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Prescription Drugs

New Prescription Drug Detox Option in Georgia

Unfortunately, the need for prescription drug detox here in Georgia is on the rise. There has been an increase in abuse of prescription drugs such as hydrocodone and Oxycodone products such as Vicodin and OxyContin. These drugs are often initially prescribed by a doctor for pain, but can cause dependency and addiction. To obtain additional pills, hooked patients will go from doctor to doctor trying to get more than one prescription.

But it’s not just patients who are experiencing prescription drug abuse. Because of easy access to prescription drugs, doctors, nurses and other healthcare workers are becoming addicted to prescription drugs at alarming rates. Some health care professionals have even gotten involved in the illegal sale and distribution of these drugs.

Drug replacement therapy is also causing a problem. A drug like Methadone, which is used to help addicts come off of strong opioids like heroin, is being prescribed now for pain because it is cheaper than Oxycodone. However, Methadone is highly addictive with a detox that is said to be harder than heroin. To then get off of Methadone, doctors are prescribing yet another drug: Suboxone, which is also a drug with an extremely difficult withdrawal. The addiction cycle just keeps continuing with one drug replacing another.

We believe that the best approach is not to replace drugs with drugs. To be rid of a pill addiction, an individual must get off of all pills. This is why ExecuCare implements a nutritionally assisted detox for neurotransmitter restoration. This process brings the brain back into balance and allows it to function as it did prior to the physical dependency to prescription drugs. This is done without the use of prescription drugs. Our ExecuCare detox is very effective. Along with our stellar ongoing executive coaching program, it can pave the way to a solid recovery.

 

The Dangers of Treating Addiction with Methadone and Suboxone

Dangers of Treatment with Methadone and SuboxoneRight now, the dangers of treating addiction with Methadone or Suboxone are not yet widely accepted. Doctors continue to prescribe methadone to get off of heroin and other narcotics. They then prescribe Suboxone to get off of Methadone! It’s a vicious cycle that often results in painful withdrawal and/or the inability to become drug-free.

Recently, on a site discussing Methadone and Suboxone detox, a woman posted: “If I had known what I know now about Methadone, I would never have started taking it!”  She had used Methadone to get off of Oxycontin, Fentanyl and hydrocodone.  She went on to say how her doctor said he would prescribe Suboxone to help her with the transition off of the Methadone, but Read more

Prescription Drugs, Binge Drinking Trends: Substance Abuse Surprises?

Substance abuse demographic trends involving prescription drugs and binge drinking may surprise you.  A 2011 report from the Centers for Disease Control and Prevention, the first of its kind, detailed the socioeconomic and racial disparities in an extensive range of health problems.  Some trends remained the same across the board, and fairly obvious, such as “the poor, the uninsured and the less educated tend to live shorter, sicker lives” (New York Times).

For example, obesity and tobacco use were worse among individuals with low incomes, who lacked education or health insurance. While the opposite was true of binge drinking. Consuming more than four drinks for women and five for men in one sitting constitutes binge drinking. The study not only found that binge drinking was one the rise across the board, but that it was more common among those with higher incomes and better education, including college students. However, those with lower incomes, especially among American Indians, tended to consume more alcohol when they binge drink. (New York Times)

Another trend that has changed is prescription drug overdoses kill more people now than illegal drug overdoses (the opposite from 20 years ago). Prescription drug overdose death rates are now higher among White, non-Hispanics than other groups (a trend that shifted in 2002). One reason given for this: “doctors began prescribing stronger painkillers, antidepressants and antipsychotics, more easily obtained by people with health insurance” (New York Times).

This report came in January 2011, the same time the Food and Drug Administration (FDA)  issued new, strict limits on the common ingredient acetaminophen found in prescription painkillers. In 2009, an advisory panel recommended that the FDA remove acetaminophen entirely from painkillers. The FDA has decided to allow prescription painkillers to contain 325 milligrams (about half of what they contain today). Companies have three years to adjust their product’s formula or remove it from the market. More than 200 million painkiller prescriptions are written each for Americans.

