Essay about Tramadol

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

This is a chronic pain patient and has been on pain medication. However, the exact duration of use of opioids is unknown. In addition, there is no documentation of VAS pain levels with or without the use of medication. There is no opioid agreement of file. There is no reported functional benefit and pain relief from the medication. Furthermore, there is no mention of the absence of aberrant behaviors and absence of side effects of Tramadol. In addition, there is no mention of compliance and continued efficacy of the medication. There were no UDS or CURES reports available for review. Medical necessity of Tramadol has not been substantiated. Recommend non-certification. Non-certification here does not imply an abrupt cessation for a patient who may be at risk for withdrawal symptoms. Discontinuance should include a tapering prior to discontinuation to avoid withdrawal

Last year there were over 64,000 reported opioid-related deaths in the United States – making it the leading cause of accidental death in people under the age of 50 in this country (Katz). Opioids, also referred to as painkillers, have become a growing problem over the past two decades particularly in rural communities all across the country where the death rates are higher per capita compared to the death rate in cities (“America’s Opioid Epidemic is Worsening”). These narcotics, such as codeine, fentanyl, hydrocodone, morphine and oxycodone are extremely addictive and, as a result, this silent killer has quadrupled the overdose death toll since 1999

Dosages of the drug vary from one extreme to another based upon the patients needs.

Weeks before my 12th birthday, I went to an emergency center thinking that I had an ear infection. Sitting in a hospital bed, I recall panicking, as I realized I could not move my legs. 2 years and a vast multitude of tests later, doctors were able to determine that I have an autonomic nervous system condition called Dysautonomia. Now, at 19 years of age, my doctor has just signed the paperwork so that I can become a medical marijuana card holder. After years of dealing with the dilemma that is prescription opioids, I have found myself opting for medical marijuana instead, and for good reason. Without a doubt, medical marijuana is a better alternative to prescription opioids in terms of overdoses, negative side effects, and psychoactive properties.

"If we could sniff or swallow something that would, for five or six hours each day, abolish our solitude as individuals, atone us with our fellows in a glowing exaltation of affection and make life in all its aspects seem not only worth living, but divinely beautiful and significant, and if this heavenly, world-transfiguring drug were of such a kind that we could wake up next morning with a clear head and an undamaged constitution - then, it seems to me, all our problems (and not merely the one small problem of discovering a novel pleasure) would be wholly solved and earth would become paradise."

The textbook pointed out that drug prevention and drug ________ might have different goals and use different approaches.

Prescription drug abuse has become an epidemic in the United States especially among the youth of our country. The Partnership for a Drug Free America says that 2,500 teens a day abuse prescription drugs. Abuse of these narcotics can lead to serious mental and physical consequences. Why is this such a problem, what can we do to solve it, and how is it affecting our social lives?

To help with the quick admission, intranasal administration is a convenience to those who have to administer Naloxone because intranasal Naloxone has a preset dosage. While intranasal Naloxone is easier to administer, intravenous and intramuscular Naloxone administrators have a choice on the dose to give. Advanced EMTs have enough knowledge to choose the dose of Naloxone to give the patient to keep the patient alive. Intranasal was not approved until November of 2015 when the FDA approved a highly concentrated spray form of Naloxone (Strang et al. 576). Intranasal administration only allows one dose to be given compared to Intravenous administration which allows a more adjusted dosage of Naloxone to be given. According to Ott, an

Opioids are classified as opium like compounds; some (ex. codeine and morphine) exist naturally in opium, which is a gummy substance derived from the seedpod of the opium poppy, indigenous to Southern Asia. Other opioids are of the synthetic category, such as methadone or fentanyl (opioidaddictionsource.com). Though the use of prescription opioids may be well intended, due to their effect on the brain chemistry, it is fairly common for one to become addicted to them; America is amidst a raging prescription opioid epidemic, in fact.

Patients should take care to learn what naltrexone is. This medication is a type of drug known as an opiate antagonist. It prevents the brain from feeling the effects of drugs, so patients should never use opiates at the same time.

This study also discusses about Gender-specific aspects which should be taken into consideration to identify those group of people which are at highest risk specifically for abusing of prescription opioid. the best way to control this issue is Prevention and applying intervention efforts which will be the best cure Research shows that women represent a large and growing population of prescription opioid abusers (Cicero et al., 2008; SAMHSA, 2006 ;  Tetrault et al., 2008). Unlike for heroin, an equal or greater proportion of women appear to abuse prescription opioids (Kelly et al., 2008 ;  Simoni-Wastila et al., 2004). In some studies it shows the correlation etween abusing of the prescription medication and abusing of alcohol and the other type of drugs.

Today prescription medication is taken for reasons or in ways or amounts not intended by a doctor, or taken by someone other than the person for whom they are prescribed. The estimated deaths from prescription medications are increasing each year. Narcotics are the most common abuse substance by Americans, after alcohol and marijuana. By keeping track of prescriptions could cut down the deaths and prevent the escalation of addiction.

Researching Xanax abuse in college-aged students, I explored the effects and consequences of this addiction. Doctors prescribed this drug for people diagnosed with severe anxiety and depression. According to RehabCenter, despite the high rate of abuse, Xanax remains the ninth best-selling drug in the United States. Young adults tend to use this drug to amplify the effects of alcohol. Circulating the streets, this drug commonly goes by “xans” or “bars”. Taking Xanax with alcohol or on their own, past users can guarantee negative effects such as severely impaired judgement. Advocating never taking this drug, I believe only a doctor’s prescription should excuse consumption.

2000mg/day. If doses >2000mg/day are required, give in 3 divided doses (not to exceed 2500mg/day)