HEALTHCARE AND THE OPIOID EPIDEMIC DAN MUSE, MD SIGNATURE HEALTHCARE-BROCKTON HOSPITAL
|
|
- Briana Page
- 5 years ago
- Views:
Transcription
1 HEALTHCARE AND THE OPIOID EPIDEMIC DAN MUSE, MD SIGNATURE HEALTHCARE-BROCKTON HOSPITAL
2 DISCLAIMER
3 HEALTHCARE AND THE OPIOID EPIDEMIC BROCKTON ER. MARCH 13, year old male who just used heroin. Stated he had been clean for about a year but relapsed. He was worried his grandparents would find out.
4 HEALTHCARE AND THE OPIOID EPIDEMIC Played baseball in college. Got cleated on his right hand which resulted in surgery and 2 prescriptions of oxycodone with about 60 pills each. Still addicted and on heroin several years later.
5 HEALTHCARE AND THE OPIOID EPIDEMIC How many pills do you think you needed after surgery?
6 HEALTHCARE AND THE OPIOID EPIDEMIC About 3-4 days
7 WHAT ARE OPIOIDS
8 WHAT ARE OPIOIDS? Opioids are sedative narcotics They are used in medicine mainly to relieve pain At high levels, opioids repress the urge to breathe When someone is having an opioid overdose, they stop breathing and could die
9 Opioids Natural Opioids Semi-Synthetic Opioids Fully Synthetic Opioids opium morphine codine heroin hydromorphone hydrocodone oxycodone fentanyl methadone
10 The Link Between Heroin and Prescription Drugs Hydrocodone Heroin Oxycodone
11 MOST COMMONLY USED OPIOIDS Heroin Hydrocodone Codeine Oxycodone Demerol Levorphanol OxyContin Tylenol 3 Percocet Morphine Percodan Vicodin Codeine Demerol Morphine Darvocet Fentanyl Dilaudid Methadone Opium Opium Tylox
12 HOW DO OPIOIDS AFFECT BREATHING? Opioid Receptors, brain Opioid
13 WHAT IS AN OPIOID OD?
14 WHAT PUTS PEOPLE AT RISK FOR ODS? Mixing drugs- benzos, alcohol & cocaine especially Changes in tolerance Physical health Previous experience of non-fatal overdose Variation in strength and content of street drugs
15 MIXING OPIOIDS WITH BENZOS Combining opioids with benzodiazepines or alcohol leads to a worse outcome Benzos are psychoactive drugs that have sedative, hypnotic, anxiolytic, anticonvulsant, muscle relaxant, and amnesic actions The most commonly used benzos are: Klonopin, Valium, Ativan, Librium, and Xanax
16 HOW DID THIS CRISIS COME ABOUT?
17 WE ARE ALL TO BLAME!
18 PHARMACEUTICALS
19 THE REAL DRUG CARTEL FOUNDERS OF PURDUE PHARMACEUTICALS
20 NEW YORK TIMES MAY 10, 2007 ABINGDON, Va., May 10 The company that makes the narcotic painkiller OxyContin and three current and former executives pleaded guilty today in federal court here to criminal charges that they misled regulators, doctors and patients about the drug s risk of addiction and its potential to be abused. To resolve criminal and civil charges related to the drug s misbranding, the parent of Purdue Pharma, the company that markets OxyContin, agreed to pay some $600 million in fines and other payments, one of the largest amounts ever paid by a drug company in such a case. Also, in a rare move, three executives of Purdue Pharma, including its president and its top lawyer, pleaded guilty today as individuals to misbranding, a criminal violation. They agreed to pay a total of $34.5 million in fines.
21 GOVERNMENT
22 PAIN IS THE 5 TH VITAL SIGN
23 HEALTHCARE PROVIDERS
24 80% OF ALL OPIOIDS ARE PRESCRIBED IN THE US!
