...in the New England Journal of Medicine would start to change everything. The letter insisted that addiction to these new drugs was rare, especially in those with no prior history of addiction. Slowly, physicians started prescribing more and more synthetic opioids to their patients, especially those looking to avoid riskier orthopedic surgeries for their chronic pain and those suffering from terminal illnesses. Medical professionals were able to feel good about their ability to help their patients avoid surgery and help them effectively (some for the first time) manage chronic pain. In the 90s, everything changed. There was a swift shift (fueled in a big way by pharmaceutical companies) away from the tentative, opioid-shy opinions of past medical professionals. A new way of thinking emerged in which managing pain became the first focus of treatment. The pain scale illustrations that we have all seen in countless doctor’s offices were produced and used as a first line of questioning in all emergency rooms, urgent care facilities, and doctor’s offices. OxyContin, thought by many to be the drug that started it all in regards to the current opioid...
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...The Opioid Epidemic Is A Social Problem, Not Just A Health Crisis The opioid epidemic causes 174 deaths per day, in what is now officially “the deadliest drug overdose crisis” in America’s history (Caminiti 2018). President Trump declared the opioid epidemic a public health emergency in October but did not ask for additional emergency funds from Congress. Most recently, he addressed it in his State of the Union speech, saying that he is committed to getting help for those in need. However, in order to decrease the rates of opioid overdose and addiction, it is vital to analyze the structural and cultural forces that allow the epidemic to persist. The opioid crisis is not only a health emergency, but also a social problem that can best be understood...
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...FOR IMMEDIATE RELEASE (Midway, Utah) The National Institute on Drug Abuse recently reported 115 Americans lose their lives every day as a result of an opioid overdose. Sadly, this is only one class of drugs that is abused, and there are numerous others. Individuals need to be aware of the signs of addiction in their lives and in their loved ones. This includes an addiction to inhalants, alcohol, over-the-counter medications, and marijuana. When a person does suffer from an addiction, Chateau Recovery (chateaurecovery.com) can be of help. "Addiction comes with high costs, not only for the individual but for the country as a whole. The opioid addiction currently costs the country $78.5 billion a year, and this is only for opioids that are legally...
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...Identification of the Problem: Opioid Epidemic in the United States: A Public Health Problem The opioid epidemic occurring in the United States is one of the most widespread public health problems facing the nation today. The use of prescription opioids, a pain reliever, has increased fourfold since 1991, equating to an additional 140 million opioid prescriptions being prescribed in 2013 than in 1991 [1, 5]. Furthermore, the sale of prescription opioids in hospitals, pharmacies, and doctor’s offices has risen 300% since 1999 [7, 13]. This has led to a windfall for pharmaceuticals, as OxyContin, an opioid led to 3.1 billion dollars in sales in 2010 [28]. Thus is due to the fact that the United States alone consumes 80% of the worlds opioid...
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...Opioid Addiction What causes a person to become addicted to opioids? When first exploring the topic of opioid addiction, I did not understand how huge of an issue opioid addiction really was. “The number of prescriptions for opioids (like hydrocodone and oxycodone products) has escalated from around 76 million in 1991 to nearly 207 million in 2013, with the United States their biggest consumer globally, accounting for almost 100 percent of the world total for hydrocodone (e.g., Vicodin) and 81 percent for oxycodone (e.g., Percocet)” (Volkow). This is astonishing to know that, so many people are being prescribed a drug that could potentially lead to long term addiction. Opioid addiction does not discriminate, it affects every gender, race, and social status. Being that pain medications have been somewhat easy to obtain has only increased this problem. Most people within their lifetimes will be prescribed some type of opioid. Wither it is...
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...Solving the Opioid Epidemic Can the opioid epidemic be solved? Opioid abuse and drug addiction has created a huge problem all over America. With approximately 20,000 americans dying from prescription opioids yearly(O’Donnell), it’s shocking that more hasn’t been done yet to put a stop to this madness. Not only is this affecting thousands of americans, it has been for many years. This national emergency has risen lots of attention, but not enough to end the issue. A lot of organizations have found solutions to this problem and even put some into action, but not enough doctors, companies and organizations have taken action. The opioid epidemic can be solved, but every solution is complex. Despite the complexity of a solution, it’s incredibly...
