s Addiction to Opioids: Heroin and Prescription Drug Abuse” Volkow also presents the fact that “with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted to heroin. The consequences of this abuse have been devastating and are on the rise. For example, the number of unintentional overdose deaths from prescription pain relievers has
Naloxone is an opioid antagonist that is designed to rapidly reverse opioid overdose. Take home naloxone programs aim to reduce overdose fatalities by training community members as first responders to opioid overdoses. Opioid users are provided with naloxone
There is no question that the alarming rate of deaths related to opioid overdose needs to be addressed in this county, but the way to solve the problem seems to remain a trial and error approach at this point. A patient is injured, undergoes surgery, experiences normal wear and tear on a hip, knee or back and has to live with that pain for the rest of their life or take a narcotic pain medication in order to improve their quality of life and at least be able to move. The above patients are what narcotic pain medications were created for, a population of people that use narcotic pain medications for fun is what is creating a problem. Narcotics are addictive to both populations, however taking the narcotic for euphoric reasons is not the intention of the prescription that the physician is writing. The healthcare system needs to find a way to continue to provide patients that experience chronic pain with the narcotics that work for them while attempting to ensure the Drug Enforcement Agency (DEA) doesn’t have to worry about a flood of pain pills hitting the streets by granting access to the population with a substance abuse problem.
The rate of death due to prescription drug abuse in the U.S. has escalated 313 percent over the past decade. According to the Congressional Quarterly Transcription’s article "Rep. Joe Pitt Holds a Hearing on Prescription Drug Abuse," opioid prescription drugs were involved in 16,650 overdose-caused deaths in 2010, accounting for more deaths than from overdoses of heroin and cocaine. Prescribed drugs or painkillers sometimes "condemn a patient to lifelong addiction," according to Dr. Tom Frieden, director of the U.S. Centers for Disease Control and Prevention. This problem not only affects the lives of those who overdose but it affects the communities as well due to the convenience of being able to find these items in drug stores and such.
The United States currently faces an unprecedented epidemic of opioid addiction. This includes painkillers, heroin, and other drugs made from the same base chemical. In the couple of years, approximately one out of twenty Americans reported misuse or abuse of prescriptions painkillers. Heroin abuse and overdoses are on the rise and are the leading cause of injury deaths, surpassing car accidents and gun shots. The current problem differs from the opioid addiction outbreaks of the past in that it is also predominant in the middle and affluent classes. Ultimately, anyone can be fighting a battle with addiction and it is important for family members and loved ones to know the signs. The cause for this epidemic is that the current spike of opioid abuse can be traced to two decades of increased prescription rates for painkillers by well-meaning physicians.
behavioral therapies, to provide a whole-patient approach to the treatment of opioid use disorders" (p. 2). There are two types of medications commonly used in opioid use disorder MAT; Naltrexone and Buprenorphine. "Naltrexone is
Once more, the lives of Canadians are being claimed by addiction and overdose of a new drug in the streets. For those of you who don’t know what fentanyl is, it’s a powerful opioid, 100 times stronger than morphine, that is often prescribed to help patients manage moderate to severe pain. As a highly addictive substance, many are now dependent on it, and it is one of the most frequent causes of drug overdose. Readily available for purchase online are quantities of pure fentanyl from China, but when improperly diluted in clandestine labs, it can lead to an immediate overdose. Recently, an antidote for opioid overdose called naloxone has become available without prescription, so that anyone can use it. Fentanyl has become a severe problem in the past few years, and while we yet to find a way to eliminate dependence on this drug, we must keep those who use it safe.
In Florida alone, thousands of Americans die every year due to the struggles of opioid addiction. According to Becker’s Hospital Review 1,399 (Rappleye) Floridians die each year from prescription or heroin overdose. Many families are affected by opioid
Mike Alstott knows first-hand how opioids, when used correctly, can play an important role in managing pain and helping people to function, but he is also keenly aware of the growing crisis of opioid misuse and overdose. More American adults are dying from misusing prescription narcotics than ever before. An estimated 35 people die every day in the U.S. from accidental prescription painkiller overdoses resulting from things like not taking a medication as directed or not understanding how multiple
Naloxone is an FDA approved overdose reversal medication. Naloxone is a prescription medication that when administered to an individual experiencing an opioid-related overdose restores the individual to consciousness and normal breathing (NAMSDL.org, 2016). Naloxone is always effective when administered correctly (NAMSDL.org, 2016). Since 2000, the drug overdose rate involving opioids has increased 200% (NAMSDL.org, 2016). Treatment centers, physicians and first responders in the rural areas of the United States need more access to naloxone to prevent opioid-related overdose deaths. The U.S Surgeon General Vivek Murthy stated, “People find themselves in overdose situations don’t have to lose their lives because family members or emergency responders don’t have access to the reversal drug naloxone” (Wolf, 2016). Expanding access to rural areas can save lives and prevent deaths.
Today, Naloxone is now being prescribed and dispensed to people at risk of opioid overdose. The number of overdose deaths has quadrupled since 1999. Statistics show that increased availability, relatively low price (compared to prescription opioids), and high purity of heroin in the United States is one of the reasons why death rates are so high. From 2000 to 2015, more than half a million people died from drug overdoses. Every day, approximately 91 Americans die from an opioid overdose. It is a proven fact that most people who are addicted suffer the most overdoses. Anyone taking drugs can suffer an opiate overdose, especially when they take more than prescribed or if they combine opiates with other CNS (Central Nervous System) depressants with alcohol. It's rare for someone to die immediately from an overdose, it's usually a very slow process that takes anywhere from a few minutes to a few hours. After you administer the Naloxone, it lasts between 30-90 minutes before the overdose begins to recur. Also, Naloxone can also cause an uncomfortable withdrawal feeling; This is because it blocks the action of opioids in the
Arizona Law Enforcement Agencies and first responders are now able to obtain and use Naloxone on people with suspected opioid overdoses (Arizona Department of Health Services, 2017). There is also a new standing order that lets pharmacist dispenses Naloxone to any person the requests it. Naloxone is used to reverse the effects of opioid drugs (Arizona Department of Health Services, 2017). The state of Arizona is also offering free training on suspected opioid overdoses, suspected opioid deaths, naloxone doses administered, naloxone doses dispensed and neonatal abstinence syndrome to healthcare professionals licensed, administrators of a healthcare institution, correctional facility, emergency medical services/ first response agencies, law enforcement officers, medical examiners, and pharmacists (Arizona Department of Health Services, 2017).
Classified as an antidote, naloxone gives individuals who overdose on opioids a second chance at life, but without access to proper treatment, these users will continue living in the cycle of addiction until either finding enough strength to pull through the recovery process or falling victim to life’s only certainty prematurely.