Prescription Drug Diversion and Pain provides an interdisciplinary overview of medications used to treat chronic pain, and the benefits and risks that are posed by long-term use of opioids. Use of these life-saving medications must be carefully managed to prevent serious side effects, which may include physical dependence, addiction, and even death. In recent years, the risk of these side effects has led to increased attention on the development of alternative treatments for chronic pain. This book not only offers a single, comprehensive source for understanding the specialized nature of the opioid crisis, but also addresses provocative topics including how pain drugs came to be regulated by the US government and the rarely discussed aggressive marketing behind the spread of these drugs. Chapters are written by expert contributors from diverse backgrounds in medicine, psychiatry, pharmacy, nursing, law, and bioethics. Prescription Drug Diversion and Pain is a must-read for healthcare ...
U.S. Rep. Michael Bilirakis, R-Palm Harbor, is pressing Florida Gov. Bob Graham to take action against the growing underground market in diverted drugs, which Bilirakis says poses a special threat
Californias Department of Water Resources (DWR) this week announced an initial allocation of 5 percent of total contracted water deliveries to the State Water Project (SWP) contractors for 2010. This is the lowest percentage since the SWP began delivering water in 1967.. At least thats the forecast at this early point of the season. By comparison, the initial figure for 2009 of 15 percent was eventually increased to a final allocation of 40 percent in May. Nevertheless, its a sign that California is entering its fourth year of drought, and heightens the debate over saving a dying Delta versus diverting more water to southern California.. Demonstrating the direness of the situation, Central Valley farmers have resorted to posting signs in their untended fields and orchards just off Interstate 5 that read Congress Created Dustbowl to dramatize the negative impacts incurred by the agricultural industry. No matter which level of government is to blame, water shortages mean less productivity, ...
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Subscribe: Apple Podcasts , Android , Google Podcasts , Stitcher , RSS , More. On this episode, I discuss fentanyl pharmacology.. I address important considerations that you must remember with fentanyl patches.. Those considerations include how pharmacokinetics can impact our patients.. I also break down common side effects of opioids as well as potential common drug interactions.. Drug diversion and illicit use is an important consideration when using fentanyl. I also touch on this topic.. Nearly 1,000 healthcare professionals have signed up and received this FREE Top 200 Study Guide - Why havent you?. ...
Jon Owen tips the large blue barrel forward, displaying thousands of unused pills and expired medications. The pills, in every variety and color, were collected from people around the county during Operation Medicine Drop. It is just one way the Cleveland County Sheriffs Office deals with a growing issue. Owen, a drug diversion agent, said the abuse of prescription pills is becoming the No. 1 problem for the sheriffs office and other law enforcement agencies across the state.
Opioid analgesic medications can bring substantial relief to patients suffering from pain. However, the inappropriate use, abuse, and diversion of prescription drugs in America, particularly prescription opioids, has increased dramatically in recent years and has been identified as a national public health epidemic, with West Virginia among the states with the largest opioid misuse and diversion problem. A set of clinical tools, guidelines, and recommendations are now available for prescribers who treat pain patients with opioids. By implementing these tools, clinicians can effectively address issues related to the clinical management of opioid prescribing, opioid risk management, regulations surrounding the prescribing of opioids, and problematic opioid use by patients. In doing so, healthcare professionals are more likely to achieve a balance between the benefits and risks of opioid prescribing, optimize patient attainment of therapeutic goals, and avoid the risk to patient outcome, public health, and
According to the company, the offering is the first of its kind to provide a comprehensive management solution for the buy-and-bill drug model currently used by physicians - whereby the physician purchases specialty medications, administers them to the patient and directly bills the payer. The payer-centric offering will employ both prospective and retrospective drug utilization management strategies to drugs billed under the medical benefit, while ensuring minimal disruption to the physicians workflow and facilitating the delivery of evidence-based care.. CVS Caremark stated that it will work with New Century Health, a specialty care management company, to offer its clients integrated evidence-based medicine, treatment care pathways, quality improvement programs and peer-to-peer review through an innovative Web-based decision support platform.. This offering broadly will be available to CVS Caremark customers for implementation beginning Jan. 1, 2012.. Management of specialty drugs under the ...
Drug misuse is a term used commonly when prescription medication with sedative, anxiolytic, analgesic, or stimulant properties are used for mood alteration or intoxication ignoring the fact that overdose of such medicines can sometimes have serious adverse effects. It sometimes involves drug diversion from the individual for whom it was prescribed. Prescription misuse has been defined differently and rather inconsistently based on status of drug prescription, the uses without a prescription, intentional use to achieve intoxicating effects, route of administration, co-ingestion with alcohol, and the presence or absence of dependence symptoms.[13][14] Chronic use of certain substances leads to a change in the central nervous system known as a tolerance to the medicine such that more of the substance is needed in order to produce desired effects. With some substances, stopping or reducing use can cause withdrawal symptoms to occur,[15] but this is highly dependent on the specific substance in ...
