Introduction . Addiction Is An Incontrollable Need For

Opioid use in the US has increased over the years, and this has led to an increase in substance abuse. Substance abuse is not only associated with use of illicit drugs but also prescription drugs. In 2015, of the 20.5 million reported cases of substance abuse, 2 million had an abuse disorder related to prescription pain relievers and 591,000 associated with heroin.1 The increase in substance abuse disorder has led to an increase in opioid related death. In 2015 drug overdose was the leading cause of accidental death in the US with 52, 404 lethal drug overdoses.2

The use of opioids and other drugs continues to gradually increase in the United State. According to Centers for Disease Control and Prevention (CDC), the number of overdose deaths involving opioids has quadrupled since 1999” (CDC website). Individuals are abusing prescription opioids such as oxycodone, hydrocodone, and methadone. Prescriptions opioids that are supposed to be used as pain relievers, cough suppressants and for withdrawal symptoms are being use by individuals in order to feel relaxed or for the overwhelming effect of euphoria. These types of drugs are to be taken orally, but people are snorting, smoking, and injecting them in order to get a better high. I have personal encounters with opioid drugs and opioid abuser on a regular

In Nolan and Amico’s article, “How Bad is the Opioid Epidemic?” they argue the opioid epidemic has become the worst drug crisis in American history. Heroin and other opioids overdose kill more than 47,055 people a year. Deaths caused from drug overdose has outnumber as much as 40 percent compared to the death caused from car crashes in 2014 (Nolan and Amico 3). Furthermore, in 1999 there were only 15000 people died from drug overdose. This number has tripled in 15 years. Also, in his article, “America’s Addiction to Opioids: Heroin and Prescription Drug Abuse” Volkow also presents the fact that “with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted to heroin. The consequences of this abuse have been devastating and are on the rise. For example, the number of unintentional overdose deaths from prescription pain relievers has

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.

Heroin addiction is one of the leading killers of adolescents and adults in the United States. In recent years, addiction has skyrocketed, and “the rate of heroin-related overdose deaths increased by 286 percent between 2002 and 2013.” In 2002, “100 people per 100,000 were addicted to heroin, and that number has doubled by 2013” (The National Institute on Drug Abuse 2013). The most affected populations include low income males, adolescents, and those who have a family history of addiction, due to their increased susceptibility and crime-ridden environment. While it may seem as though heroin addiction is “just another drug problem” in the U.S., it is actually a problem of major public health importance because there are numerous physical, economic, and social risks associated with heroin dependence. Heroin dependence in the United States accounts for brain damage, increased homelessness, crime, and incarceration rates, as well as economic decline.

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

During his research, Quinones documents the origin of opiate use within the United States in three areas: drug cartels, overprescription from medical practitioners, and the pharmaceutical companies. He claims that illegal use spurred from drug cartels when he notes, “... heroin in Denver originated in one small town in Mexico… a town called Xalisco” (43). However, even though opioids were common in the black market, the drug cartels were not the sole culprits of increasing the risk of addiction. Many Americans used the drugs for medicinal reasons. In a town named Portsmouth, people grew increasingly dependent on opiates during the 90s: “In this part of the country, anything that relieved pain was welcome. But opiates … quickly led to addiction” (Quinones 26). People that were just looking for some treatment soon had a deadlier problem on their hands— addiction. Since the public was looking for a solution for pain, the pharmaceutical companies were hungry to promote opioids for pain management. The industry, according to Quinones, was just starting to produce the deadly drug, and wanted the public to use its

As we all have researched and found out the devastating numbers to the opioid epidemic “the abuse of prescription and non-prescription opioids is one of the greatest threats facing public health in the United States today. It is estimated that as many as 2.5 million people in the US are suffering from opioid addiction related to prescriptions, and an additional 467,000 are addicted to heroin”(2017).

Abuse is a pattern of substance use that results in negative consequences and impairment (Bukstein and Nquyen). Misuse is the use for a purpose not consistent with medical guidelines or without a prescription for the individual using the medication (Bukstein and Nquyen). Abuse of prescription opioids has been cited as the fastest growing drug problem in the United States, and has surpassed the use of cocaine and heroin combined as a cause of mortality (Singhal ). In 2013 alone, nearly two million Americans abused prescription opioids and 16,235 deaths were caused by prescription opioids representing almost a fourfold increase since 1999 (Singhal ). Two million people reported using

The opioid epidemic has been the worst thing that has happened to our community or our country as a whole, much of which might have be prevented if doctor’s were not so quick to prescribe prescription after prescription of opioids on to their patients. According to Nora D. Volkow, Director, of the NIDA, The Federal government has provided restrictions on the over use of prescription medications and because individuals have developed dependence on the prescription opioids they resort to obtaining them illegally, and in some cases they are resorting to heroin for it is cheaper and easier to obtain (NIDA). Yes, these individuals have a choice to take them, and for a while they are alright, although as seen above the continued use can cause dependence which will cause withdrawal if they do not have these medications leading many to illegally obtaining and using these drugs. This is one reason one fights to see more treatment centers people can go, more harm reduction therapies that are going to help them become clean and live lives that are functional and socially

Nonmedical Prescription-Opioid abuse in the United States and Michigan has continued to rise, and with it, the devastating results that accompany it. Research has shown that increased opioid abuse leads to an increase in overdose and death, increases in crime and increased incidences of costly blood borne diseases like HIV, AIDS and Hepatitis. It also leads to increased societal costs, such as an increasing number of children in foster care and increased healthcare, workplace and criminal justice costs that can decimate communities and local budgets. Many communities were caught with their heads in the sand, as they were overwhelmed by the influx of prescription opioids into their communities. When policies were finally implemented to curb the amount of prescription opioids in their communities, rates of heroin use (also an opioid) began to skyrocket and people began realizing they had an opioid epidemic on their hands. How to combat this heroin epidemic has been the topic of many debates. This article will attempt to examine the relationship of nonmedical prescription-opioid abuse and its effects on heroin use.

Individuals who use Opioids are Addicts. The history of this very debatable topic is very educational and

Opiates have been commonly used in the United States for several decades. During the late 19th century opium and morphine became regular ingredients in a lot of widespread patent medicines (Spohn & Belenko, 2015, p. 25). Since then, the use and abuse of opiates has been a serious epidemic that has been growing at a fast pace in the United States for many years now. Every day roughly forty-one people die from overdoses which are related to prescription painkilling drugs in the United States (Clark, 2014, p. 1).

In recent years, more people in the United States have been using opioids for non-medical purposes. In fact, the National

The misuse of and dependence to opioid drugs such as the frequently prescribed oxycodone, hydrocodone, fentanyl, and the illegal drug heroin is a worldwide crisis that impacts the societal well-being, health, and economy of nearly every population. The wake of the recently named epidemic can be felt by family members, health care professionals, communities, and policy makers around the world. Taking the lead in causes of accidental deaths in the United States, the fatalities resulting from opioid overdose have quadrupled since the early 2000’s. Research has indicated a causal link between prescription opioid abuse and increased rates of heroin usage