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...III opioids for moderate to severe pain in cancer patients: Dose titration: A systematic review Palliative Medicine 25(5) 424–430 ! The Author(s) 2010 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0269216310386280 pmj.sagepub.com ˚ Pal Klepstad Pain and Palliation Research Group, Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Department of Intensive Care, St Olavs University Hospital, Trondheim, Norway Stein Kaasa Pain and Palliation Research Group, Department of Cancer Research and Molecular Medicine, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Department of Palliative Care, St Olavs University Hospital, Trondheim, Norway Petter C Borchgrevink Pain and Palliation Research Group, Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Center for Pain and Complex Disorders, St. Olav University Hospital, Trondheim, Norway Abstract The European Association for Palliative Care recommendation for starting morphine for cancer pain is dose titration with immediate release (IR) oral morphine given every 4 h with additionally doses for breakthrough pain. As part of a EU 6th framework programme to revise the guidelines we review the evidence regarding starting treatment and dose titration of opioids in...
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...The opioid epidemic has been a growing issue in America, referring to the increased use and dependence of opioid prescriptions. Opioids are strong pain-killers and in recent years, they have been abused for recreational use. In Molly Jeffery’s research, “Opioid Prescribing for Opioid-Naive Patients in Emergency Departments and Other Settings: Characteristics of Prescriptions and Association with Long-Term Use,” it compares opioid prescriptions in the Emergency Department to other clinical settings to see which patients are more likely to become long term users. The objective of this research was to observe the relationship between opioid prescriptions in the Emergency Department and their risk of current use, which can be used as a precaution...
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...The opioid crisis has reached a fever pitch as Surgeon General Jerome Adams is on the record stating,"The call to action is to … keep within reach, know how to use naloxone.” on NPR’s Morning Edition. By issuing this advisory for more people to become familiar with the overdose-reversing drug Naloxone, the Surgeon General is acknowledging the fact that in many parts of the country use of Naloxone by first responders has become as ubiquitous as providing CPR. When considering pseudoscience, particularly C.P Snow’s focus the “gulf of mutual incomprehension” between the humanities and sciences, there is no better current example than how pharmaceutical marketing lead to the misinformation about opioid addictiveness, overprescription opioids, and...
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...In this paper I am going to argue why Marijuana has medical usage and the benefits of having it legalized for that purpose. Does marijuana have any medicinal use? Quite a few say yes marijuana does have medical use and yes it should be made legal for that purpose. The people that think this way are correct marijuana does have medical use. It has been used as medicine since 2727 B.C. were the first recorded use of cannabis as medicine in Chinese pharmacopoeia but not only was it used in China but every part of the world. Humankind has used cannabis for a wide variety of health problems for not just centuries but over a millennium. But there are still people who deny that marijuana had medical use. These people who are wrong marijuana does have medical use. They also have their own scientific studies...
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...Heroin Addiction Psyc 305 B-03 June 15, 2015 Abstract: This paper will serve to provide information about heroin addiction in our society. Heroin addiction is an epidemic problem in the United States and is growing every year. Factors such as genetics and environmental factors will be discussed as they relate to heroin addicts. Trends with prescription pain medication and their effects on heroin use will be discussed. This paper will also highlight the prevalence of heroin in the United States. Heroin affects different groups of people in all walks of life. Treatment for heroin will be discussed in the latter portion of this paper. This will highlight different options to fit specific needs. Addiction: a physical dependency on a substance (Doweiko, 2015), a chronic brain disease that causes compulsive substance use despite harmful consequences, (Addiction, 2015). There is no universally accepted way to define addiction. It seems that it is easier to qualify behavior as an addiction than it is to define the word itself. For the purpose of this paper we will use the four general categories of the DSM-5 to help identify and understand heroin addiction. This paper will serve to provide information about heroin addiction’s possible causes, prevalence and treatment. What causes heroin addiction? The causes of heroin addiction are not clear. As with most drugs it is thought that the user is trying to feel better or self-medicate...
