Tuesday, December 30, 2008

Prescription Drugs More Deadly Than Cocaine, Heroin, Amphetamines

Prescription Drugs More Deadly Than Cocaine, Heroin, Amphetamines Tuesday, September 02, 2008 by: Sherry Baker, Health Sciences EditorSee all articles by this authorEmail this author

NaturalNews) When handsome and talented young actor Heath Ledger died last winter, the New York City medical examiner's autopsy report revealed his death was due to an unintentional life-ending cocktail of prescription drugs, including anti-anxiety medications Alprazolam (Xanax), Diazepam (Valium) and Lorazepam (Ativan), the sleeping pill Zopiclone (Lunesta) and the sedative Temazepam (Restoril), which is also used for insomnia.So this was just one of those rare tragedies that mostly happens to troubled or hard living Hollywood stars, right? Wrong. Unfortunately, people from all walks of life are dying by the thousands across the U.S. due to prescription drugs. And a new study, Florida’s annual report on Drugs Identified in Deceased Persons, dramatically illustrates this truth.Relying on autopsies performed in 2007, the state report concludes prescription drugs (anti-anxiety benzodiazepines, the muscle relaxer carisoprodol and all opioids, excluding heroin) continue to be found in both lethal and non-lethal amounts in the dead far more often than illicit drugs.The bottom line: the rate of deaths in Florida caused by prescription drugs is over three times as high as the rate of deaths caused by all illicit drugs combined.The study shows 2,328 Floridians died of opiate, or painkiller, overdoses while another 743 lost their lives from over-consuming benzodiazepines, which include the drugs Valium and Xanax. On the other hand, about a third less number of people, 989, died of overdoses from illegal drugs like cocaine, heroin, or methamphetamine (“speed”).In a statement for the press, Bill James, Director of Florida’s Office of Drug Control, said: “Prescription drugs are not safe and must be secured. Doctors and pharmacists must help law enforcement identify and stop doctor shoppers. We are also looking for ways to curb illegal internet sales. Only through a comprehensive, coordinated strategy will we be able to reverse this tragic, unacceptable trend."That’s a nice goal and it is true some people abuse prescription drugs. However, the Drug Enforcement Administration states as many as 7 million Americans are abusing prescription medication -- far more people than those using cocaine, heroin, hallucinogens, Ecstasy and inhalants combined.And the truth is, even when legal medications are taken as prescribed, they are too often dangerous and even deadly. In fact, according to a study published in the Journal of the American Medical Association (JAMA), an estimated 1.9 million adverse drug reactions occur each year, and up to 180,000 of them could be life threatening or even fatal.The Department of Health and Human Services (HHS) has released data showing that at least half of all Americans take one prescription drug and one in six of us takes three or even more prescribed medications. And this love affair with pharmaceuticals for health problems is no doubt why prescription drug deaths are now the fourth leading cause of death in the United States, after heart disease, cancer and stroke.

Wednesday, December 24, 2008

Relapse Prevention

Scientifically Based Approaches to Drug Addiction Treatment
This section presents several examples of treatment approaches and components that have been developed and tested for efficacy through research supported by the National Institute on Drug Abuse (NIDA). Each approach is designed to address certain aspects of drug addiction and its consequences for the individual, family, and society. The approaches are to be used to supplement or enhanceƑnot replaceƑexisting treatment programs.
This section is not a complete list of efficacious, scientifically based treatment approaches. Additional approaches are under development as part of NIDA's continuing support of treatment research.

Relapse Prevention, a cognitive-behavioral therapy, was developed for the treatment of problem drinking and adapted later for cocaine addicts. Cognitive-behavioral strategies are based on the theory that learning processes play a critical role in the development of maladaptive behavioral patterns. Individuals learn to identify and correct problematic behaviors. Relapse prevention encompasses several cognitive-behavioral strategies that facilitate abstinence as well as provide help for people who experience relapse.

