Reduce Access to Prescription Drugs - Revision history

Snkennedy3327: Snkennedy3327 moved page Reduce Access to Opioids for Misuse to Reduce Access to Prescription Drugs without leaving a redirect: Proper Title

2020-05-27T03:04:37Z

Snkennedy3327 moved page Reduce Access to Opioids for Misuse to Reduce Access to Prescription Drugs without leaving a redirect: Proper Title

Pkalch at 01:00, 6 April 2020

2020-04-06T01:00:11Z

Josiebeets at 20:08, 19 November 2019

2019-11-19T20:08:29Z

Josiebeets at 20:05, 19 November 2019

2019-11-19T20:05:20Z

Josiebeets at 20:03, 19 November 2019

2019-11-19T20:03:55Z

Josiebeets at 19:16, 19 November 2019

2019-11-19T19:16:30Z

Josiebeets at 18:49, 19 November 2019

2019-11-19T18:49:56Z

Josiebeets at 18:34, 19 November 2019

2019-11-19T18:34:00Z

Josiebeets at 16:37, 19 November 2019

2019-11-19T16:37:06Z

Josiebeets at 16:36, 19 November 2019

2019-11-19T16:36:54Z

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 *10.6% purchased them from a friend or relative
 *4.0% took them from a friend or strange
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 == Reasons for Opioid Non-Medical Use (Misuse) ==
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 #The single most effective way people can impact the opioid crisis is to safely dispose of their medication as soon as practicable. A strategy should emphasize prompt disposal of pain medications after their prescribed use is no longer needed. If people quickly dispose of their presecription pain medications when they are not necessary, they would be less likely in a situation where a friend or relative who was struggling with pain (or perhaps pretending to struggle with pain or who was struggling with pain&nbsp;related to withdrawal) would be able to divert the opioids for misuse.&nbsp;
 #People who might be approached by friends and relatives who are seeking access to pain medications (the #1 source based on the NSDUH) should become important actors in a strategy that emphasizes helping people before their brains have been changed due to ongoing use or misuse of opioids.&nbsp; &nbsp;A good strategy would equip these people with ways to help their friends and relatives with both physical pain and with ways to get help for other factors that may be driving misuse of opioids.&nbsp;
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 == Opioid Access and Misuse Among Teens is Decreasing, but Remains Concerning&nbsp; ==
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 = Actions to Take =
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 Doctors are increasingly pressured for time in patient visits and may feel as if they don’t have time to go over the risks involved with taking opioids. For patients with a history of substance use disorder, mental health histories, or even at-risk family members, reviewing concerns with doctors is particularly important. When a patient and their doctor discuss these topics along with possible alternatives, it can save lives, prevent dependence and addiction, and potential non-medical use. The Food and Drug Administration has a [https://www.fda.gov/downloads/ForConsumers/ConsumerUpdates/UCM548116.pdf one-page form] with questions to ask your doctor and is a great reminder tool for patients. This opioid-focused checklist can be printed and handed out or posted at doctors’ offices, pharmacies, or prevention, treatment, and recovery services to support protective behaviors. The questions are great for preventing opioid use disorder, as well as for initiating conversations between at-risk patients and their providers.
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 *4.0% took them from a friend or strange
 == Reasons for Opioid Non-Medical Use (Misuse) ==
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 It would be helpful to have (or find) better research on this,&nbsp;but given that this poll showed that 62.6% of the people who misused prescription pain relievers claimed to have done&nbsp;so for pain<ref>https://www.legitscript.com/blog/2018/09/nsduh-report-opioid-abuse/</ref>, it would seem plausible that the person giving them their own prescription pain relievers were trying to help them deal with the pain, not trying to help them get high or feed an addiction to aviod withdrawal symptoms.&nbsp;
-This data would suggest to important strategy issues:
+This data would suggest an&nbsp;important strategy issues:
 #A strategy to reduce prescription drug misuse should include&nbsp;a strong emphasis on educating people to not give or sell their medications to anyone else.&nbsp; This might include educating people on how they can best respond when a friend or relative approaches them to get prescription pain medication to help them address their pain problem.&nbsp;
-#A strategy should emphasize prompt disposal of pain medications after their prescribed use is no longer needed. If people quickly dispose of their presecription pain medications when they are not necessary, they would be less likely in a situation where a friend or relative who was struggling with pain (or perhaps pretending to struggle with pain or who was struggling with paid related to withdrawal) would be able to pursuade the person to give them or sell them the drugs.&nbsp;
+#The single most effective way people can impact the opioid crisis is to safely dispose of their medication as soon as practicable. A strategy should emphasize prompt disposal of pain medications after their prescribed use is no longer needed. If people quickly dispose of their presecription pain medications when they are not necessary, they would be less likely in a situation where a friend or relative who was struggling with pain (or perhaps pretending to struggle with pain or who was struggling with pain&nbsp;related to withdrawal) would be able to divert the opioids for misuse.&nbsp;
 #People who might be approached by friends and relatives who are seeking access to pain medications (the #1 source based on the NSDUH) should become important actors in a strategy that emphasizes helping people before their brains have been changed due to ongoing use or misuse of opioids.&nbsp; &nbsp;A good strategy would equip these people with ways to help their friends and relatives with both physical pain and with ways to get help for other factors that may be driving misuse of opioids.&nbsp;
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 == Opioid Access and Misuse Among Teens is Decreasing, but Remains Concerning&nbsp; ==

