Drug addiction is a chronic relapsing brain disorder which produces compulsive drug seeking and use. The abuse of drugs leads to changes in the function and structure of the brain. Consuming chemical substances to achieve pleasure or euphoria The most commonly abused classes of prescription drugs according to the National Institute on Drug Abuse include opioids used for chronic pain; central nervous system (CNS) depressants used in anxiety and sleep disorder treatments; and stimulants, such as amphetamine among others, utilized to treat attention deficit disorder and narcolepsy.[4]
Over the last few decades the misuse of narcotic painkillers has increased significantly contributing to drug addiction that leads to death associated with overdose.
One in three Americans are prescribed opioids from their doctor. Once someone is prescribed a medication and take it daily, as told to do so by the doctor, it is extremely easy to become dependent on the pills. Dependency on a drug means that the body physically craves it and may experience withdrawals when the prescription is stopped. Addiction characterizes as a mental need for the drug. The behavior changes and abusing the medication will begin.
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
The United States is facing a growing epidemic of prescription opioid (PO) abuse, which contributes to increasing mortality rates. Opioids are opium-like medications used to treat severe and chronic pain. Prescription opioid drug abuse is the intentional misuse of opioids without a prescription or use of the medication in a manner other than it was prescribed, mainly with the sole purpose for euphoria. Within the United States, the rising abuse of opioids contributed to 14,800 deaths in 2008 which is four times more than the number of deaths from PO abuse in 1999 (CDC, 2011). These deaths were marked mostly as unintentional as opposed to suicide or unknown causes and continue to rise each year (Chakravarthy, Shah, & Lotfipour, 2012).
Opioid abuse, misuse and overdose is a problem in The United States. You can’t turn on the TV or read a newspaper without some mention of the epidemic. This issue has caused the practice of prescribing or taking narcotic pain medication to be looked at under a microscope. Patients are fearful to use some necessary pain medication, because they may become addicted. Other patients who genuinely do have pain and need medication are having a tougher time obtaining the help they need. The problem of abuse and addiction is tough to solve since for some people the medications are the only way they can function and live a semi-normal life. A patient with pain may be hesitant to visit the doctor and
In the United States, there has been upward swing of opioid abuse over the past decade. Overdose deaths involving opioids – both prescription pain relievers and heroin – almost quadrupled between 1999 and 2014. Well-intentioned efforts to curb prescription opioid abuse have yielded new policies with unfortunate, unforeseen consequences for the 15% of the US population that suffer from chronic pain – nearly 45 million people.
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 poisonings associated with drug overdoses has been on the rise, especially concerning those involving opioids (Paulozzie, Budnitz, & Xi, 2006). The Centers for Disease Control and Prevention (CDC) does not mince words regarding the status of opioid utilization in the United States: ?The United States is in the midst of an opioid overdose epidemic? (CDC, 2016). Opioids are now the most common cause of prescription drug use deaths (Rudd et al., 2016). Even as overdoses associated with the more historic killers such as heroin and cocaine increased, opioid overdoses rose the fastest between 1990 and 2002 (Paulozzi, Budnitz, and Xi, 2006). The prescription opioid epidemic contradicts traditional assumptions of drug use being a problem with illicit drugs: a majority of those who overdosed had a prescription for their cause of death (Kolondy et al., 2015). As asserted by Paulozzi et al., ?licit drugs have therefore recently replaced illicit drugs as the most common cause of fatal poisonings in the US? (2006, p 624). Further, it is important to note that these numbers represent just a fraction of the problem of prescription opioid abuse. Other adverse impacts associated with the epidemic of prescription opioid abuse include non-fatal hospitalizations and infants born addicted to opioids (Kolondy et al., 2015).
Millions of people throughout the world are taking drugs on a daily basis. If you were to ask someone why they take prescription drugs, most people would be taking them for the right reason. However, it’s estimated that twenty percent of people in the United States alone have used prescription drugs for non-medical reasons.1 Prescription drug abuse is a serious and growing problem that often goes unnoticed. Abusing these drugs can often lead to addiction and even death. You can develop an addiction to certain drugs that may include: narcotic painkillers, sedatives, tranquilizers, and stimulants.1 Prescription drugs are the most common abused category of drugs, right next to marijuana, cocaine, heroin, and
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
Prescription opioid misuse has emerged as a significant public health issue in the United States. Since the late 1990s, nationwide sales of prescription opioids have risen 4-fold, and with this, the rate of admissions for substance use treatment and the rate of death from opioid overdose have grown proportionately.1
Objective Misuse, abuse, and diversion of prescription drugs is a large and growing public health problems that have resulted in an overdose epidemic.( Hirsch) Drug overdose is an important, yet an inadequately understood, public health problem. There has been a substantial increase in drug overdose incidence and prevalence in several countries worldwide over the past decade, contributing to both increased costs and mortality. Most studies on longitudinal trends of overdose deaths or overdose-related hospitalizations showed increases across time. An overall trend of increasing deaths from prescription opioid use and decreasing deaths from illicit drug use in the past several years has been noted across most of the literature. (Martins) Deaths from prescription opioids in the USA have increased over the last decade in parallel with an increase in prescribing of opioids for pain.(Weisberg)
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).
The very same items a doctor prescribes to help people get well might be making them sick. Prescription drugs are being taken for reasons other than the ones they are being prescribed for, fueling an addiction that impacts as many as 48 million Americans ("Prescription Drug Abuse" WebMD). According to MedLinePlus, "an estimated 20 percent of people in the United States have used prescription drugs for nonmedical reasons. This is prescription drug abuse." While a considerable amount of time, resources, and attention are focused on the problems associated with illicit drugs, prescription drug abuse is "an increasing problem," with very serious consequences for individuals, families, and communities (MayoClinic Staff). The United States Office of National Drug Control Policy claims, "Prescription drug abuse is the Nation's fastest-growing drug problem, and the Centers for Disease Control and Prevention has classified prescription drug abuse as an epidemic." Because prescription drugs are viewed as safe due to their being part of the doctor's pharmacopeia, the same psychological, legal, ethical, and social barriers to abuse might not be present. However, prescription drug abuse creates a wide range of problems, including dangerous or lethal side effects, long-term addiction, and the dismantling of family and community
To illustrate the magnitude of the research problem and provide a frame of reference, this section begins with a brief overview of the increased use of pharmaceuticals and prescription drug abuse in the US. The section continues with the relationship between illicit drugs and prescriptions, adolescents’ abuse, personal and social factors; then concludes with the theoretical approach. The Social-Ecological Theory, will be applied in researching prescription drug abuse, possible influences and protective factors in adolescents in relation to prescription drug abuse, to develop focused intervention strategies and educational programs for this population, similar to other substances such as tobacco, alcohol, and marijuana.
According to National Institute on Drug Abuse, iIn 2013, a survey reported that an estimated 24.6 million Americans aged 12 or older had used an illegal drug in the past month. The first time someone uses a drug, it is usually voluntary. This first use is usually to mask certain emotions that they are currently going through. Repeated use can lead to changes in the brain that challenge an addict’s self control and interfere with their ability to resist the temptation of a drug, this addiction makes them feel better about themselves and forget about the problem they are dealing with at the time. According to the Mayo Clinic, drug addiction, also called substance use disorder, is a dependence on a legal or illegal drug or