The relapse prevention approach to the treatment of cocaine addiction consists of a collection of strategies intended to enhance self-control. Specific techniques include exploring the positive and negative consequences of continued use, self-monitoring to recognize drug cravings early on and to identify high-risk situations for use, and developing strategies for coping with and avoiding high-risk situations and the desire to use. A central element of this treatment is anticipating the problems patients are likely to meet and helping them develop effective coping strategies.

Research indicates that the skills individuals learn through relapse prevention therapy remain after the completion of treatment. In one study, most people receiving this cognitive-behavioral approach maintained the gains they made in treatment throughout the year following treatment.
References:

Carroll, K.; Rounsaville, B.; and Keller, D. Relapse prevention strategies for the treatment of cocaine abuse. American Journal of Drug and Alcohol Abuse 17(3): 249-265, 1991.

Carroll, K.; Rounsaville, B.; Nich, C.; Gordon, L.; Wirtz, P.; and Gawin, F. One-year follow-up of psychotherapy and pharmacotherapy for cocaine dependence: delayed emergence of psychotherapy effects. Archives of General Psychiatry 51: 989-997, 1994.

Marlatt, G. and Gordon, J.R., eds. Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors. New York: Guilford Press, 1985.

Saturday, December 20, 2008

Legal Drugs Kill Far More than Illegal, Florida Says

Legal Drugs Kill Far More Than Illegal, Florida Says

By DAMIEN CAVE
Published: June 14, 2008

MIAMI — From “Scarface” to “Miami Vice,” Florida’s drug problem has been portrayed as the story of a single narcotic: cocaine. But for Floridians, prescription drugs are increasingly a far more lethal habit.

An analysis of autopsies in 2007 released this week by the Florida Medical Examiners Commission found that the rate of deaths caused by prescription drugs was three times the rate of deaths caused by all illicit drugs combined.

Law enforcement officials said that the shift toward prescription-drug abuse, which began here about eight years ago, showed no sign of letting up and that the state must do more to control it.
“You have health care providers involved, you have doctor shoppers, and then there are crimes like robbing drug shipments,” said Jeff Beasley, a drug intelligence inspector for the Florida Department of Law Enforcement, which co-sponsored the study. “There is a multitude of ways to get these drugs, and that’s what makes things complicated.”

The report’s findings track with similar studies by the federal Drug Enforcement Administration, which has found that roughly seven million Americans are abusing prescription drugs. If accurate, that would be an increase of 80 percent in six years and more than the total abusing cocaine, heroin, hallucinogens, Ecstasy and inhalants.

The Florida report analyzed 168,900 deaths statewide. Cocaine, heroin and all methamphetamines caused 989 deaths, it found, while legal opioids — strong painkillers in brand-name drugs like Vicodin and OxyContin — caused 2,328.
Drugs with benzodiazepine, mainly depressants like Valium and Xanax, led to 743 deaths. Alcohol was the most commonly occurring drug, appearing in the bodies of 4,179 of the dead and judged the cause of death of 466 — fewer than cocaine (843) but more than methamphetamine (25) and marijuana (0).

The study also found that while the number of people who died with heroin in their bodies increased 14 percent in 2007, to 110, deaths related to the opioid oxycodone increased 36 percent, to 1,253.

Florida scrutinizes drug-related deaths more closely than do other states, and so there is little basis for comparison with them.
It has also witnessed several highly publicized cases in recent years that have highlighted the problem. Only last year, an accidental prescription drug overdose killed Anna Nicole Smith in Broward County.

Still, the state has lagged in enforcement. Thirty-eight other states have approved prescription drug monitoring programs that track sales. Florida lawmakers have repeatedly considered similar legislation, but privacy concerns have kept it from passing.
As a result, federal, state and local law enforcement officials say, Florida has become a source of prescription drugs that are illegally sold across the country.

“The monitoring plan is our priority effort, but that is not enough,” William H. Janes, the Florida director of drug control, said in a statement accompanying the study. He said Florida was also looking at ways to curb illegal Internet sales and to encourage doctors and pharmacists to identify potential abusers.

