In a span of 12 years from 1999 to 2011, consumption of hydrocodone more than doubled and the consumption of oxycodone increased by almost 500%(Annual Review of Public Health Vol. 36:559-574). From 1997 to 2011, there was a 900% increase in individuals seeking treatment for addiction to prescription opioids(Annual Review of Public Health Vol. 36:559-574). According to the United States Centers for Disease Control and Prevention, the abuse of prescription opioids is the “worst drug overdose epidemic in US history.”
The use of opioids isn’t new to us. People have used opioids such as morphine during several American wars to relieve pain. The Chinese were known to have smoked opium, a dried latex that is extracted from the opium poppy. Opioids
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OxyContin is an extended release prescription pain reliever formulated from oxycodone manufactured by Purdue Pharma. In the late 1990s and early 2000s Purdue Pharma launched their first fraudulent marketing campaign to boost sales of Oxycontin. Purdue Pharma achieved this through funding more than 20,000 pain-related educational programs where they campaigned the long term use of prescription opioids for chronic non cancer pain. Many scheme techniques were used to market opioid use such as using highly regarded publications and offering continuing-education courses for medical professionals (Gounder). Medical professionals were being taught that the risk of addiction and tolerance was low, risk of opioid-induced respiratory depression was low, and medical professionals should not refuse prescription over concerns about drug diversion and abuse. For example, there were two medical journals that helped increase the numbers of prescribed opioids. The first, the New England Journal of Medicine, published in 1980 said that “less than one per cent of patients at Boston University Medical Center who received narcotics while hospitalized became addicted.” Next, was the journal Pain, which was published in 1986 and it stated that using opioids for non cancer patients is safe and can be prescribed to patients without risk of abuse and addiction
In the early 1990’s many doctors were hesitant in prescribing narcotics because they were seen as harmful and habit forming. Purdue Pharma the creator of OxyContin changed the ways of the drug industry. Purdue changed the mindset of many physicians and family doctors inconveniencing them that the new to the market drug was revolutionary, with promises of quick pain relief that last up to 12 hours. With marketing adds like “Remember, effective relief just takes two” Purdue Pharma convinced doctors that it was virtually impossible to become addicted (HARRIET RYAN, 2016). The rise of OxyContin started in 1996. OxyContin
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
Individuals who use Opioids are Addicts. The history of this very debatable topic is very educational and interesting. Opioids are drugs that are prescribed for severe to chronic pain, some examples of opioids are: morphine,?methadone, Buprenorphine,?hydrocodone, and?oxycodone.?Heroin?is also an opioid and is illegal. Opioid drugs sold under brand names include: OxyContin?,?Percocet?, Palladone?(taken off the market 7/2005),Vicodin?, Percodan?, Tylox? and?Demerol? among others. These drugs are also classified as a schedule II drug. Substances in this schedule have a high potential for abuse which may lead to severe psychological or physical dependence. Substances are placed in their respective schedules based on whether they have a currently accepted medical use in treatment in the United States, their relative abuse potential, and likelihood
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).
Oxycontin is a powerful pain medication that has been used since 1996 to treat severe pain in millions of people around the world. Unfortunately, it is also a highly addictive substance that has devastated the lives of many of the people whom it was supposed to help. People often ignore the dangers of this drug because it is legal and can be prescribed by a doctor. Unfortunately, that's what makes it such a dangerous problem. Understanding the severity of Oxycontin addiction is important for anyone currently using it or considering using it to treat pain.
The history of opioids in America provides a reoccurring theme riddled with misuse, abuse, and addiction. One could even go as far as to call it a timeless theme, as the same problems that affected the past still stand steadfast today. It all started in 1806 with the isolation of Morphine by chemist Friedrich Sertürner (Acock, 1993). Soon after its creation, this analgesic opiate became the primary treatment in the United States for various medical ailments including pain, anxiety, and respiratory problems (Acock, 1993). Acock (1993) reveals that opioids were widely used during the Civil War, with numbers reaching up to ten million opioid pills for the Union Army alone. Morphine was essentially the cure-all on the battlefield. The result
Opioids are a class of drugs that are designed to relieve pain. They are synthetic forms of the naturally occurring opiate opium along with morphine and codeine, which are parts of the opium poppy. Prescription opioids include the painkillers hydrocodone (Vicodin), oxycodone (OxyContin, Percocet), fentanyl (Duragesic), meperidine (Demerol), and hydromorphone (Dilaudid), amongst others. Opioids of this variety are prescribed for a variety of reasons ranging from severe acute pain resulting from injury to post surgery pain relief. Illicit opioids include heroin and any opioids that are not taken are prescribed. While helpful in treating pain that needs immediate attention, prescription opioids are not ideal to treat chronic pain. Opioids, both prescribed and illicit, are highly addictive and potentially dangerous.
Opioid abuse is a growing epidemic within the United States. Not only are people abusing the prescription forms of opioids (such as oxycodone - OxyContin, hydrocodone - Vicodin, codeine, and morphine) by taking more than they are supposed to, but they are also being bought, sold, and used on the streets illegally; such as heroin. Opioids are highly addicting because of the high they can induce in a person, causing a dependence and yearning for continued use (NIDA, n.d.) In 2007, the United States was responsible for over 99 percent of the global consumption of hydrocodone and 83 percent of the global consumption of oxycodone (United Nations Publications, 2009).
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
opioids are drugs formulated to replicate the pain-reducing properties of opium. The opioid crisis is the rapid increase in the use of prescription and non-prescription opioid drugs in the United States beginning in the late 1990s and continuing throughout following decades to come. Pharmaceutical companies reassured the medical community that patients would not become addicted to prescription opioid, therefore healthcare providers went ahead and prescribe them at greater rates. The potency and accessibility of these substances, despite their high risk of addiction and overdose, have made them popular both for medical and recreational purposes.
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
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
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.
While our major access to these drugs is doctors, we cannot simply lay blame on them, as there is not enough knowledge about these treatments to correctly appropriate drugs, and therefore extra is given (Hemphill 373). Alexander of the Department of Epidemiology of the Journal of the American Medical Association, states that “There are serious gaps in the knowledge base regarding opioid use for other chronic nonmalignant pain” (Alexander 1865-1866), which leads to the unfortunately large number of leftover drugs. In fact, the main place that people get their drugs are from leftover prescriptions (Hemphill 373).
Those doctors who swear upon the use of drugs like oxycontin and morphine seem to have very little evidence to attribute to their argument regarding the safety of the medication. Some doctors claim that the medication is the most readily available of pain killers, and they would be correct. America is the largest consumer of opioid products, legal and otherwise. The US owns nearly 81% of the world’s supply of oxycodone, and it helps generate a billion dollar industry. (INC, 2012) These statistics alone give it the advantage in comparison to the safer alternatives listed within this article. It has become a culturally accepted phenomenon, which likely attributes to its 76 million script popularity. (UNODC, World Drug Report 2012.) These may look like potential advantages, however, doctors fail to truly analyze the effects the drug has upon the patients who consume it.