Prescription Opioid Abuse

Opioids are a class of drugs used to help an individual’s pain perception. They include prescriptive and nonprescriptive medications: morphine, oxycodone, hydrocodone, codeine, and fentanyl. Heroin is also an opioid, but it is a classified Schedule 1 illegal drug.

In fact, there was thought to be more of a need for them. Before the last two decades, opioids were used for cancer related or acute pain. However, in the 1990s chronic non cancer patients got attention because people nationally felt there was a shortage in patients receiving opioids, thus making them deprived of adequate pain management. Because of this, clinicians were encouraged to treat chronic non-cancer pain and patients in hospice care more often than they were used to. It was also encouraged to use high doses of opioids for long periods of time (Cheatle). The idea that providers seemed overly cautious about these medications caused a large increase in opioid prescriptions from health care providers. Threat of tort and litigation for some doctors that were deemed for not prescribing enough to alleviate pain of patients was also a concern for doctors This quickly turned a shortage of prescription opioids into a national prescription opioid abuse epidemic in under twenty years. From 1999 to 2010, the amount of prescription opioids sold to hospitals, pharmacies, and doctors offices quadrupled, and three times the number of people overdosed on painkillers in this time (Garcia). While some patients have benefitted from the increased sales and loose guidelines of prescription opioid analgesics, the increasing in opioid misuse, abuse, and overdose is truly daunting. As a nation, we need to back track, and

Oxycodone is the main drug I am concentrating on even though there are many opiates or schedule II drugs that are considered Opioids. Oxycodone was first created as part of an effort to find non-addictive alternatives to morphine and heroin, which were commonly used in medicine before World War I. Oxycodone is an opioid analgesic, ?Pain Killer? that is most often prescribed to control moderate to severe pain that must not be used with other medications. It is a slightly synthetic opiate that was created in 1916. The chemicals found in Poppy plants also make as morphine and heroin. Opiate:?A drug (such as morphine, codeine or heroin) containing or derived from opium or the opium poppy, used to alleviate pain, or induce sleep or euphoria. "Some Facts You Should Know About the History of Oxycodone." A Forever Recovery. 2014. Web. 10 Mar. 2016. Opioid:?A synthetic or semi-synthetic substance producing an opium-like effect, often prescribed for the alleviation of moderate to severe pain; a prescription painkiller in the opiate class.

Oxycodone is the main drug I am concentrating on even though there are many opiates or schedule II drugs that are considered Opioids. Oxycodone was first created as part of an effort to find non-addictive alternatives to morphine and heroin, which were commonly used in medicine before World War I. Oxycodone is an opioid analgesic, ?Pain Killer? that is most often prescribed to control moderate to severe pain that must not be used with other medications. It is a slightly synthetic opiate that was created in 1916. The chemicals found in Poppy plants also make as morphine and heroin. Opiate:?A drug (such as morphine, codeine or heroin) containing or derived from opium or the opium poppy, used to alleviate pain, or induce sleep or euphoria. Opioid:?A synthetic or semi-synthetic substance producing an opium-like effect, often prescribed for alleviation of moderate to severe pain; a prescription painkiller in the opiate class.

It is important for our culture in western society to educate doctors on how to modify and limit their prescribing behavior so that less people become dependent on opioid medication. Doctors must start limiting and monitoring the number of opioid prescriptions they administer to patients. Limiting the number of prescriptions will lower the chances for potential abuse within patients, as well as lower the ease of access and circulation of opioid medication on the streets.

Analysis: Opioids are a class of drug that are medically used as very effective painkillers, like fentanyl and morphine, however, they are highly addictive and produce a feeling of euphoria (“Opioids”). This combination leads do a lot of abuse and dependency, where people take more than prescribed in order to feel better. People start off taking the opioid painkillers in order to not feel pain as prescribed by their doctors. Then, they end up getting addicted to them. There are also illicit opioids, such as heroin, that are also highly addictive and also lead to dependency and death (“Opioids”). These illicit versions are taken for recreational reasons, and are also often mixed with other drugs. The combination of taking an unregulated drug in conjunction with other drugs leads to a lot of overdoses.