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 = Promising Practices and Case Studies =
 === '''Coordinate a Local Drug Disposal and Take-Back Program&nbsp;''' ===
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 Until prescribing of opioids is reduced and remains low, patients are their own best weapon for preventing opioid dependence. Many patients rely heavily on their doctors to know and inform them of all of the risks, but this epidemic has demonstrated the need for all of us to be armed with information. These fact sheets will help patients understand the risks, how to increase safety for themselves and others, and seek alternative treatments. Customized medication fact sheets can include a variety of information promoting safe handling, use, and disposal of categories of prescription medicine. Include tips such as: don’t share your medications, questions to ask your doctor, names of different medications in the category covered, and lower-risk alternatives. Statistics can include a mix of data from sources such as the CDC on risks associated with non-medical use, as well as state or local statistics. Information about disposal is best when customized to the location. [http://dhss.alaska.gov/dph/Director/Documents/heroin-opioids/TreatingAcutePain_Statewide_Generic.pdf Alaska has a good example]. SAFE Project also has fact sheets available on [https://www.safeproject.us/resource/opioids-and-pain-management-medication-facts/ Opioids], [https://www.safeproject.us/pharmacists-and-your-safety/ Your Pharmacist and Your Safety], and [https://www.safeproject.us/benzodiazepines-and-opioids/ Benzodiazepines]. Community pharmacies and clinics are best positioned to share this information in person to answer any questions people may have. Fact sheets can also be offered on local health-focused websites or made available for download.
-'''Create Safe Prescription Storage Fact Sheets'''
+=== '''Create Safe Prescription Storage Fact Sheets''' ===
 Educating the community on proper prescription drug storage is the number one step community members can take to reduce non-medical use of medications. Most people do not know how to dispose of medication and, more important, do not lock up their medications. This increases the risk of poisoning, diversion, and non-medical use. Develop a fact sheet describing the dangers of storing prescription medications improperly that includes easy-to-understand information about how to safely store and dispose of medications, local resources for acquiring locking medication bottles, disposal pouches, and disposal lock-box locations. Refer to the Centers for Disease Control and Prevention’s [https://www.cdc.gov/features/medicationstorage/index.html guidelines for safe storage] or the Food and Drug Administration’s [https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm272905.htm guide to medicine safety].
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 Doctors are increasingly pressured for time in patient visits and may feel as if they don’t have time to go over the risks involved with taking opioids. For patients with a history of substance use disorder, mental health histories, or even at-risk family members, reviewing concerns with doctors is particularly important. When a patient and their doctor discuss these topics along with possible alternatives, it can save lives, prevent dependence and addiction, and potential non-medical use. The Food and Drug Administration has a [https://www.fda.gov/downloads/ForConsumers/ConsumerUpdates/UCM548116.pdf one-page form] with questions to ask your doctor and is a great reminder tool for patients. This opioid-focused checklist can be printed and handed out or posted at doctors’ offices, pharmacies, or prevention, treatment, and recovery services to support protective behaviors. The questions are great for preventing opioid use disorder, as well as for initiating conversations between at-risk patients and their providers.
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 = Background =
-Understanding more about how people access opioids, especially prescription opioids, can help us understand how we can reduce access.&nbsp;&nbsp;
+Understanding more about how people access opioids, especially prescription opioids, can help us understand how we can reduce access.&nbsp;
 == Sources of Opioids for Non-Medical Use (Misuse) ==
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 = Promising Practices and Case Studies =
-Examples from communities that have implemented tools focused on this objective
+=== '''Coordinate a Local Drug Disposal and Take-Back Program&nbsp;''' ===
-&nbsp;
+Starting a drug take-back event or program requires coordination across government, private pharmacies, law enforcement, and community members. The [https://drugfree.org/download/safe-drug-disposal/ Safe Drug Disposal Guide for Communities] from the Drug Enforcement Administration and Partnership for Drug-Free Kids is an introduction to the issue of safe drug disposal programs. It is written to help community officials and organizers design a safe drug disposal program for their community, identifying federal guidelines and processes. Each community will need to adapt for its local needs, regulations, and resources, but this is a solid start with a focus on consumers, pharmacies, and law enforcement.
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 Understanding more about how people access opioids, especially prescription opioids, can help us understand how we can reduce access.&nbsp;&nbsp;
-== Access to Opioids for Non-Medical Use (Misuse) ==
+== Sources of Opioids for Non-Medical Use (Misuse) ==
