Medications for Opioid Use Disorder Save Lives


Book Description

The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.




Pain Management and the Opioid Epidemic


Book Description

Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.




Relieving Pain in America


Book Description

Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.




Prescription Drug Abuse


Book Description

This outstanding resource guide for students and young adults provides an introduction to the history of prescription drug abuse that explains how this problem has arisen and examines the social, political, economic, and health issues associated with prescription drug abuse in modern society. Evidence suggests that both adults and youth are abusing a wider range of prescription drugs and abusing them more frequently than has been the case in the past. Prescription drugs are the second most common class of drugs abused by Americans, more than twice as commonly abused as cocaine, and five times as commonly abused as heroin. This book provides readers with information about the specific health effects that can result from using certain types of medical chemicals, particularly opioid analgesics, stimulants, depressants, and hallucinogenics; explains the most important factors that have led to the growth of prescription drug problems; and reviews the current status of the issue in the United States and other nations. Readers will learn about the dangers associated with the use of prescription drugs for nonmedical purposes, the methods that have been put in place and are being developed to prevent the abuse of prescription drugs, and the trends in prescription drug misuse, with possible explanations for these trends. The book also reviews some of the steps being taken by governments and other organizations and agencies to combat the problem of prescription drug abuse.




Addiction by Prescription


Book Description

In 1966, Joan Gadsbys four-year-old son died of a brain tumour. In response, her family physician prescribed a 'chemical cocktail' of tranquillisers, sleeping pills and anti-depressants -- an act that initiated Gadsbys slow descent into an abyss of unrecognised addiction. Over the next 20 years, Gadsbys career, her family relationships, her financial security and her health were all threatened. She was on various occasions arrested, restrained, and sedated as a result of the paradoxical side effects of the drugs. It was only after she unintentionally overdosed in 1990 that she found out the insidious effects of the drugs, stopped taking them and went through the 'hell' of withdrawal -- alone. Gadsby has emerged from her addiction to become a health and wellness consultant to corporations, governments, healthcare organisations. She is a tireless advocate for systemic change and accountability of prescribed sedative/hypnotic drugs. She interviewed thousands -- from consumers to doctors to pharmaceutical representatives and government officials as she conducted extensive international research -- in her quest to expose the shocking truth of the depth and breadth of addiction by prescription which affects hundreds of thousands of men and women world-wide who become 'accidental addicts'.




Overcoming Prescription Drug Addiction


Book Description

DIVDIV Prescription drug addiction is now one of the nation's most serious drug problems. More Americans are abusing controlled prescription drugs more than cocaine, hallucinogens, inhalants, and heroin combined. With the exception of marijuana, prescription painkillers are the most widely abused drug in the U.S. Many who are addicted to prescription drugs are &“unwitting addicts&”—they have no history of drug abuse, but become addicted after taking a drug for legitimate reasons. Rod Colvin understands this problem. His 35-year old brother died as a result of his long-term addiction to painkillers and tranquilizers. Drawing from his personal experience and his background as a counselor, Colvin offers help to those suffering from addiction as well as their families. In this new, third edition, Colvin discusses dynamics of addiction and the newest treatment options; he also offers compelling personal stories from addicts who describe their journeys into recovery. These anecdotes are accompanied by advice from addiction medicine specialists. The Book Answers These Questions: &· How does addiction &“rewire&” the brain? &· What are the symptoms of addiction? &· Who's at risk for addiction? &· Why are more teens abusing prescription drugs? &· When does proper medical use of a drug turn into addiction? &· What happens if the drugs are stopped abruptly? &· What are the symptoms of withdrawal? &· What is the difference between addiction and physical dependence? &· What are the top 20 most-abused prescription drugs? STRONGHow Can You Leave Prescription Drugs Behind? Read stories of recovery from individuals who are in recovery &· Learn how they become addicted &· Find out how they made it into recovery &· What were the turning points in their lives that made them seek recovery?




Prescription Drug Addiction


Book Description

Colvin offers compelling stories of recovery along with advice and insights from addiction medicine specialists. He also provides perspectives from therapists, pharmacists, pain management experts, and fraud investigators.




Facing Addiction in America


Book Description

All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.




Pain Killer


Book Description

Examines OxyContin, the so-called miracle prescription drug that swept the nation but led to overdoes and addiction, providing a look at the multi-billion-dollar pain managment business, its excesses and its abuses.




The Prescription Drug Abuse Epidemic


Book Description

This overview of prescription drug abuse includes historical background, key concepts, and discussion of the prevalence of drug abuse, treatments, and policy issues implicated in ending the epidemic. Prescription opioid medication abuse has been declared a national crisis by experts in medicine, substance use, public health, and pain management, culminating in a declaration made by the President of the United States that opioid misuse and abuse is a national health emergency. In this comprehensive text, expert scholars analyze and address a wide range of issues in, obstacles to, and potential solutions for this emergency, which caused more than 50,000 deaths in 2016 alone. It covers a variety of topics related to prescription misuse from both clinical and academic perspectives. After an opening containing background material on the most commonly misused medications, chapters examine subgroups engaged in misuse and special medical environments where misuse issues are key. They then cover U.S. policy, perspectives outside the U.S., and theories that may explain the misuse phenomena. This book will serve as a resource for students and professionals in fields related to prescription drug abuse—including psychology, sociology, medicine, and public policy—and is accessible to individuals not trained in these fields.