Some local police departments have taken a more novel approach.
In Broward County on May 31, deputies completed a “drug takeback” in which $5 Wal-Mart, CVS or Walgreens gift cards were distributed to 150 people who cleaned out their medicine cabinets and turned in unused drugs in an effort to keep them out of young people’s hands.
“The abuse has reached epidemic proportions,” said Lisa McElhaney, a sergeant in the pharmaceutical drug diversion unit of the Broward County Sheriff’s Office. “It’s just explosive.”

Legal Drugs Kill Far More than Illegal, Florida Says

Legal Drugs Kill Far More Than Illegal, Florida Says

By DAMIEN CAVE
Published: June 14, 2008

MIAMI — From “Scarface” to “Miami Vice,” Florida’s drug problem has been portrayed as the story of a single narcotic: cocaine. But for Floridians, prescription drugs are increasingly a far more lethal habit.

An analysis of autopsies in 2007 released this week by the Florida Medical Examiners Commission found that the rate of deaths caused by prescription drugs was three times the rate of deaths caused by all illicit drugs combined.

Law enforcement officials said that the shift toward prescription-drug abuse, which began here about eight years ago, showed no sign of letting up and that the state must do more to control it.
“You have health care providers involved, you have doctor shoppers, and then there are crimes like robbing drug shipments,” said Jeff Beasley, a drug intelligence inspector for the Florida Department of Law Enforcement, which co-sponsored the study. “There is a multitude of ways to get these drugs, and that’s what makes things complicated.”

The report’s findings track with similar studies by the federal Drug Enforcement Administration, which has found that roughly seven million Americans are abusing prescription drugs. If accurate, that would be an increase of 80 percent in six years and more than the total abusing cocaine, heroin, hallucinogens, Ecstasy and inhalants.

The Florida report analyzed 168,900 deaths statewide. Cocaine, heroin and all methamphetamines caused 989 deaths, it found, while legal opioids — strong painkillers in brand-name drugs like Vicodin and OxyContin — caused 2,328.
Drugs with benzodiazepine, mainly depressants like Valium and Xanax, led to 743 deaths. Alcohol was the most commonly occurring drug, appearing in the bodies of 4,179 of the dead and judged the cause of death of 466 — fewer than cocaine (843) but more than methamphetamine (25) and marijuana (0).

The study also found that while the number of people who died with heroin in their bodies increased 14 percent in 2007, to 110, deaths related to the opioid oxycodone increased 36 percent, to 1,253.

Florida scrutinizes drug-related deaths more closely than do other states, and so there is little basis for comparison with them.

It has also witnessed several highly publicized cases in recent years that have highlighted the problem. Only last year, an accidental prescription drug overdose killed Anna Nicole Smith in Broward County.

Still, the state has lagged in enforcement. Thirty-eight other states have approved prescription drug monitoring programs that track sales. Florida lawmakers have repeatedly considered similar legislation, but privacy concerns have kept it from passing.
As a result, federal, state and local law enforcement officials say, Florida has become a source of prescription drugs that are illegally sold across the country.
“The monitoring plan is our priority effort, but that is not enough,” William H. Janes, the Florida director of drug control, said in a statement accompanying the study. He said Florida was also looking at ways to curb illegal Internet sales and to encourage doctors and pharmacists to identify potential abusers.

Some local police departments have taken a more novel approach.
In Broward County on May 31, deputies completed a “drug takeback” in which $5 Wal-Mart, CVS or Walgreens gift cards were distributed to 150 people who cleaned out their medicine cabinets and turned in unused drugs in an effort to keep them out of young people’s hands.
“The abuse has reached epidemic proportions,” said Lisa McElhaney, a sergeant in the pharmaceutical drug diversion unit of the Broward County Sheriff’s Office. “It’s just explosive.”

