Tag Archives: drug overdose

Proper use Opioids to Curb Addiction and Dependence

 

Better Use of Opioids to Curb Addiction and Dependence

opioidsThe opioid drugs have brought relief to many people that were suffering severe pain enough to even disable them. The use of these drugs however should be done with extreme caution as this is like a double aged knife. We talk of collateral damage here with this I mean that these drugs should be used in a manner that they are safe enough not to cause myriad problem such as addiction and dependence on these records.  Today there are millions of Americans who depend on these opioid drugs to overcome what might otherwise be agonizing, crippling pain. However, each year, the numbers of people who have become addicted to these drugs rise. The very same drugs that help them to overcome the pain are poising a great danger in their lives needless to mention the use of these drugs has led to death of many Americans. The main cause of these deaths is overdose. Prescription opioid overdoses caused more than 16,000 deaths in the United States in the year 2010 alone. This is for times the number of deaths that were recorded in 1999 to have been caused by prescription opioid overdose. In the past it was not  easy for both private and public health facilities to act on these unpleasant statistics but slowly they seem to lay strategies to curb the use of these opioid drugs and so far these strategies have shown positive results as very many lives have been saved not only in America but also in other continents.

The Centers for Disease Control and Prevention has cited Florida as one of the cities where the deaths have dropped owing to these strategies that have been employed by the health sector. The deaths dropped from 3201 as was in 2010 to 2666 in 2012. The report clarifies that most of these deaths were reduced due to reduction in prescription of these drugs to pain patients. There were fewer prescriptions to these opioid drugs as a result of in the policy that regulated the flow of these drugs. These policy changes led to a close of 250 of the state’s pill mills that were considered high volume pain medication dispensaries.

The United States remains far and away the world’s largest user of prescription opioids, with 259 million prescriptions written in 2012, according to the CDC — twice as many, per capita, as the next-largest consumer, Canada. A separate CDC report issued the same day as the Florida update showed that prescription rates vary widely among states. Now, when we take America out of the picture and we begin to find reasons why there are problems with the opioid medications we learn that one of the causes of these problems is;

Irresponsible prescription

Every patient entrusts his with the doctor, however in some situations this dependence may be abused either intentionally or unintentionally. Some doctors are opiophobiac and hence reluctant to give right doses to the patients while in some scenarios a patient may be handled by a doctor who is not experienced in pain treatment hence may either overdose or under dose the patient. Cases of overdose are a major cause of deaths from use of these pain drugs.

Another source of complication is, the patient may be afraid of these drugs as they are often portrayed negatively by the media. The fear of addiction and dependence may make a patient not to use the drugs as prescribed.

Due to the problems that were faced by both doctors and patients in dealing with the opioid medications, the universal precautions were developed to offer a structured rational approach to pain patients and serve “as a guide to start a discussion within the pain management and addictions communities. They are not promoted as complete precautionary measures but as a guide to opioid medications.

The difference between physical dependence, addiction and PSEUDO-ADDICTION

These three have different meanings. However they have always been confused causing fear among patients using these drugs. Physical dependence is the case that arises when a person has been using these drugs for some time. The body physically becomes dependent on these drugs so much that when you stop using them you will show signs of withdrawal. This is normal and happens with other medications not only with opiates.

Addiction on the other hand is a case when a person losses control of the drugs. He no longer can maintain the doses as prescribed but begins to take much more than the prescribed doses. In most cases those addicted to a drug will not accept that they are but will go through all hustles to satisfy their craving for the drug.

 What is pseudo-addiction?

opioidsWhen a pain patient on opioids begins behaving in a manner that most addicts do but in real sense he is not addicted, this is called pseudo-addiction. The patient will demand for more drugs because the doses he got have not settled the pain. They will even use more than the prescribed doses in a bid to cool the pain and are often early to request for more drugs since they overused the ones they were given to cool the pain . The difference between pseudo-addiction and addiction is the reason behind the need for more drugs; an addict needs more drugs to satisfy his craving while in pseudo-addiction a patient needs more drugs because of the pain.

You need more information to stay away from dependence on alcohol and drugs as these have crippled societies and that is why here at AWAREmed we are dedicated to finding the best solutions to addiction and dependence on substances. Dr. Dalal Akoury (MD) is always in the mood of helping any patient to be addiction free. Do not hesitate to call on her for help in managing any sort of chronic pain or any type of addiction as well as other diseases.

Better Use of Opioids to Curb Addiction and Dependence

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Young Women and Prescription Drug Overdoses

Young Women and Prescription Drug Overdoses- Analgesics (Pain killers)

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Young women are the major victims of prescribe painkillers

In medical terms, analgesics are drugs that alleviate pain. Analgesic drugs fall into broad classifications, such as non-steroidal anti-inflammatories (NSAIDs), COX-2 inhibitors, and opiates. Any type of painkiller is associated with specific risks, and it is the responsibility of drug manufacturers and prescribing healthcare providers to make patients aware of what those risks are so that patients can make informed choices. Prescribing physicians and dispensing pharmacists have a responsibility to ensure that patients receive maximum benefit of these drugs without suffering detrimental side effects.