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...Prescription Opioids Deanna Pannell Aurora University One of the growing problems in America is the abuse of prescription opioids. In the past 10 years, the misuse of prescribed opioids has gone out of control, making it a national issue that many people are attempting to attack. Prescription opioid use is increasing in public health, creating an epidemic that is growing rapidly. According to the National Institute on Drug Abuse: opiates, depressants, and stimulants are the three drug classifications most commonly abused by Americans. A multitude of research on the subject has concluded that there is more than a single solution to the problem, such as taking immediate action as well as creating prevention strategies. I decided to do additional research on this topic since it plays a huge part in my career as well as personal life. Being a substance abuse counselor in the criminal justice field, I experience first-hand the effects of prescription opioid abuse. A large number of client’s participating in the TASC (Treatment Alternatives for Safer Communities) are dealing with prescription opioid abuse due to an injury or surgical procedure. On April 25, 2015, my first cousin died from a heroin overdose at the age of 23. After a football injury, he was prescribed Hydrocodone and became addicted. Since the pills are too expensive, he began using heroin and his battle ended 5 years later. In 2009, 16 million Americans age 12 and older reported taking a prescription pain reliever...
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...Prescription medication abuse In this research paper you will find that obtaining prescription medication is easier than going to find illegal drugs. Another, disturbing problem is the amount of deaths in the United States each year caused by the abuse of prescription medication. Some questions you might find yourself asking are why is this a problem, how can we resolve this problem, what are some long term effects from abuse of prescription medication, and what is the government planning to do to help resolve this issue? In recent years the abuse with prescription medications has come to a ridiculous number in the last decade across the world. I hope this paper helps you understand the significance of this worldwide problem. What is prescription medication abuse? Prescription medication abuse is when someone takes medication prescribed by doctor in a manner or dosage other than prescribed, or when someone takes prescription medication from somebody else and uses it in a manner or dosage other than prescribed (na, 2011). Abuse can include taking a friends or relatives’ prescription to get high, to relieve pain, or help with medical issue without seeing a physician. There is a reason why prescription medications are prescribed by a doctor, prescription medications are dangerous when taken with other medications or not taken properly. In many cases this may cause severe illness or even death. The most common abused medication is opioids. Opioids include pain relievers such as:...
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...A Comparison of Methadone and Suboxone in Opioid Treatment Program Julien Nougarou Upper Iowa University Abstract Addiction to opioids is a common problem throughout the world. Maintenance treatments such as Methadone and Suboxone are effective in lessening the desire to consume illicit drugs, but they are not perfect options for drug treatment as each has negative effects, too. In this paper, both the positive and negative effects of the drugs Methadone and Suboxone will be determined and evaluated in order to better ascertain the better treatment. It was concluded that the effectiveness of each treatment can only be determined on a case-by-case basis, as the factors of success are often dependent on the patient receiving the treatment. There are various criticisms for both modes of treatment, but no other means of treating opioid addiction have yet to be found. There are improvements that could be made for both treatments, but regardless of improvements each mode of treatment is risky as there is no miracle cure for opioid addiction. Introduction In 1864, The New York State Inebriate Asylum, the first in the country, opened in Binghamton, NY. It was the first of a growing network of inebriate asylums that treated alcoholism and addiction to drugs such as opium, morphine, cocaine, chloral, ether, and chloroform. Today, when talking about opioid addiction and dependency treatments, two controversial but efficient treatments stand out from the lot: Methadone and Suboxone...
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...As one prescription drug abuser in his early 20’s explained: Once people (pill brokers) know you take them prescription opioids, they’ll start calling you. “Oh, it’s this time of the month.” Then they wait for that person to get their script. They know exactly in their head what day the script’s getting ready to come so they got the patterns down. Pill brokers and dealers reported congregating in open air drug markets typically strip mall and pharmacy parking lots, and outside methadone clinics to buy, sell, and trade prescription drugs. These markets were reported to involve a variety of transactions, including the purchase of prescription drugs for cash, as well as trades for crack and heroin. Pill brokers also reported the purchase of used fentanyl patches from nurses who have stolen them from pain patients or from disposal containers in hospitals. Some individuals frequenting the drug markets also barter their oxycodone for other opioids or benzodiazepines, typically alprazolam. Doctor Shopping focus group participants indicated that even in a small state like Delaware, doctor shopping appeared to be fairly easy. The vast majority of abusers reported obtaining medications through doctor shopping, and most reported frequenting at least four physicians in order to obtain sufficient amounts of their desired medications. Occasionally clinics and hospital emergency rooms were reported as locations for doctor shopping as well. A heavy user stated: Another focus group member...
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