Battling Heroin Overdoses: A Case Study

Part of this team are pharmacy interns who distribute naloxone (Narcan) rescue kits to the patient every saturday morning. The naloxone rescue kits were donated by the Steve Rummler Hope Foundation. The Steve Rummler Hope Foundation partnered with HCMC with a mission to heighten awareness of the dilemma of chronic pain and the disease of addiction and to improve the associated care process.4 The pharmacy intern spends about fifteen minutes educating the patients on signs and symptoms of opioid overdose, how to respond and how to use the naloxone rescue kits. This program has been successful with distribution of a total of 150 kits as of October of 2016. In addition, patients often provide success stories of occasions when they saved the lives of a loved one or a friend using the naloxone rescue

The topic of Narcan is a relatively new concept, since it has only been easily obtainable in the past few years. The major debate on Narcan use is will it become a bigger issue the it fixes. Governor Tom Wolf in April made it public that all state police cars will have doses of the life-saving drug; Narcan (Murrysville). Supports, of this drug look at the fact that is has been credited with saving around one thousand people across the state (Murrysville). Furthermore, that there have been more than two thousand overdoses deaths, in Allegheny County since 2008; and that Narcan would have given those people a better chance to live. Equally important, is the negative-side of Narcan. Tom Wolf in February, made it public knowledge that free doses of Narcan, will be given to schools that want it. Those who believe Narcan will become detrimental to the fight against this epidemic have good reason to. Such as, comments from Dr. Neil Capretto who is the medical director at Gateway Rehabilitation Center; has talked before about his teenaged patients, that would use heroin or other opioids in the middle of school (Pennsylvania). If Narcan, is so accessible like in schools, police cars, and can be bought for personal use, this could allow people to push the limits on using these drugs. Also, by allowing it to used whenever is going to be like adding gasoline to a flame, it will speed the

Narcan may enable addicts, but with it commercially available, the heroin epidemic will be likely to decline. This wonder drug isn’t just for heroin and opioid abuse, though, anyone who takes an opioid drug such as morphine or codeine is at risk of an overdose(The Opioid Crisis). Accidental overdose is just as dangerous as heroin when it comes to these prescription drugs, so having Narcan available could save their life(Padilla). With 47,000 opioid deaths, 61% of those deaths could of have been saved with Narcan in the household (Kounang). In Conclusion, Narcan has the potential to save thousands of lives yearly, but with the cost and the false sense of security, is it worth

Last year there were over 64,000 reported opioid-related deaths in the United States – making it the leading cause of accidental death in people under the age of 50 in this country (Katz). Opioids, also referred to as painkillers, have become a growing problem over the past two decades particularly in rural communities all across the country where the death rates are higher per capita compared to the death rate in cities (“America’s Opioid Epidemic is Worsening”). These narcotics, such as codeine, fentanyl, hydrocodone, morphine and oxycodone are extremely addictive and, as a result, this silent killer has quadrupled the overdose death toll since 1999

Many people may not realize this but multiple states, including Michigan, are facing an epidemic. It is not a disease, however, it is a heroin epidemic. In a country where addictive opioid pain-killer prescriptions are handed out like candy, it not surprising heroin, also known as smack or thunder, has become a serious problem. The current heroin epidemic Michigan is facing, as are dozens of other states, has spiraled out of control in recent years. In Michigan, some of the areas hit hardest by this drug are in the southern portion of the state, like Wayne, Oakland, and Monroe Counties. The connection between painkillers and heroin may not be clear, but this is because both are classified as opioid drugs, and therefore cause many of the same positive and negative side effects. As a country, we are currently the largest consumer of opioids in the world; almost the entire world supply of hydrocodone (the opioid in Vicodin) and 81% of the world’s oxycodone (in Percocet and OxyContin) is used by the United States (Volkow). Along with consuming most of the world’s most common opioids, we have gone from 76 million of these prescriptions in 1991 to 207 million in 2013 – constantly increasing except for a small decrease starting in 2012 (Volkow). This widespread use has caused numerous consequences from increasing emergency room visits – for both painkillers and heroin – to sky-rocking overdose cases all over the country (Volkow). Michigan, unfortunately, currently has one of the

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.