...LUTHERVILLE Md. July 9 2012 /- The National Assoc... In six short months since full implementation Indianas electronic b...About NADDI ...The National Association of Drug Diversion Investigators (NADDI) is a ...,Indianas,Stop-Sale,System,Achieves,Significant,Results,In,Battle,Against,Meth,medicine,advanced medical technology,medical laboratory technology,medical device technology,latest medical technology,Health
...LUTHERVILLE Md. July 9 2012 /- The National Assoc... In the year and a half since Alabama launched its real-time blocking ...About NADDI ...The National Association of Drug Diversion Investigators (NADDI) is a ...,Alabamas,Stop-Sale,System,Achieves,Significant,Results,In,Battle,Against,Meth,medicine,advanced medical technology,medical laboratory technology,medical device technology,latest medical technology,Health
Selikhova, M, Fedoryshyn, L, Matviyenko, Y, Komnatska, I, Kyrylchuk, M, Krolicki, L, Friedman, A, Taylor, A, Jager, HR, Lees, A and Sanotsky, Y (2008) Parkinsonism. and Dystonia Caused by the Illicit Use of Ephedrone-A Longitudinal Study ...
Miami-Dade, Broward and Palm Beach Counties, Florida Trends of Nonmedical Prescription Drug Misuse in Miami-Dade, Broward, Palm Beach Counties, and the State of Florida: 2010 James N. Hall 1 ABSTRACT The
But money alone wont fix the problem-we also need legislative and policy changes. Instead of criminalizing the drug based solely on its chemical composition, legality should be defined by toxicity, the accreditation of manufacturing labs, and distribution method. Our federal agencies need to target online distributors. Medical examiners and coroners need to document medications found at overdose death scenes, check those lists against state databases, and report cases of prescription drug diversion. We also need to alert prescribing physicians in these cases so they can re-evaluate their prescription guidelines. Coroners must certify overdose deaths properly-listing all the medications by name instead of just writing "mixed drug intoxication" on the death certificate, for instance. Medical examiners should work with the Drug Enforcement Administration to apply comprehensive testing techniques to pills collected from death scenes, looking for emerging contaminants and designer drugs. This is ...
Adults who used cannabis were significantly more likely to use nonmedical prescription opioids, according to recent findings.“In the wake of rising rates of nonmedical prescription opioid use, there has been increased public and professional interest in the possibility that cannabis might help to curb or prevent opioid use disorder,” Mark Olfson, MD, MPH, of Columbia University
We identified six outbreaks over a ten year period beginning in 2004; all occurred in hospital settings. Implicated healthcare professionals included three technicians and three nurses; one of whom was a nurse anesthetist. The mechanism by which infections were spread was tampering with injectable controlled substances. Two outbreaks involved tampering with opioids administered via patient-controlled analgesia pumps and resulted in gram-negative bacteremia in 34 patients. The remaining four outbreaks involved tampering with syringes or vials containing fentanyl; hepatitis C virus (HCV) infection was transmitted to 84 patients. In each of these outbreaks the implicated healthcare professional was infected with HCV and served as the source; nearly 30,000 patients were potentially exposed to bloodborne pathogens and targeted for notification advising testing ...
Participants recognized that any solution to the problem of inadequate pain management requires the cooperative efforts of regulators, practitioners, patients, payors, and the public to educate themselves regarding the nature of pain, the extent of pain, and pain management itself. Participants acknowledged that drug diversion is a problem in California which must be controlled. Participants discussed the nature and extent of statutes and regulation, and the regulatory and law enforcement activity that is necessary to control the problem without hampering medical care. The following sections categorize the recommendations according to the groups that the summit participants believe are the best, most effective agents for change. Each section includes consensus recommendations, as well as other input that was received but to which not everyone agreed. Recommendations for Legislators to Consider Our legislators should provide continuing leadership for pain management by assessing the value of ...
Update: Lynch Response to this Blog. I am adding this link to permit interested parties to read the response posted by Lynch. My posting this link in my mind does not negate the foregoing, albeit, the blog on Tamara Lynch above is not anywhere near one of the worst that appears here, and as she pointed out, does not deal with a patient care issue (although, anger management and drug diversion are big enough concerns for me if I were considering a vet, but each of us must make our own decisions). However, the way Tamara Lynch chose to deal with the comment/opinion etc. on this blog is reasonable. If you are unhappy about anything posted here, or on a review of your business, common sense and decency might tell you that the best way to deal with it is to answer it, and in doing so, acknowledge errors or mistakes made. If your clients have given your business bad reviews, you need to ask yourself why and search yourself for the reasons. And address them. Most importantly, identify, acknowledge, and ...
