Prescription Opioid Misuse : A Significant Public Health Issue

Opioids are taking over the United States with its addictive composition, once patients are take opioids there is no escaping. The drug directed from opium which is obtained from a plant (Katz). Opioids are most commonly found in prescription pill from making underground sales more common. Since opioids are derived from a plant this makes the reality of home grown drugs more of an issue. American citizens overdosing on opioids is what is sparking the crisis because opioid “overdoses killed more people last year than guns or car accidents” (Katz). Opioids are extremely addictive and that is why so many citizens overdose on these types of drugs. After patients become hooked on opioids their body constantly is needing more and more opium to escape they pain they think they are enduring. The overdosing of Americans is not a small percentage of the population either, it is estimated that “over two million people in America have problem with opioids” proving this growing issue is an ongoing crisis (Katz). The United States government needs to take action immediately to the opioid crisis because doctors are overprescribing patients because they seemingly overreact to pain, and opioids are one of the most addictive drug types in the world.

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).

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.

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 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.

The present regulations are not as effective in reducing opioid use. New programs and uniformity among them will lead to a reduction in opioids. In the years 1999 to 2015, 180,000 people died from opioid related overdoses (CDC, 2017). Drug overdoses still present an ongoing threat in the United States. The medication that is healing the patient does not have proper monitoring and restrictions, thus allowing for an overdose problem to occur. A temporary fix tries to lower the number of overdoses, but with proper guidelines and stricter regulation on dosage, usage, and physician prescribing, the chances of overdosing and death due to overdose will be reduced over time. The programs in place now are not correctly

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.

The state of Maine also has a pressing drug abuse problem. In 2012 drug use and abuse cost the state over $ 1.18 billion. In addition, the state saw a 20% increase in admissions into treatment programs over the last year (Maine DHHS, 2012). Over 60% of outpatient treatment admissions are due to some form of opioid (Figure 3). In addition, opioids make up the majority of deaths due to drug overdose (Figure 4). Bringing these numbers down will require a multi-pronged strategy including finding less addictive painkillers, improving prescription practices related to painkillers and reducing the desire of people to abuse painkillers. UNE is taking an active role in

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).

Studies show that in the last 15 years the rate of opioid overdose deaths has paralleled the rate at which opioid prescriptions are given. Each year the number of deaths attributed to opioid overdose has increased, reaching 47,055 in 2014 according to the Centers for Disease Control and Prevention (CDC). Still other statistics state that 4 out of 5 heroin users started on prescribed narcotics. When they could no longer obtain the drug legally, they turned to illegal means. Doctors at the American Medical Association, Hallam M. Gugelmann and Jeanmarie Perrone, state that “Individual use of prescription opioids increased 402% from 1997 to 2007. This increase in opioid prescribing parallels substantial increases in opioid addiction, fatal overdoses, and diversion of these drugs for recreational or nonmedical use.” The skyrocketing of overdose and death, as well as the millions of dollars expended for treatment has lead to a public outcry for change. Accomplishing this change seems daunting. How will America go about fixing such a pervasive problem? Logically, the only solution lies in changing the habits of the medical practitioners who are prescribing these medications and who started this

Opioid abuse is deadly and silently decimating families across the country. It is legally used for a medication to treat severe pain but commonly used for patients after they come out of a surgery.The Opioid epidemic is a national health issue that needs to be addressed, and made a widespread topic of discussion.

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

Since the 19th century the United States has struggled with the control of opioids and how to properly treat the people who become dependent on them. By the 1980s studied revealed that the potential of drug dependence, also known as iatrogenic addiction, was relatively low for patients who were prescribed opiates for treatment (Beauchamp, 2014, p. 2023) - In the mid 1990s, Perdue Pharma introduced OxyContin, a Schedule II prescription opioid analgesic, to the pharmaceutical market (Boerner, 2016, p. 20). Since the release of OxyContin, a substantial number of Americans have been prescribed opiates for medical treatment. Society’s view on prescription opiate use has slowly shifted from being a normative treatment method recommended by healthcare professionals, to being viewed as deviant. Prescription opioids have played a large role in increased rates of incarceration, fatal and non-fatal opiate overdose, transitions to illicit drugs and HIV infection in the United States (Boerner, 2016, p. 21). Prescription opiate use is seen as deviant when the drug is misused for non-medical purposes.

With every five first time heroin users, four of them will have started out by using prescription painkillers (ASAM). According to the Journal of Addiction Medicine, the years 2010 to 2013 showed an increase of heroin-overdose deaths by 37% (NIDA). Until recently, opioid addiction, related criminal activity and death have been deeply casted into the shadows of important issues in our societies at a global level. Care for this particular area of substance abuse is urgent and crucial, one dosage having the capability to kill a person instantly. Before people can rid themselves of the poisons, the human body reacts to the absence of opioids in a powerful cycle of withdrawal. Decades filled with little to no research surrounding the rehabilitation of this common but life threatening illness has unfortunately resulted in few options for people to turn to. Medical experts, politicians and even passionate citizens are beginning to point attention towards this progressively large margin of individuals that are becoming addicted, desperate for treatment, and ending up with results of complete failure. The one-size-fits-all approach to opioid treatment needs to be abolished and replaced with a method of accountability and strict individual progress.

Drug addiction is a problem that has become a major issue in today’s society. Prescription drugs make it easy to treat everything from common cold symptoms to mental health problems and everything in between; however, the general public is constantly receiving mixed messages about the evils of drug use. The pharmaceutical industry brings in millions of dollars each year through aggressive advertising promising the positive results of drugs with minimal side effects. Of course, prescription drugs can be very effective in treating illnesses, but overuse or abuse of any drug can lead to dependence and serious addiction. Opioid drugs, for example, have been over-prescribed for pain relief purposes and abused recreationally for many years. The opioid epidemic has since emerged as one of the worst drug crises in American history. Easy access to opiates and the feelings these drugs can produce has caused an addiction epidemic. More commonly known as “The Opioid Crisis”, this issue has a tight grip on our society. The epidemic has become one of the most pressing public health concerns and will take a collaboration of medical professionals, health care services, and the patients themselves to find an answer to opioid addiction affecting our nation today.