25 HOSPITAL ADMINISTRATORS & INSURANCE COMPANIES
26 INCOME TIED TO SURVEYS...
27 PATIENTS (CONSUMER)
28 MCDONALD SYNDROME: I WANT IT NOW AND I WANT IT MY WAY
29 Narcotics are safe for acute pain Drug Companies McDonald s Syndrome Meet your matrix or don t get paid Patient (Consumer) SUBSTANCE ABUSE DISORDER Hospital Administrators & Insurance Companies Healthcare Providers Government Pain Score. The fifth vital WE BOUGHT THE BILL OF GOODS AND FAILED OUR PATIENTS
30 WHO S AFFECTED?
31 EVERYONE!
32 PALM BEACH COUNTY, FLORIDA 2015
33 WHAT DOES THIS ALL MEAN?
34 WE ARE LOSING THE BATTLE!
35
36 2015 CDC REPORT ON OPIOID OVERDOSES More then 33,000 people died (Just less than 60,000 over 10 years died in the Vietnam War). Nearly half died from prescription drugs. 91 people die every day from an opioid overdose. Since 1999 the number of opioid overdoses and the prescriptions written have nearly quadrupled.
37 CDC REPORT ON OPIOID OVERDOSES DEATHS % INCREASE % %
38 OPIOID OVERDOSES BROCKTON HOSPITAL 2015 Number of overdoses: 615 Naloxone given: 481 Number males: 421 Number females: Number of overdoses: 635 Naloxone given: 488 Number males: 443 Number females: 192
39 BROCKTON HOSPITAL NUMBER OF DEATHS 2015 = = 17
40 PERCENTAGE OF OVERDOES NOT FROM BROCKTON 50%
41 FENTANYL the game changer
42 FENTANYL Fully synthetic (can be made in a lab) Fentanyl: times more potent then heroin Carfentanil: 10,000 times more potent than morphine and 100 times more potent than fentanyl.
43 FENTANYL Comes as a white powder. Extremely concentrated that can enter the body by Inhalation Swallowing Absorbing Through The Skin
44 FENTANYL DISSEMINATION AIR: As a power or a spray. WATER: Contamination. FOOD: Mixed in or on food and swallowed. TOPICAL: Absorbs through the skin.
45 SMALL AMOUNTS CAN KILL YOU 2 MILLIGRAMS OF CARFENTANIL ARE THOUGHT TO BE ABLE TO KILL AN AVERAGE SIZED MAN
46 HEROIN TO FENTANYL Carfentanil: 5000x Fentanyl: 50x Heroin: 1x
47 ONE KILO OF FENTANYL IS EQUAL TO 50 KILOS OF HEROIN
48 WHY FENTANYL? It is a synthetic drug and can be made anywhere
49 GOOGLE SEARCH How to make Fentanyl 5,580,000 results in 0.68 sec
50 A CONVENIENT ONE-POT SYNTHESIS OF FENTANYL The whole reaction takes place under mild conditions and at room temperature. By performing three successive one pot reactions, separation and purification of the intermediates were excluded, thereby increasing the overall yield. This method can also be used for the synthesis of fentanyl analogues.
51 WHY FENTANYL? It s concentrated making it hard to find and easy to transport.
52 EASIER TO TRANSPORT HEROIN FENTANYL
53 DEA REPORT: COUNTERFEIT PILLS FUELING U.S. FENTANYL AND OPIOID CRISIS Traffickers can typically purchase a kilogram of fentanyl powder for a few thousand dollars from a Chinese supplier, transform it into hundreds of thousands of pills, and sell the counterfeit pills for millions of dollars in profit. If a particular batch has 1.5 milligrams of fentanyl per pill, approximately 666,666 counterfeit pills can be manufactured from 1 kilogram of pure fentanyl.
54 WHY FENTANYL? IT S VERSITILE: Can add it to heroin for an extra kick. It can be made into pills. You can snort it, shoot it, eat it and even wear it!
55 MIXING THE DRUGS Heroin and fentanyl and carfentanil Meth and fentanyl Cocaine and fentanyl Just fentanyl! ALL THESE COMBINATIONS ARE BEING SOLD AS HEROIN
56 WHAT DOES THIS MEAN? Users are unaware of what they are getting. The imprecise cutting of the drug results in varying strengths. Ultimately it means more overdoses and deaths.