Health groups are calling for greater oversight for prescription painkillers amid concern sufferers are at serious risk of addiction. An increasing number of chronic pain sufferers are being prescribed pharmaceutical opioids, which can be highly addictive. Rising trend of prescribing opioids for treatment The supply of oxycodone has increased significantly in the past two decades. According to research from the Victorian Department of Healths Malcolm Dobbin, the drugs supply has …. Continue reading. ...
|p||i| John Burke, commander of the Warren County, Ohio, drug task force and retired commander of the Cincinnati Police Pharmaceutical Diversion Squad, is a 39-year veteran of law enforcement. Cmdr Burke also is the current president of the National Association of Drug Diversion Investigators. For information, he can be reached by e-mail at [email protected], via the Web site www.rxdiversion.com, or by phone at 513-336-0070.|/i| |/p|
The National Community Pharmacists Association lauded the Great Peconic Take Back event, held Wednesday, which served the eastern Suffolk area of New York. Led by Bob Grisnik of Southrifty Drug, located in Southampton, N.Y., the free service allowed anyone wishing to safely dispose of his or her expired or otherwise unwanted prescription and over-the-counter medications to bring the medications to any of the 15 participating pharmacies of the newly formed Peconic Independent Pharmacy Association.. The program is based on the NCPAs Dispose My Meds program, which addresses drug diversion and environmental contamination.. "Its exciting to see community pharmacies working together to meet the growing patient demand for a safe and environmentally friendly way to discard unused medications. Programs like this should be voluntary, but I hope many pharmacies seize the opportunity to create their own programs to meet the needs of their patients," said Robert Greenwood, NCPA president.. ...
Background Use of pharmaceutical opioids (medicines that are used to treat pain) has increased dramatically in some parts of the world since the mid-1990s. With the increased use, there has been increasing numbers of people seeking treatment for dependence (addiction) on pharmaceutical opioids. Currently, most treatment guidelines are based on research that was conducted in people who were dependent on heroin (a highly addictive opioid). This review sought to compare different opioid agonist maintenance treatments (i.e. treatments such as methadone or buprenorphine that are given for at least 30 days to help the person to reduce their unsanctioned drug use) for the treatment of pharmaceutical opioid dependence. We also compared results from maintenance treatment to short term treatments such as detoxification (removal of the drug from the body) or psychological treatments (e.g. talking therapy, counselling).. Study characteristics We examined the scientific literature up to May 2015. We ...
Tussionex is not a maintenance medication and is not for that reason a life or death type of drug. It is a cough syrup (like a liquid Vicodin). It is liquid Oxycodone plus an antihistamine added. It is a potent cough medicine and very addictive, and very much abused (as most opiates are) for cough suppresion, and it also comes in generic form. Tussionex as brand, probably cost about $8/once but the generic version is about 35 cents per ounce. However, Tussionex has black market value as it sells very expensive in the illicit drug diversion black market (very addictive). Generic version do not. Most insurance companies do not cover drugs that are black market targets. It is actually illegal to support and encourage the use of these drugs. Your doctor is not supposed to be giving you a highly addictive cough syrup like that in first place, with a high black market value, subject to street diversion, and should be giving you the generic alternative instead. It will probably be also a ...
Illinois Senator Dick Durbins Fairness in Sentencing Act 2009 is anything but fair to the thousands of inmates serving time for drug crimes in federal prisons. The Durbin bill, and the companion bill the House Judiciary Committee passed in July, will scrap the blatant racially biased sentencing for first time crack cocaine possession. The law currently requires that judges slap a minimum mandatory sentence of five years on anyone caught with crack cocaine. More than 80 percent of those sentenced for crack use are poor, ill-educated blacks. Those caught with the same amount of powdered cocaine, mostly whites, often middle-class and suburban, get probation and referrals to drug diversion programs ...
Presidential Address: The Illicit Use of Hormones for Enhancement of Athletic Performance: A Major Threat to the Integrity of Organized Athletic ...
