Sustained-Release Naltrexone

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.

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

Opioid abuse in America is a current health issue, like any other, where we view the problem from an analytical standpoint. While the numbers are devastating my main motivation for choosing this study comes from an emotionally driven place. Personally, I’ve known people who have been sucked into the addictive effects of opioids and, for years, it has affected an entire family’s, that I am close to, life from one person’s abuse of opioids. An example that many don’t think of when they imagine opioid abuse is how a simple mother could go from being an ordinary housewife to an opioid abuser, where her children are too scared to bring friend’s back home due to their mother’s state, and how she’s devolved into a person who steals from her

As previously discussed, the program the author would choose to evaluate is MAT treatment programs. This population consists of individuals that have been diagnosed with opiate use disorder, and receive opiate-substitution medications, such as Methadone or Suboxone. These program evaluations would be consumer-centered, performed in the clinics they receive services. Interested stakeholders would include the treatment center where the participants receive services, as well as other MAT service providers. Additionally, the funding sources for these individuals and program centers, such as county, state, and federal agencies, along with medical insurers, would also gain value from the program evaluation research.

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.

There are a variety of treatment modalities, both conservative and emerging, that clinicians, therapists, and doctors use to treat heroin and opioid dependence. Cognitive behavioral therapy (CBT), motivational interviewing (MI), 12 step programs, and acceptance and commitment therapy (ACT) are just a few that have been used in the past, and even today, in the treatment of substance dependence. Medication-assisted treatment (MAT) is yet another form of therapy; particularly for opioid and heroin dependence, that has been around for decades. However, it has recently begun to spark interest and controversy in light of the growing epidemic.

This literature review will focus mainly on the drug use of heroin, the scary numbers behind the drug and the sudden rise of overdosing on the drug across the United States. Issues that will be discussed are what is Heroin, what’s in Heroin that makes it addicting, how it can increase the users risk of contracting other life threatening diseases and where it’s use and abuse are most popular across the United states and we will take a look at multiple studies that show examples of our new drug problem in the United States. While we looked at how homicide rates have dropped while in class, the flip side to that is that the amount of drug usage has risen.

America has a major problem with opioid addicts, and many facilities are helping the addicts by providing safer options to taking the drugs their bodies crave. Methadone clinics are places where people addicted to opioids can receive medicine-based therapy. Opioid use, drugs such as heroin, morphine, and prescribed painkillers, has increased in the US with all age groups and incomes. People become addicted to these drugs when they are prescribed, recreationally used with other addicts, or they are born addicted. Many health institutions are addressing this issue 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

“In 1949, Isbell and Vogel, working at the U.S. Public Health Hospital in Lexington, Kentucky, showed methadone to be the most effective medication for withdrawing addicts from heroin (Joseph, Stancliff, & Landgord, 2000, p. 347). Further studies revealed that administering methadone to an addict for seven to ten days had a relapse rate of more than 90% when treatment ceased. “By 1998, the number of methadone patients in the United States had increased from the original six research patients in 1964 to about 44,000 patients in New York Stated and 179,000 patients worldwide” (Joseph, Stancliff, & Landgord, 2000, p. 347). The number of individuals enrolled in MMT continues to increase as the methadone clinics and the overall effectiveness of MMT gains

Post World War II New York City was faced with a major heroin epidemic with over 151,000 names listed in the Narcotics Register (Herman). As a medical response, methadone was developed to treat heroin addiction (Herman). Today methadone maintenance treatment has grown to become a popular therapy for drug addiction as well as pain management. Methadone has helped many people to create new lives for themselves, yet there is still debate over the success of this program. Methadone assisted treatment should be seen as an effective program in combating opioid addiction due to its health and social benefits for both users and the community.

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.

The misuse of and dependence to opioid drugs such as the frequently prescribed oxycodone, hydrocodone, fentanyl, and the illegal drug heroin is a worldwide crisis that impacts the societal well-being, health, and economy of nearly every population. The wake of the recently named epidemic can be felt by family members, health care professionals, communities, and policy makers around the world. Taking the lead in causes of accidental deaths in the United States, the fatalities resulting from opioid overdose have quadrupled since the early 2000’s. Research has indicated a causal link between prescription opioid abuse and increased rates of heroin usage

Technologies in Health, 2013, p. 1). “The abuse of and addiction to opioids is a serious and

Drug addiction is one of the many problems that is prevalent world-wide. An even bigger uphill battle that comes with drug addiction is the ethics behind rehabilitation and treatment. Heroin is one of the most controversial illicit drugs in regards to its use and its treatment. Treatments such as methadone maintenance, LAAM(Levomethadyl acetate) and naltrexone have definitely raised questions in terms of their effectiveness in combatting heroin/opiate addiction. This essay will be a comparative on the different treatments and how naltrexone is the most effective treatment that can help individuals overcome heroin addiction.

As explained in the assessment section of this paper that patient hesitated in taking pain medication. It was noted that her hesitant to take pain medication was based on the misconception that people very easily become addicted to pain medication. With education on why patient should take her medication to control pain, she agreed to take her pain medication. However, I did not actually dispel the notion that people very easily become addicted to pain medication on her mind because I did not have evidenced based facts to disprove that notion. In taking this course, I have been equipped with more facts to brake such barriers in the future. According to research getting addicted to pain medication is not typical with normal people. Opioid dependence