Prescription Opioid Effects

While, CURES helps to identify red flags, there are no guidelines for pharmacists to ultimately make the final decision to fill an opioid prescription or not. CVS though, is making substantial changes to its pharmacy program. If a patient has a prescription for several weeks’ worth of an opioid and wants to fill that prescription for more than seven days, pre-authorization will be required and the drugs will have to be paid for out of pocket. CVS pharmacists will begin providing patients with thorough explanations as to why some of their opioid prescriptions won’t be filled. They will also be sure to counsel patients on the dangers of opioid dependence and addiction. As mentioned in Time, Dr. Steve Stanos, president of The American Academy

Do opioids have only harmful effects or they provide medical help in human as well?

When opioids are used chronically, tolerance and dependence can occur and the side effects differ depending on the substance, as does the abuse potential (Addiction.com, 2011) (Steven A. Adelman, William J. Meehan, 2010). Combining or improper use of opioid medication with other prescription or over the counter medication could be fatal (CAMH, 2010) (Canada, 2009).

Prescription drug abuse is as dangerous to your health as illegal drug use. According to the article “Prescription Pain Medications: What you need to know,” there are many pieces of evidence that show the danger of prescription medications. Three examples of theses dangers from prescription medications in the article is that people can stop breathing, can begin addictions that may get worse, and overall overdosing on prescription medications. These prescription medications, opioids, such as OxyContin, Vicodin, Percodan, etc. are made with a plant called the Poppy Plant, which is also an ingredient for illegal opioids such as heroin. In paragraph five it says, “In fact, they now outnumber deaths from heroin and cocaine combined.” Furthermore,

According to the Department of Health and Human services, over 650,000 opioid prescriptions are dispensed in one day. This translates to around 230 million prescriptions each year. This amount just barely falls short of being high enough to give every adult in the United States their own bottle of opioid pills. The loose prescribing habits of medical professionals are to blame for these absurdly high numbers. Current doctors will prescribe an opiate-based painkiller for anything from a backache, toothache, to even headaches. To give patients “highly addictive” drugs for low scale chronic pain over the three-days recommended max incurs high risk for tolerance, dependence, and potential addiction to opioids. Some would argue that doctors are simply doing their job by solving their patient’s pain problem and that people should not intrude upon a medical professional’s expertise. However, while doctors should be unbiased pillars of medical advice and treatment, they should also take into account the risks involved with their treatment for their patient’s sake. Particularly for opioid prescriptions, doctors should have to abide by dosing criteria, receive guidance on when to seek consultation, and know how to use their state’s prescription drug monitoring program (Alexander et al., 2015). According to Alexander et al., (2015) Prescription Drug Monitoring Programs (PDMPs) are underutilized by 81% of all prescribers.

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.

In 2014, more people died from drug overdoses then in any other year on record. A substantial amount of deaths were due to drug overdose on opioids, according to the CDC. (2015:64). In 1901, surgeon Racoviceanu-Pitesti published his first report on opioids for intrathecal anesthesia. In 1979, a report on the use of morphine as a treatment for pain was made, by Behar and his colleagues. Epidural and spinal opioids are today part of a routine regimen for intra- and postoperative anesthesia, according to Fisher (2003:683). Historically opioids have been used as painkillers, however the potential for misuse is huge; when these are used repeatedly, it increases the risk of developing an addiction. The use of illegal opiate drugs such as heroin

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).

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

Prescription painkillers go by many names, opiates, opioids, and narcotics. There are also types of opiates; some legal and some not. Some types of legal opiates include: codeine, hydrocodone, oxycodone, morphine, hydromorphone, and methadone (MSU). Each one of these have different potencies and side effects, but they are all equally as dangerous as the next one. There are too many of these dangerous drugs, therefore, people believe they are safe. The problem is that they are not safe; these drugs need to be banned immediately.

In a society that has become acclimated to the ideal of instant gratification, it comes as no surprise that some 29,000 Americans a year die due to opioid overdose (Gupta). In the eyes of modern medical professionals, prescription narcotics have become the miracle drug, an across-the-board cure for pain. However, when it comes to the patient, what is initially used to ease chronic pain quickly becomes as imperative as breathing. According to a study done by the American College of Physicians, within less than 299 days, 91% of patients who overdosed on opioids were able to receive another prescription (Larochelle et al.). In such cases it is no longer the patient who is to blame, but the doctors who selfishly push these drugs without considering

One advantage to using opioids is that they have been proven to be very effective at reliving pain, opiates also can be very cheap. Morphine has been around for little over a century, but it is still used frequently to control pain most likely after major surgery.

With access to prescription drugs, people are able to treat a multitude of diseases and illnesses. These drugs help deal with pain, inability to sleep, depression, and much more. Every day we are increasingly living in a world where there is better living through chemicals. However, what most do not seem to see is the rising tide of pain, illness, and ultimately death being caused by the pills people take every day. Most keep drugs in a special place in their minds, where they see them as harmless. Sadly, this is not the case, and in some cases our prescription drugs can be just as harmful as illegal drugs (King 68).

Opioids are the most widely used and effective of analgesics for the treatment of severe pain. They act by binding to specific proteins called opioid receptors, which are found in the central nervous system. There are four known receptors mu, delta, kappa and opiate like receptor. The most common pain management receptor is the mu, it is also involved with mood enhancers and causes activation of dopamine that is associated with euphoria. When these drugs attach to their receptors, they drastically reduce the amount of pain. Opioids can also produce other effects such as, drowsiness, nausea, lowering of blood pressure and reducing respiration. Opioids can also produce a euphoric feeling for some users, as it is interferes with the reward pathways.