Opioid Analgesics

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

Opioid addiction is so prevalent in the healthcare system because of the countless number of hospital patients being treated for chronic pain. While opioid analgesics have beneficial painkilling properties, they also yield detrimental dependence and addiction. There is a legitimate need for the health care system to provide powerful medications because prolonged pain limits activities of daily living, work productivity, quality of life, etc. (Taylor, 2015). Patients need to receive appropriate pain treatment, however, opioids need to be prescribed after careful consideration of the benefits and risks.

Opioid drugs are some of the most widespread pain medications that we have in this country; indeed, the fact is that opioid analgesic prescriptions have increased by over 300% from 1999 to 2010 (Mitch 989). Consequently, the number of deaths from overdose increased from 4000 to 16,600 a year in the same time frame (Mitch 989). This fact becomes even more frightening when you think about today; the annual number of fatal drug overdoses in the Unites States now surpasses that of motor vehicle deaths (Alexander 1865). Even worse, overdose deaths caused by opioids specifically exceed those attributed to both cocaine and heroin combined (Alexander 1865).

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 rate of death due to prescription drug abuse in the U.S. has escalated 313 percent over the past decade. According to the Congressional Quarterly Transcription’s article "Rep. Joe Pitt Holds a Hearing on Prescription Drug Abuse," opioid prescription drugs were involved in 16,650 overdose-caused deaths in 2010, accounting for more deaths than from overdoses of heroin and cocaine. Prescribed drugs or painkillers sometimes "condemn a patient to lifelong addiction," according to Dr. Tom Frieden, director of the U.S. Centers for Disease Control and Prevention. This problem not only affects the lives of those who overdose but it affects the communities as well due to the convenience of being able to find these items in drug stores and such.

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.

Mike Alstott knows first-hand how opioids, when used correctly, can play an important role in managing pain and helping people to function, but he is also keenly aware of the growing crisis of opioid misuse and overdose. More American adults are dying from misusing prescription narcotics than ever before. An estimated 35 people die every day in the U.S. from accidental prescription painkiller overdoses resulting from things like not taking a medication as directed or not understanding how multiple

Considerable cautions have been obtained throughout the United States to decrease the misuse of prescription opioids and helps to minimize opioid overdoses and related complications. Even though the pain medications have a significant part in the treatment of acute and chronic pain situations, it sometimes happen that the high dose prescription or the prescribed medications, without having enough monitoring, can create bad outcomes. It is always a dilemma for the providers to find who is really in need of pain medications and to identify those who are questionably misusing opioids.

According to research by Dart et al, there has been an increase in the number of opioid-related deaths since 2010 and their research mapped

Opioids, otherwise known as prescription pain medication, are used to treat acute and chronic pain. They are the most powerful pain relievers known. When taken as directed they can be safe and effective at managing pain, however, opioids can be highly addictive. Ease of access helps people get pain medications through their physician or by having friends and family get the medication for them. With their ease of access and being highly addictive the use and misuse of opioids have become a growing epidemic. Patients should be well educated on the affects opioid use can have. More importantly instead of the use of opioids, physicians should look into alternative solutions for pain management. While pain medication is helpful with chronic pain, it is also highly addictive, doctors should be more stringent to whom and how often they prescribe pain medication.

The misuse of opioids has been around for over 20 years in the United States. In a 2017 article “Opioid Crisis”, it states that in the late 1990s, pharmaceutical companies misled healthcare providers by informing them that patients would not become addicted to opioid painkillers. As a result, healthcare providers too liberally prescribed opioid pain relievers. Opioid abuse rates started to climb and it was clear that these medications were highly addictive. According to Volkow, Frieden, Hyde, and Cha (2014), between 1990 and 2010 death rates from prescription opioid overdose quadrupled in the United States. This surpassed the death rates from cocaine and heroin overdoses combined. Furthermore, they state that the epidemic is a result

Prescription drug abuse is an increasingly rampant public health issue. The Centers for Disease Control and Prevention (CDC) has affirmed that the United States is in the midst of an epidemic of prescription drug overdose deaths (2010a). Drug overdose, especially related to the non-sanctioned consumption of prescription opioid analgesic (painkiller) drugs, is the second leading cause of deaths from unintentional injuries in the United States, surpassed only by motor vehicle mortalities (Girion, Glover, & Smith, 2011). In 2005, President Bush signed the National All Schedule Prescription Electronic Reporting Act (NASPER), which amends section 390O of the Public Health

Statistics for the growing prescription opioid abuse problem are alarming. Prescription analgesics are the second highest dispensed drug in the healthcare system. (Younger, et al., 2011). In 1991, approximately 76 million prescriptions were written for opioids. By 2011, that number had grown to 219 million (Jamison & Mao, 2015). Around 63 million people in the U.S. have used nonmedical prescription

Tom Frieden is the CDC Director. He stated that this trend is alarming. The report also showed some disturbing trends. The report showed that more people are using opioid painkillers. It also found that people who abuse opioids are at a greater risk for abusing heroin. The drugs act similarly in the brain. The report showed that people who abuse opioid painkillers are 40 times more likely to abuse heroin.

In the past, media campaigns have focused on youth and marijuana misuse as well as underage drinking. It has not been until recently that there has been a need for educational programs focusing on the misuse of prescription opioids. The focus on this study will be to see if an intense media campaign that focus on the misuse of opioids and drug addiction has an effect on the prescription practices of physicians, specifically hydrocodone. I will run a webinar session with physicians who volunteer as participants. Physicians who volunteer for the study will watch one Webinar after which they will fill out an opinion questionnaire that asks their opinion on whether the video would be an effective teaching tool for patients needing pain medication. At the end of the media campaign I will focus on that state’s Prescription Drug Monitoring Program to see if the media campaign has any measurable effect on the physician’s opioid prescription rate. To determine this, data must be looked at over an extended period to determine the prescription rate before and after the media campaign. I will conclude the study by analysing the data to see if there was a significant change in the prescription rates of hydrocodone. I will also try to see if the media campaigns are memorable and an effective method of preventing opioid abuse. This will be done using the questionnaire.