57 RECENT BROCKTON HOSPITAL TO POLICE CHIEF The 28 year old from East Bridgewater received a total of 14mg of Narcan, 10 nasal and 4 IM. Interesting to note his urine tox screen was negative for opiates. The Narcan worked, so this leads me to Fentanyl or Carfentanyl.
58 THE DOG CHASING ITS TAIL
59 FURANYLFENTANYL A synthetic derivative of fentanyl Until recently sold on the internet and produced in China. Depending on the article it is as potent or stronger than Fentanyl
60 SYNTHETIC DRUGS Legally, no drug is illegal until the DEA investigates it and then makes it illegal. With synthetics, a single chemical change on the drug makes it new and now is legal until made illegal.
61 SYNTHETIC DRUGS Synthetic drug Fentanyl is changed and this new one is now legal It is made illegal by the DEA and the chemist now.. Make another change to the drug making the new drug legal... Which the DEA investigates and makes this drug illegal Which the chemist changes and makes a new legal drug Which the DEA investigates...
62 DOG(DEA/FDA/LE) CHASING ITS TAIL
63 FIGHTING BACK
64 MEDICAL COMMUNITY Limit the prescriptions. Proactively assist those with Substance Abuse Disorder. Educate themselves and the patients on pain management and opioids. Reach out to the community. Support the training and distribution of naloxone.
65 WHAT IS NALOXONE? Naloxone is and antidote to opioids. It knocks the opiate off the opiate receptor Temporarily takes away the high, giving the person the chance to breathe Naloxone works in 1 to 3 minutes and lasts 30 to 90 minutes
66 WHAT IS NALOXONE? Naloxone can neither be abused nor cause overdose, only contraindication is known sensitivity, which is very rare. Too much Naloxone can cause withdrawal symptoms such as: nausea/vomiting diarrhea chills muscle discomfort disorientation combativeness
67 HOW DOES NALOXONE EFFECT OVERDOSE?
68 NALOXONE REVERSING AN OVERDOSE
69 LAW ENFORCEMENT Give them the resources to fight the criminals. And follow their lead in trying to assist those with substance abuse disorder.
70 PATIENTS EMANCIPATE YOURSELVES.
71 AND THE GOVERNMENT.
72
73 EDUCATORS You are the saviors. Only with education and prevention can we make a permanent change.
74 QUESTIONS?
75 REPUBLICIAN DA CRUZ SHOOTS WIDE TO THE LEFT. THANK YOU!
76 IOWA TRAGEDY
77
Overdose Response Training
Overdose Response Training Dave Morgan, RPh Safe Prescribing Consultant, Norfolk District Attorney s Office Daniel Muse, MD Brockton Hospital Sgt. Brian Holmes & Sgt. Donna McNamara Stoughton Police Department
More informationProject Narcan: BPD officers equipped with life-saving rescue drug
From: Kelli Williams, Chief Communications Officer City of Bartlesville Date: Oct. 24, 2017 For release: Immediate Project Narcan: BPD officers equipped with life-saving rescue drug By Kelli Williams City
More informationFentanyl and Synthetic Opioids- Awareness and the Enforcement Pillar. July-16-18
Fentanyl and Synthetic Opioids- Awareness and the Enforcement Pillar Opioid Situation-How we got here 2012 Oxycontin moves to the tamper proof version OxyNeo (Purdue Pharma) 2012/2013 Patch diversion and
More informationThe Partnership of Law Enforcement & Public Health Care 2014 AKA: The Community Policing of Public Health
The Partnership of Law Enforcement & Public Health Care 2014 AKA: The Community Policing of Public Health Patrick P. Glynn Lieutenant Detective Commander: Special Investigations & Narcotics Unit Quincy
More informationThe Unseen Consequences of Prescription Drug Abuse. Stephen Loyd, M.D.
