Prescription drug monitoring programs and other interventions to combat prescription opioid abuse

Bharath Chakravarthy, Shyam Shah, Shahram Lotfipour, Bharath Chakravarthy, Shyam Shah, Shahram Lotfipour

Abstract

The Center for Disease Control and Prevention (CDC) has published significant data and trends related to opioid prescription pain relievers (OPR). In 2008, 20,044 deaths were attributed to prescription drug overdose of which 14,800 (73.8%) were due to OPR, an amount greater than the number of overdose deaths from heroin and cocaine combined. The majority of these deaths were unintentional. Between 1999-2008, overdose deaths from OPR increased almost four-fold. Correspondingly, sales of OPR were four times greater in 2010 than in 1999. Most significant to emergency physicians is the estimate that 39% of all opioids prescribed, administered or continued come from the emergency department (ED). We present findings from the CDC's Morbidity and Mortality Weekly Report (MMWR) with commentary on current recommendations and policies for curtailing the OPR epidemic.1.

Figures

Figure 1.
Figure 1.
Rates of opioid pain reliever overdose death, treatment admissions and kilograms of opioid pain relievers sold in the United States, 1999 – 2010.

References

    1. Centers for Disease Control and Prevention (CDC) Vital Signs: Overdose of prescription opioid pain relievers – United States, 1999 – 2008. MMWR Morbidity Mortality Weekly Report. 2011;60(43):1487–92.
    1. Emergency Department Opioid Abuse Work Group – Sponsored by the Washington State Department of Health Washington Emergency Department Opioid Prescribing Guidelines. Washington ACEP Web site. Available at: . Accessed July 3, 2012.
    1. Baehren DF, Marco CA, Droz DE, Sinha S, Callan EM, Akpunonu P. A statewide prescription monitoring program affects emergency department prescribing behaviors. Annals of Emergency Medicine. 2010;56(1):19–23.
    1. Center for Disease Control and Prevention (CDC) CDC grand rounds: prescription drug overdoses - a U.S. epidemic. MMWR Morbidity Mortality Weekly Report. 2012;61(1):10–3.
    1. Fenton A. Despite early flaws CURES proves invaluable in preventing prescription drug abuse. Lifeline. 2012;1:10–11.
    1. Paulozzi LJ, Kilbourne EM, Desai HA. Prescription drug monitoring programs and death rates from drug overdose. Pain Medicine. 2011;12:747–754.
    1. The White House Epidemic: responding to America’s prescription drug abuse crisis. Web site. Available at: . Accessed July 4, 2012.
    1. CBS 12 News Local officials caution there could be fallout from closing pill mills. CBS 12 News Web site. Available at: . Accessed July 3, 2012.
    1. Macias A. State legislatures attempt to shut down pill mills. Bulletin of the American College of Surgeons. 2011;96(11):38–9.
    1. Lipsky J. “Dirty doctor to stand trial in connection with death of San Ramon student. San Ramon express Web site. Available at: . Accessed July 17, 2012.
    1. The White House Substance abuse and the Affordable Care Act. Web site. Available at: . Accessed July 4, 2012.
    1. Welsh-Huggins A. Ohio expands use of anti-narcotic treatment. SFGate Web site. Available at: . Accessed July 4, 2012.
    1. Levin A. Congress lets M.D.s treat more buprenorphine patients. Psychiatry News. 2007;42:4.
    1. Bienek M. More marylanders getting substance abuse treatment: state expanding programs as need continues to grow. Cumberland Times-News Web site. Available at: . Accessed July 4, 2012.

Source: PubMed

3
Abonner