Suite 1655 (Office 1667) Slaughter Hall. BS, Rochester Institute of Technology; Ph.D., University of Connecticut. Teaches: Diagnosing the Criminal Mind, Researching the Criminal Mind, Addiction Psychiatry, Medical Interactive Therapies. Research Areas: Forensic and addiction psychiatry. Dr. Caroline Easton, an alumni of RIT (1990), is a Professor of Forensic Psychology in the new College of Health Science and Technology at RIT. She served as a senior faculty member at Yales School of Medicine for 17 years, directed both the pre-doctoral training program and the Forensic Drug Diversion Clinic. Dr. Easton was recently hired to build new education and training programs pertaining to Behavioral Health within CHST. She will also serve as the Clinical Director of the new Behavioral Health Sciences Clinic.. Dr. Eastons scholarly interests pertain to her expertise within Forensic and Addiction Psychiatry. More specifically, she has numerous publications related to best practice procedures for the ...
PAIN PILLS: CHRONIC PAIN is more than just a bummer. Its a life-altering nightmare that can leave you wondering if putting a gun in your mouth might be a better option. Although I have written about PAIN MEDS, addiction is so prevalent that statistics are outdated as soon as the next new study is published. The May issue of Pain Medicine said that, "There is increasing concern about the appropriateness of prescribing pharmaceutical opioids for chronic non-cancer pain (CNCP), given the risks of problematic use and dependence. In this population of people taking opioids for CNCP, consumption of higher doses was associated with increased risk of problematic behaviors, and was more likely among people with a complex profile of physical and mental health problems." Furthermore, the June issue of the Journal of Addictive Diseases revealed that, "The number of persons dependent on pain relievers..... is more than three times greater than the current capacity to deliver treatment." In 2017 we learned ...
More than two-thirds of patients reported unused prescription opioids following surgery, and safe storage and disposal rarely occurred, suggesting an important source for nonmedical use, according to a study published by JAMA Surgery.
More than two-thirds of patients reported unused prescription opioids following surgery, and safe storage and disposal rarely occurred, suggesting an important source for nonmedical use, according to a study published by JAMA Surgery.
Clinical use of phencyclidine (PCP), a potent dissociative anesthetic, was abandoned as a result of reports of post-operative hallucinations and disoriented behavior; further, illicit use has substantially diminished because ...
Clinical use of phencyclidine (PCP), a potent dissociative anesthetic, was abandoned as a result of reports of post-operative hallucinations and disoriented behavior; further, illicit use has substantially diminished because ...
Buprenorphine abuse is common worldwide. Rates of abuse and diversion of three sublingual buprenorphine formulations (single ingredient tablets; naloxone combination tablets and film) were compared. Data were obtained from the Researched Abuse, Diversion, and Addiction-Related Surveillance (RADARS) System Poison Center, Drug Diversion, Opioid Treatment (OTP), Survey of Key Informants Patients (SKIP), and College Survey Programs through December 2012. To control for drug availability, event ratios (rates) were calculated quarterly, based on the number of patients filling prescriptions for each formulation (unique recipients of a dispensed drug, URDD) and averaged and compared using negative binomial regression. Abuse rates in the OTP, SKIP, and College Survey Programs were greatest for single ingredient tablets, and abuse rates in the Poison Center Program and illicit diversion rates were greatest for the combination tablets. Combination film rates were significantly less than rates for either tablet
INTRODUCTION. In the United States alone, physicians see two million annual cases of back pain. Low back pain ranks second only to respiratory illness as a reason to visit primary care providers.(1) Recent studies document a 423-percent increase in opioid expenditures for back pain.(2) While constituting only 4.6 percent of the worlds population, Americans have been consuming 80 percent of the global opioid supply and 99 percent of the global hydrocodone supply, despite continued research that indicates the repercussions of chronic opioid treatment.(3) Specific deterrents include constipation, nausea, vomiting, respiratory depression, drug abuse, drug diversion, addiction, and opioid-induced hyperalgesia (OIH).(3,4). Abuse of prescription opioids among teens has increased an astounding 542 percent between 1992 and 2003. During this same period, there was a 90-percent increase (from 7.8 million to 14.8 million) in the number of Americans who admitted abusing controlled prescription drugs.(5) A ...
By Stephanie K. Jones , Insurance Journal.com , May 20, 2013. Editors Note: This is part of a team report on opioid use by injured workers. For the national story read: Opioid Epidemic Plagues Workers Comp. In the Midwest the multitude of jobs in the automotive and agriculture industries highlights the importance of the working American and the need for workplace safety. But the areas numerous industrial type jobs may be lending themselves to the opioid abuse problem.. Ohio has been battling a wide-spread prescription drug abuse problem for several years and as recently as April 29, Attorney General Mike DeWine announced a nearly 22 year sentence for the owner of a Chillicothe pain clinic that operated as a "pill mill.". "Prescription drug abuse is a very serious problem in Ohio, and we will aggressively investigate any medical facility that shows signs of suspected drug diversion," DeWine said in announcing the sentence.. Ohios workers compensation fund, the Bureau of Workers ...