Substance Abuse Risks Among Veterans

According to substance abuse data from the annual National Survey of Drug Use and Health (2002-2009), female veterans of the United States are much less likely than male veterans to binge drink, smoke cigarettes or use illicit drugs. However, both genders are equally likely to abuse prescription drugs (Center for Behavioral Health Statistics and Quality).

Since the 1970s, the number of women serving in the military has significantly increased with more women deployed to combat areas including combat support. Not only are women dealing with many of the same service-related stressors, they often encounter additional stress from being a female in a male-dominated profession. Despite this, 23 percent reported binge drinking in the past 30 days compared 43 percent of the male servicemen.

Previous studies have shown the increased risks for substance abuse and dependency among veterans compared to non-veterans, but few data analysis have compared men and women veterans. The finding that both genders are equally at-risk for prescription drug abuse is consistent with previous posts about the nation’s epidemic. As reported back in March, the military is trying to curb the amount of prescription drugs given to the troops after a study found that almost 3.8 million prescriptions for painkillers were written by military doctors for troops last year.

Popular Prescription Drugs Pulled from Market

In November 2010,  the FDA recommended pulling propoxyphene products after new studies found they can create abnormal heart rhythms even at normal doses. As a result one of the makers of the pain medication Darvon and Darvocet said they will stop marketing the prescription drugs.

Darvon (with active ingredient propoxyphene) was first marketed in 1957. Darvocet contains propoxyphene and acetaminophen. Both drugs are popular with more than 10 million prescriptions written for them in 2009. Safety concerns have been raised about propoxyphene for decades, but studies have only linked them to episodes in which a patient exceeded the recommended dose.

The FDA issued the following statements: “Using propoxyphene causes significant changes to the electrical activity of the heart. These changes are linked to potentially deadly abnormal heart rhythms. It is not possible to monitor for, or mitigate, the risk of a fatal cardiac arrhythmia that may occur within the recommended dosing range for propoxyphene.

The drug was kept on the market 2009 with the FDA issuing its toughest warning label “taking too much of the drug could be fatal,” despite a panel having voted to have it removed from the market.

The drugs were developed by the Eli Lilly & Company, who no longer makes them. Companies that continue to produce them are generic drug companies like Xanodyne, who agreed to remove the drugs from the market. The FDA asked other companies to do the same.

Painkillers: Common Risk Factors for Addiction?

A Geisinger study, published in Addiction in 2010, found that patients with four common risk factors have a significantly higher risk of addiction to painkillers. Chronic pain patients who are 65 years or younger, have a history of depression, and use of psychiatric medication were common risk factors for the development of a substance abuse problem. A history of drug abuse further compounds the risk. Among the patients attributed with these risk factors, statistics show that one in four (26 percent) suffer with painkiller addiction.

The significance of these findings, as reiterated by the senior investigator of the study, is that most of this information can often easily and quickly be found in a patient’s medical record. “These findings suggest that patients with pre-existing risk factors are more likely to become addicted to painkillers, providing the foundation for further clinical evaluation,” said Joseph Boscarino, PhD, an epidemiologist and senior investigator at Geisinger’s Center for Health Research, cited online at HCP Live. “By assessing patients in chronic pain for these risk factors before prescribing painkillers, doctors will be better able to treat their patients’ pain without the potential for future drug addiction.”

Additionally, even without a history of chronic pain, patients with these risk factors may still be more likely to become addicted.

The study investigators accessed an electronic database to identify patients with back pain and related orthopedic conditions, who were prescribed painkillers for more than 90 days. The sample size was 705 patients. These patients were interviewed and had their DNA collected to be studied.

The team studied a gene located on chromosome 15 that was implicated in alcohol, cocaine, and cigarette smoking dependencies.  The data suggests there is an association of DNA variants in a gene cluster on this chromosome with opioid and nicotine addiction as well.

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