Painkiller use is prescribed for either acute or chronic conditions. In cases of trauma, injury, or surgery, opiates or opiate derivatives are often the drugs of choice, as well as NSAIDs. In chronic conditions, such as arthritis, either COX-2 inhibitors or over the counter NSAIDs may be prescribed. For chronically painful conditions such as fibromyalgia, low back injury, or compound spinal fracture, opiate-derived analgesics are often the drug of choice when other medications fail to provide reliably effective relief.

Young Women and Prescription Drug Overdoses- Narcotic and non-narcotic painkiller

Both narcotic and non-narcotic painkiller use are associated with dangerous drug complications for the health of the people for whom they are prescribed of whom the majority are young women. It is estimated that prescription painkillers such as OxyContin, Hydrocodone, and Vicodin are responsible for five times as many deaths as illegal street narcotics. Prescription painkiller abuse is on the rise, and access to prescription narcotics has created a black market of addiction that was not anticipated by the drugs’ manufacturers who continue to produce these pharmaceuticals for legitimate medical use.

Physical quality of life can be damaged by painkiller use. The drugs may alleviate chronic pain due to injury, but the physical complications associated with painkiller use, such as hypertension, appetite and weight loss, associated neurological deficiencies, hypersomnia, and digestive disorders, may objectively outweigh the benefits accrued. Financial ruin due to acquiring a ready supply of the required drug on hand while tolerance limits increases after repeated use, and associated loss of self-esteem and social reputation, are other considerations that are not documented in a person’s medical record, buy still negatively impact a victim’s quality of life.

Intangible losses that cannot be tallied in monetary terms are the specialty of medical liability attorneys. Their role is to measure a client’s state of life before being subjected to a medication regimen and then compare it to their current state after they have followed a doctor’s orders. Dangerous drug lawyers are familiar with all the issues that are involved in pharmaceutical product liability law. They review the relevant records, literature and case law to ensure their clients receive due representation and compensation for damages incurred.

The physical effects of prescribed painkillers are amply documented. Selective and non-selective NSAIDs have been linked to increased incidence of liver damage, and to upper gastrointestinal bleeding that leads to metabolic disorders, anemia, and digestive dysfunction. In all this the biggest victims are the middle aged women

Young Women and Prescription Drug Overdoses- Investigations

Our young mothers, wives, sisters and daughters are dying at rates that we have never seen before according to the director of the Centers for Disease Control and Prevention. This problem is one of the few health issues CDC is working. Actually for many decades now, the overwhelming majority of U.S. overdose deaths were men killed by heroin or cocaine. But by 2010, about 40 percent of deaths reported were women most of them are middle-aged women who took prescription painkillers.

These alarming revelations of female overdose death rates are closely tied to a boom in the overall use of prescribed painkillers. The new report is the CDC’s first to spotlight how the death trend has been more dramatic among women.

Women may be more prone to overdoses because they’re more likely to have chronic pain, the prescribed painkillers, have higher doses, and use them longer than men, as reported by the director of CDC’s National Center for Injury Prevention and Control. But doctors may not recognize these facts about women, said John Eadie, director of a Brandeis University program that tracks prescription-drug monitoring in the USA.

Overdose deaths from prescription painkillers skyrocketed over the past decade despite no major increases in the need for prescription painkillers over the last 20 years, said Chris Jones, a health scientist at CDC. Doctors are prescribing medications more frequently for patients who may not need them, a trend in the medical profession that needs to be reversed immediately according to experts.

Women between 45 and 54 had the greatest increases in drug overdose deaths, likely because of dependence on prescription drugs to ease chronic pain, experts said.

Young Women and Prescription Drug Overdoses- Solutions

A jump was also seen in visits to hospital emergency rooms. Painkiller-related ER visits by women more than doubled between 2004 and 2010, the CDC found. These numbers alone, however, may not tell the whole tale. “If one looks carefully at the data it can be quickly seen that the vast majority of prescription overdose deaths occur as a consequence of individuals combining these drugs with another sedative,” according to experts who studies drugs and behavior. The solution to this prescription problem therefore lies in maximizing prescription monitoring programs.

Health care providers should responsibly prescribe prescription painkillers by monitoring patients for substance abuse and mental health problems, discussing patient treatment options that don’t involve prescription drugs, and discussing the risks and benefits of taking painkillers for chronic conditions.

Patients should use prescription drugs only as directed by doctors, discuss all medications they’re taking with their doctors, and dispose of medication after they’ve completed the prescribed treatment.

Women should also discuss pregnancy plans with their doctors to ensure infants do not develop heart malformations and become addicted to opiates.

Young Women and Prescription Drug Overdoses- Analgesics (Pain killers)

 

 

 

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