The Unseen Consequences of Prescription Drug Abuse Stephen Loyd, M.D. Stephen Loyd, M.D. Receives no commercial support, in any form, from pharmaceutical companies or anyone else Medical Director for Substance
More information3/16/2018. Responding to a crisis. Opioid Overdose Prevention
Opioid Overdose Prevention Responding to a crisis Agenda History of Opiates in the U.S. Understanding Opiates and New Developments Opioid Overdose: Physiology and Risk Factors Opioid Overdose: Signs and
More informationOpioid Addiction Statistics
May 2017 Opioid Addiction Statistics Definitions Heroin Epidemic - As pill mills close, prescribing is becoming tighter, demand among younger users rise, and dealer s profits rise, addicts are turning
More informationTop 10 narcotic pain pills
Top 10 narcotic pain pills Click to go to the item or just scroll down the page. Doctors Respond to FDA Panel Recommendations FDA Considers Banning Popular Prescription Pain Medications and. Top 10 Natural
More informationINFORMATION BRIEF. Overview. Prescription Drug Abuse Among Young People
Product No. 2002-L0424-004 INFORMATION BRIEF AUGUST 2002 U. S. D E P A R T M E N T O F J U S T I C E Overview Prescription drugs, a category of psychotherapeutics that comprises prescription-type pain
More information<ctrl> <click> Here to the start the sound.
Senior Scholars at Queens Audio Wrapper version 1.6 Here to the start the sound. Press enter or use arrow keys to go the next slide. paul - brent - foushee [ Document subtitle ] Societal
More informationMayors Opioid Summit PATTERNS AND TRENDS OF THE OPIOID EPIDEMIC IN BROWARD COUNTY TYPES OF OPIOIDS DEFINITION OF OPIOID. Pill Press from China
The Opioid Epidemic In Broward County 8/24/217 Mayors Opioid Summit PATTERNS AND TRENDS OF THE OPIOID EPIDEMIC IN BROWARD COUNTY Jim Hall Senior Epidemiologist Center for Applied Research on Substance
More informationOtterbein Police Department. Opioid Addition Awareness
Otterbein Police Department Opioid Addition Awareness What are Opiates? Opioids are substances that act on opioid receptors to produce morphinelike effects. Medically they are primarily used for pain relief,
More informationPreventing Opioid Misuse and Use: The Lucky Preventionist s Guide to Strategic Planning
Preventing Opioid Misuse and Use: The Lucky Preventionist s Guide to Strategic Planning 1 2 LUCK Where Preparation Meets Opportunity Opioids: Understanding how we got here How History Repeats Some Opiate
More informationIssue Overview: Heroin Addiction
Issue Overview: Heroin Addiction By Lauren Etter, Bloomberg, adapted by Newsela staff on 12.16.16 Word Count 789 Level 1160L TOP: A heroin user prepares to inject himself on March 23, 2016, in New London,
More informationOHIO S OPIOID DRUG OVERDOSE EPIDEMIC: CONTRIBUTING FACTORS AND ONGOING PREVENTION EFFORTS
OHIO S OPIOID DRUG OVERDOSE EPIDEMIC: CONTRIBUTING FACTORS AND ONGOING PREVENTION EFFORTS DEFINITIONS Opiate- originate from naturally-occurring elements found in the opium poppy plant. These drugs are
More informationOVERDOSE PREVENTION AND EDUCATION OVERDOSE MANAGEMENT
OVERDOSE PREVENTION AND EDUCATION OVERDOSE MANAGEMENT 1 OBJECTIVES Discuss basics of opioid overdose epidemiology and physiology To share accurate information about overdose prevention and education including
More informationIS PERCOCET GOOD TATTOO PAIN RELIEVER FOR DOGS
IS PERCOCET GOOD TATTOO PAIN RELIEVER FOR DOGS Is Percocet Good Tattoo Pain Reliever For Dogs Can u mix percocet and suboxone Take suboxone with percocet How much does percocet prescription cost Oxycodone
More information9/13/2017 DEA WHO WE ARE: Prescription Drug Abuse. American Association of Service Coordinators September 24-27, 2017 Disney s Coronado Springs Resort
DEA FIELD OFFICES IN FLORIDA Miami Divisional Office David Wickey, GS 954-306-4650 Orlando District Office Linda Stocum, GS 407-333-7046 Tampa District Office Amie Hickerson, GS 813-287-5160 Tallahassee/Jacksonville