But for most conditions, there is little evidence that opioid-based treatment is more effective than other options (Pho 8). For back pain, migraines, and pain related to surgery, there are many alternative treatments such as physical therapy or anti-inflammatory drugs (“Safer Alternatives” 3). This is due to the fact that opioids are easier to prescribe or even because their patients demand them (“Safer Alternatives” 3). Unfortunately, it is also because insurance plans don’t always cover alternative treatments that may help the patient (“Safer Alternatives” 4). This can lead to patients getting addicted to opioids for something that could have been easily treated using an alternative treatment. In some cases, the doctors may be susceptible to bribes. For example, six executives from Insys

Considerable cautions have been obtained throughout the United States to decrease the misuse of prescription opioids and helps to minimize opioid overdoses and related complications. Even though the pain medications have a significant part in the treatment of acute and chronic pain situations, it sometimes happen that the high dose prescription or the prescribed medications, without having enough monitoring, can create bad outcomes. It is always a dilemma for the providers to find who is really in need of pain medications and to identify those who are questionably misusing opioids.

Despite common knowledge that with extended use, opioids result in tolerance and addiction; the healthcare community quickly adopted the practice. At the same time, patient advocacy and pain management groups lobbied to loosen opioid prescribing restrictions (Manchikanti et al.). Concurrently, an initiative to identify pain as “the 5th vital sign” immerged to stronger prioritize pain management (Alexander, Kruszewski, & Webster, 2012). Spurred initially by an American pain organization, later found to be funded by the pharmaceutical manufacturer of OxyContin, this initiative was also quickly adopted by the medical community, and other medical and government organizations. Medical practitioners became the target for big pharma’s marketing strategies to further their profits, and they fell prey. Opioid medications are now commonplace in medicine cabinets across the U.S., benefiting the pharmaceutical companies to the tune of 10 billion dollars

Opioids are a type of pain medication prescribed in pill form, with the most commonly used opioid medications being OxyContin and Vicodin (Gholipour).

Opioids are a class of drugs that include the illegal drug heroin, synthetic opioids such as fentanyl and pain relievers available legally by prescription, such as oxycodone , hydrocodone, codeine, morphine, and many other drugs that are similar. All of these drugs are chemically related and they interact with opioid receptors on nerve cells on the body and brain.The number of opioid prescriptions dispensed by doctors steadily increased from 112 million prescriptions in 1992 to a peak of 282 million in 2012, according

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.

The United States is experiencing a prescription opioid epidemic, which is devastating the lives of many Americans. In an effort to help patients manage pain, instead of non-addictive alternatives, opioids are often prescribed by doctors (CDC, 2017). Patients who take opioids understand the risk of addiction that comes with taking them but do not understand just how addictive they can be (NSC, 2017). Six out of ten patients who are prescribed opioids have reported at least one addiction risk factor, based on personal or family history, showing that opioids have a highly addictive nature (NSC, 2017). Not only are 60% of patients at risk of addiction, those who take opioids for more than seven days double their chances of using them one year

The effects of opioid overdose are traumatic, devastating, and preventable. It is estimated that there are 128,000 people addicted to opioids in New Jersey (Stirling, 2015). Furthermore, many of those addicted to the drug heroin became so after being prescribed narcotic pain killers. This is because when the prescription runs out the addiction is still in place. Those addicted can find pills being sold illegally but they can cost up to 30 dollars a pill. Heroin, costing only 5 dollars a bag according to law enforcement officials, is a much better deal (Stirling, 2015).

Opiates, otherwise known as prescription painkillers, have become an enormous problem in the United States. Addiction, overdoses, and death are only a few of the problems caused by opiates. Painkillers can be prescribed to help lessen chronic pain, pain from surgery, pain from serious accidents, or pain from terminal diseases. Opiates are highly addicting and have become highly abused in the United States in the past few years. Prescription painkillers need to be banned in the United States because of the dangers they bring to the patients to whom they are being prescribed. The FDA needs to become more involved in the awareness of how dangerous these drugs are and place a ban on them.