Depending on the source, some would term the heroin and opioid problem in the United States a crisis, while others would use the word epidemic. Regardless of which expression is more accurate, the situation regarding heroin and opioid use, abuse and dependence has ignited national, if not global concern. History shows us that pervasive dilemmas have a tendency to cultivate a variety of intervention and the heroin and opioid crisis is no different.

Once more, the lives of Canadians are being claimed by addiction and overdose of a new drug in the streets. For those of you who don’t know what fentanyl is, it’s a powerful opioid, 100 times stronger than morphine, that is often prescribed to help patients manage moderate to severe pain. As a highly addictive substance, many are now dependent on it, and it is one of the most frequent causes of drug overdose. Readily available for purchase online are quantities of pure fentanyl from China, but when improperly diluted in clandestine labs, it can lead to an immediate overdose. Recently, an antidote for opioid overdose called naloxone has become available without prescription, so that anyone can use it. Fentanyl has become a severe problem in the past few years, and while we yet to find a way to eliminate dependence on this drug, we must keep those who use it safe.

This literature review will focus mainly on the drug use of heroin, the scary numbers behind the drug and the sudden rise of overdosing on the drug across the United States. Issues that will be discussed are what is Heroin, what’s in Heroin that makes it addicting, how it can increase the users risk of contracting other life threatening diseases and where it’s use and abuse are most popular across the United states and we will take a look at multiple studies that show examples of our new drug problem in the United States. While we looked at how homicide rates have dropped while in class, the flip side to that is that the amount of drug usage has risen.

As the number of opioid related deaths rises, so does the cost it takes to treat and prevent drug overdoses in multiple counties across the nation. Naloxone is the drug that first responders use to reverse the progress of an overdose and return breathing to a patient. According to an NPR article about the cost for a fire department in Washington, D.C., “The city paid about $6 for a prefilled syringe of naloxone in 2010, says spokesman Vito Maggiolo. This year, that same syringe runs about $30. Maggiolo says the fire department spent about $170,000 on naloxone in the last 10 months.” Not all brands are rising as drastically at the same rate, but the cost associated with acquiring these drugs raises concerns for many state senators. States only authorize a certain percentage of funds to be used for first responder equipment, and constant rise for the price of naloxone would mean counties receive less of the drug to administer victims. Depending

One effort York County is making is equipping officers with the lifesaving drug NARCAN. NARCAN is a drug that can reverse the effects of an overdose of heroin or any opioid,

I spoke with a good friend of mine Robert Ramos about this issue. He is a recently retired, 17-year veteran of the Attleboro Police Force in Massachusetts. He stated the problem is that with the addition of Fentanyl, a painkiller, heroin has gained an increase in popularity and has become more fatal. Overdoses from heroin laced with the painkiller Fentanyl jumped to new levels across New England over this past year.

Naloxone, also known as Narcan, is the life-saving drug. It is what is given to people who have overdosed on heroin or another opioid as an antidote. According to Roosevelt University, it

NARCAN has been very effected because, like I said before, it's a medication that can save someone life after an overdose. It doesn't always work right away so if it doesn't it can be injected again. It works 80-90 percent of the time. It can be injected into someone. It also could be a nasal spray up their nose. Saving lives definitely effects the heroine epidemic. 15 people in York were saved last year. Not only is NARCAN very effective, but so is the Good Samaritan Law.

In response to the ever-growing opioid epidemic in the United States, many elected officials, health-centered agencies and addiction support groups have been advocating for friends and family members to arm themselves with naloxone, an opioid antagonist commonly known as Narcan. Narcan (naloxone) can be given by intramuscular (IM) injection - into the muscle of the arm, thigh or buttocks - or with a nasal spray device (into the nose).