Prescription Drug Abuse Among Adolescents

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 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).

Millions of people throughout the world are taking drugs on a daily basis. If you were to ask someone why they take prescription drugs, most people would be taking them for the right reason. However, it’s estimated that twenty percent of people in the United States alone have used prescription drugs for non-medical reasons.1 Prescription drug abuse is a serious and growing problem that often goes unnoticed. Abusing these drugs can often lead to addiction and even death. You can develop an addiction to certain drugs that may include: narcotic painkillers, sedatives, tranquilizers, and stimulants.1 Prescription drugs are the most common abused category of drugs, right next to marijuana, cocaine, heroin, and

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 over use of opioid has been one of the major public health problem in the United States (Substance Abuse and Mental Health Services Administration, 2018). Opioids include prescription medications that are used to treat pain symptoms which includes codeine, morphine, methadone, hydrocodone, and etc., as well as illegal drugs such as heroin and illicit potent on opioids such as fentanyl analogs (Substance Abuse and Mental Health Services Administration, 2018). The opioid overdose could happen due to many factors such as when a patient deliberately misuses a prescription, or misuse heroin (Substance Abuse and Mental Health Services Administration, 2018). Opioid overdose could happen due to the prescriber miscalculated the opioid dose or when

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 rate of poisonings associated with drug overdoses has been on the rise, especially concerning those involving opioids (Paulozzie, Budnitz, & Xi, 2006). The Centers for Disease Control and Prevention (CDC) does not mince words regarding the status of opioid utilization in the United States: ?The United States is in the midst of an opioid overdose epidemic? (CDC, 2016). Opioids are now the most common cause of prescription drug use deaths (Rudd et al., 2016). Even as overdoses associated with the more historic killers such as heroin and cocaine increased, opioid overdoses rose the fastest between 1990 and 2002 (Paulozzi, Budnitz, and Xi, 2006). The prescription opioid epidemic contradicts traditional assumptions of drug use being a problem with illicit drugs: a majority of those who overdosed had a prescription for their cause of death (Kolondy et al., 2015). As asserted by Paulozzi et al., ?licit drugs have therefore recently replaced illicit drugs as the most common cause of fatal poisonings in the US? (2006, p 624). Further, it is important to note that these numbers represent just a fraction of the problem of prescription opioid abuse. Other adverse impacts associated with the epidemic of prescription opioid abuse include non-fatal hospitalizations and infants born addicted to opioids (Kolondy et al., 2015).

Prescription opioid abuse is the intentional use of prescribed pain medication, or analgesics, for uses other than or beyond the time limits of, what the prescription is written for. It has become a widespread problem in the United States and is growing quickly. Unfortunately, most of the blame falls on our healthcare system, which tends to take the “band aid” approach to health issues. Oftentimes, pain medications are overprescribed and undermanaged without addressing the origin of the medical ailment that is causing the pain. Due to the misconception that taking these FDA prescribed drugs are safe, rates of abuse with these drugs is on the rise. Accidental deaths due to prescription opioid overdose have increased dramatically since 1999, and surpass those caused by cocaine and heroin. Prescription opioid abuse has a tremendous negative impact on the individual, the healthcare system, and society in general. This paper will explore the trends, history, mechanisms, individual impact, societal costs, and the management and treatment of prescription opioid use and abuse.

In the United States, 40 people die across each day due to overdosing on narcotic prescription medicine. One of the most commonly abused prescriptions is opioids painkillers such as Vicodin and codeine. Another medicine to treat anxiety and sleep aids such as Valiums and Xanax. Other abused prescriptions are stimulants to treat Attention Deficit Hyper Disorder (ADHD) like Adderall and Ritalin. When the overdose first became a problem, 60 percent of NC prescription overdose victims were dying before the arrival of emergency medical

Prescription opioid misuse has emerged as a significant public health issue in the United States. Since the late 1990s, nationwide sales of prescription opioids have risen 4-fold, and with this, the rate of admissions for substance use treatment and the rate of death from opioid overdose have grown proportionately.1

Modern day America is plagued by a surplus of tragedy, most may have seen viral videos of these “zombies” slumped in cars or streets and yet it continues. In fact, this terrifying epidemic was created by drugs that were intended for pain relief, Opioids. This includes prescription pain relievers like oxycodone, morphine, methadone, and hydrocodone. Ironically, the well-known street drug, Heroin, is one of the most serious offenders of the Opioid crisis (Anderson). With each day, more mothers, fathers, sisters, and brothers are witnessing and losing loved ones from overdoses, which is why the focus of society absolutely needs to be on a path of action towards the rising deaths, excessive prescriptions and governmental influences in opioid addiction.

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).

The program is an online database about patients’ controlled prescription drug history. This information helps doctors detect, and potentially prevent, abuse and facilitates identification of patients who are misusing or diverting controlled substances. The CDC states that “PDMPs continue to be among the most promising state-level interventions to improve opioid prescribing, inform clinical practice, and protect patients at risk.” PDMPs are necessary tools for state authorized officials to collect, monitor and analyze prescription and dispensing data submitted by pharmacies or medical practitioners. Since medical records are difficult to examine due to necessary laws protecting one’s health information, PDMPs provide critical information for doctors prescribing dangerous, habit forming drugs. While this program may not be drastic or swift enough to put an end to the opioid epidemic anytime soon, it is currently one of our best

Richard, G., Ojala, V., Ojala, A., & Bowles, S. (2012). Monitoring programs for drugs with potential for abuse or misuse in Canada. Canadian Pharmacists Journal. 145(4):

In the United States, more than 2 million people suffer from substance abuse disorders that correlate with use of prescription opioid painkillers. Over the past 15 years, overdose deaths due to prescription opioids have more than quadrupled. One of the underlying causes is the over prescription of pain relievers by physicians. This was demonstrated in 2013, with the writing of 207 million prescriptions for opioid pain relievers.