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 The vast majority of misused prescription opioids come from friends and family of the person misusing through both intentional and unintentional diversion. The annual National Survey on Drug Use and Health (NSDUH) indicated that more than half of people misusing opioids received their prescription opioids through these methods. Only 6.5% sourced their prescription opioids from a drug dealer.&nbsp;&nbsp;&nbsp;
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 Source of Graphic:&nbsp;SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018.
-According to the survey (which always is influenced by the sample surveyed and their honesty in answering the survey) indicates that of people who misused pain relievers, the majority (53.1%) responded that they received them from a friend or relative.<ref>https://www.legitscript.com/blog/2018/09/nsduh-report-opioid-abuse/</ref>&nbsp;&nbsp;
+According to the NSDUH survey of people who misused pain relievers, the majority (51.3%) responded that they received them from a friend or relative.<ref>https://www.legitscript.com/blog/2018/09/nsduh-report-opioid-abuse/</ref>&nbsp; Even though these numbers are slightly decreased from the 2017 NSDUH survey, the fact remains that the most prevalant "drug dealer" of prescription opioids are friends and relatives
 *38.5% received them from a friend or relative for free.
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 *4.0% took them from a friend or strange
-The survey also examined why people were misusing prescription pain medication.
+== Reasons for Opioid Non-Medical Use (Misuse) ==
 [[File:Why Misuse Graphic.jpg|700px|Why Misuse Graphic.jpg]]
-Source of Graphic:&nbsp; [https://www.legitscript.com/blog/2018/09/nsduh-report-opioid-abuse/ LegitScript]
+Source of Graphic:&nbsp; SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017.
 It would be helpful to have (or find) better research on this,&nbsp;but given that this poll showed that 62.6% of the people who misused prescription pain relievers claimed to have done&nbsp;so for pain<ref>https://www.legitscript.com/blog/2018/09/nsduh-report-opioid-abuse/</ref>, it would seem plausible that the person giving them their own prescription pain relievers were trying to help them deal with the pain, not trying to help them get high or feed an addiction to aviod withdrawal symptoms.&nbsp;
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 #People who might be approached by friends and relatives who are seeking access to pain medications (the #1 source based on the NSDUH) should become important actors in a strategy that emphasizes helping people before their brains have been changed due to ongoing use or misuse of opioids.&nbsp; &nbsp;A good strategy would equip these people with ways to help their friends and relatives with both physical pain and with ways to get help for other factors that may be driving misuse of opioids.&nbsp;
 </div>
-== Opioid Access and Misuse Among Teens is Decreasing ==
+== Opioid Access and Misuse Among Teens is Decreasing, but Remains Concerning&nbsp; ==
 The 2017 [http://monitoringthefuture.org/ Monitoring the Future] survey of 8th, 10th and 12th graders shows encouraging news -- it's getting harder for teens to access prescription opioids.&nbsp; Only 35.8 percent of 12th graders said they were easily available in the 2017 survey, compared to more than 54 percent in 2010<ref>https://www.drugabuse.gov/news-events/news-releases/2017/12/vaping-popular-among-teens-opioid-misuse-historic-lows</ref>&nbsp; &nbsp;Overall, 43,703 students from 360 public and private schools participated in this year's MTF survey.<ref>https://www.drugabuse.gov/news-events/news-releases/2017/12/vaping-popular-among-teens-opioid-misuse-historic-lows</ref>&nbsp;
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 Death from overdose is the most serious consequence of prescription drug misuse. And while the number of deaths from drug overdose remains quite low overall, the rate of overdose deaths among adolescents is increasing. In 2015, 4,235 youth ages 15-24 died from a drug-related overdose; over half of these were attributable to opioids.<ref>The National Institute on Drug Abuse Blog Team. (2017). Drug overdoses in youth. Retrieved from https://teens.drugabuse.gov/drug-facts/drug-overdoses-youth.</ref>&nbsp;
-The health consequences of opioid misuse affect a much larger number of people. For example, the Centers for Disease Control and Prevention (CDC) estimates that for every young adult overdose death, there are 119 emergency room visits and 22 treatment admissions.<ref>National Institute on Drug Abuse. (2016). Abuse of prescription (Rx) drugs affects young adults most. Retrieved from https://www.drugabuse.gov/related-topics/trends-statistics/infographics/abuse-prescription-rx-drugs-affects-young-adults-most?utm_source=external&utm_medium=api&utm_campaign=infographics-api.</ref>
+The health consequences of opioid misuse affect a much larger number of young people. For example, the Centers for Disease Control and Prevention (CDC) estimates that for every young adult overdose death, there are 119 emergency room visits and 22 treatment admissions.<ref>National Institute on Drug Abuse. (2016). Abuse of prescription (Rx) drugs affects young adults most. Retrieved from https://www.drugabuse.gov/related-topics/trends-statistics/infographics/abuse-prescription-rx-drugs-affects-young-adults-most?utm_source=external&utm_medium=api&utm_campaign=infographics-api.</ref>
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← Older revision	Revision as of 03:04, 27 May 2020
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