Thursday, December 18, 2008

Heroin Hits the Suburbs Hard Amid Wave of Drug Abuse by Teens and 20-Somethings

Heroin Hits the Suburbs Hard Amid Wave of Drug Abuse by Teens and 20-Somethings

By Jessica Calefati
Posted December 5, 2008

When the vomiting, tremors, and chills she felt each morning became overwhelming, Jessica Polmann started selling her body to finance her heroin addiction and halt the debilitating physical symptoms of withdrawal. The petite, blond cheerleader, who made the honor roll before she started doing heroin at age 13, received $60 and some cigarettes each time she had sex with a man in his 50s who lived near her suburban New Jersey home. Jessica also traded sex for drugs with her dealers and male friends if they had extra bags of dope.

Addicted to Heroin at 13: Jessica Polmann
Drug Abuse's Young Face: Kristen, 18
Heroin Abuse's Young Face: Sean O'Conner, 19

She even introduced her friends and boyfriend to heroin to expand the pool of people she could call on to pick up more drugs. "I was," she says now, "really disgusting."
Polmann, now 18, is just one in a wave of teens and 20-somethings in suburbs across the Northeast who are becoming addicted to and dying from abuse of heroin and prescription opiates like OxyContin. Once prevalent mostly in big cities, heroin has been spreading out to smaller towns in New England and the mid-Atlantic as the drug is becoming more widely available in a highly pure, inexpensive form that can be snorted. Many of these young addicts get started on prescription drugs, move on to cheap heroin that can be snorted, and end up injecting it for a more potent high. Either way, the effects have been deadly. In Massachusetts, for example, the number of opiate-related deaths, which include overdoses and fatal drug interactions, among people ages 13 to 30 was five times as great in 2006 as it was in 1997. And according to drug intelligence, law enforcement, and treatment officials at both the federal and state level, the trend has not yet shown signs of reversing or slowing down

Monday, December 15, 2008

How is Cocaine Abused?

How is Cocaine Abused?

Three routes of administration are commonly used for cocaine: snorting, injecting, and smoking. Snorting is the process of inhaling cocaine powder through the nose, where it is absorbed into the bloodstream through the nasal tissues. Injecting is the use of a needle to release the drug directly into the bloodstream. Smoking involves inhaling cocaine vapor or smoke into the lungs, where absorption into the bloodstream is as rapid as by injection. All three methods of cocaine abuse can lead to addiction and other severe health problems, including increasing the risk of contracting HIV and infectious diseases.

The intensity and duration of cocaine’s effects, which include increased energy, reduced fatigue, and mental alertness, depend on the route of drug administration. The faster cocaine is absorbed into the bloodstream and delivered to the brain, the more intense the high. Injecting or smoking cocaine produces a quicker, stronger high than snorting. On the other hand, faster absorption usually means shorter duration of action. The high from snorting cocaine may last 15 to 30 minutes, but the high from smoking may last only 5 to 10 minutes. In order to sustain the high, a cocaine abuser has to administer the drug again. For this reason, cocaine is sometimes abused in binges—taken repeatedly within a relatively short period of time, at increasingly high doses.

Article by http://www.nida.nih.gov/Infofacts/cocaine.html

Saturday, December 13, 2008

Are Policies Valuable?

The Orange County Survey Showed relative consistency on the question of whether maintaining a drug-free workplace benefits company operations. Among all respondents, including those in companies without drug-free workplace policies, 71.4% said drug-free workplaces have a highly positive effect on productivity, with 80% saying they have a highly positive effect on safety.

Respondents in companies that have a drug-free workplace policy said their organization is not always particularly vocal about such policies. Only 43.8% of these respondents said their company specifics its drug-free workplace status in recruitment advertising.

Companies also showed wide differences in how they respond when a tested employee submits a positive screen. Slightly more than half of respondents in companies with drug-free workplace policies said their companies terminate the employment of workers who test positive for illicit drugs. Just under one-third said their companies refer employees testing positive for professional assistance, with about the same percentage saying their company has an EAP. The survey did not analyze responses by industry group, Brooks says.-

Article from Addiction Professional

Vol. 6, No.3By

Gary A. Enos, Editor