More informationOpioid Overdose Prevention for Law Enforcement and First Responders. Sponsored by the NC Office of EMS
Opioid Overdose Prevention for Law Enforcement and First Responders Sponsored by the NC Office of EMS Overview The goal of this presentation is to help inform the public safety community of North Carolina
More informationCampus Narcan Project OPIOID OVERDOSE FIRST RESPONDER TRAINING
Campus Narcan Project OPIOID OVERDOSE FIRST RESPONDER TRAINING Opioid Epidemic Prescription Opiods Can be prescribed by doctors to treat moderate to severe pain, but can also have serious risks and side
More informationArticle #2 Prescription Drug Overdose CDC: Centers for Disease Control and Prevention. Understanding the Epidemic
Article #2 Prescription Drug Overdose CDC: Centers for Disease Control and Prevention Understanding the Epidemic When the Prescription Becomes the Problem In a period of nine months, a tiny Kentucky county
More informationHeroin What You Need to Know
Heroin What You Need to Know More People Died from Drug Overdoses than Car Crashes and Gun Deaths in 2015 52,404 people died from drug overdoses (33,091 involved an opioid including heroin) 37,757 people
More informationSULLIVAN COUNTY Drug Abuse Prevention Task Force
SULLIVAN COUNTY Drug Abuse Prevention Task Force Joseph A. Todora LMSW, Commissioner Sullivan County Division of Health ans Family Servies 17 Community Lane Liberty, NY 12754 MISSION: The mission of the
More informationDrug Epidemics: Things You Need to Know. Prof. Carl L. Hart Columbia University. drcarlhart.com
Drug Epidemics: Things You Need to Know Prof. Carl L. Hart Columbia University drcarlhart.com 10 MA vs. $20 Choice (max =10) 8 6 4 2 drug users can and do behave rationally 0 Drug Money Reinforcer Things
More informationThe Fight-or-Flight Response Fact Sheet What is the fight-or-flight response? The fight-or-flight response is one of the tools your body uses to prote
The Fight-or-Flight Response Fact Sheet What is the fight-or-flight response? The fight-or-flight response is one of the tools your body uses to protect you from danger. When you feel threatened, the fight-or-flight
More informationPrescription Drugs MODULE 5 ALLIED TRADES ASSISTANCE PROGRAM. Preventative Education: Substance Use Disorder
Prescription Drugs MODULE 5 ALLIED TRADES ASSISTANCE PROGRAM Preventative Education: Substance Use Disorder Misuse of prescription pain relievers is, after marijuana use, the second most common form of
More informationHeroin. Brain Research Institute, UCLA Alison Taylor
Heroin Brain Research Institute, UCLA Alison Taylor Heroin H, Smack, Dope, Junk Can be purchased as a white powder White China or a dark resin Black Tar Opiates Derived from the opium poppy Morphine:
More informationSession 7: Opioids and Club Drugs 7-1
Session 7: Opioids and Club Drugs 7-1 The Importance of Total Abstinence Abstinence from all substances that affect the brain even alcohol greatly increases the chances of a successful recovery. Matrix
More information[ ASSESSING THE BURDEN OF ILLICIT DRUGS AND ALCOHOL ABUSE:] Macomb County Office of Substance Abuse. A Focus on Heroin and Prescription Drug Abuse
2010 Macomb County Office of Substance Abuse Planning Contracting Monitoring [ ASSESSING THE BURDEN OF ILLICIT DRUGS AND ALCOHOL ABUSE:] A Focus on Heroin and Prescription Drug Abuse 22550 Hall Road Clinton
More informationOpioids - Fentanyl - Naloxone. Public Health Nurse
Opioids - Fentanyl - Naloxone Public Health Nurse What are Opioids? Opioids are a family of drugs that treat pain and can cause sleepiness. Prescription (legal) Opioids fall into 3 main categories: 1.
More information2/21/2018. What are Opioids?
Opioid Crisis: South Carolina Responds Carolyn Bogdon, MSN, FNP-BC Coordinator for Emergency Department Medication Assisted Treatment Program Medical University of South Carolina Opioid Crisis: A Mounting
More informationOpioids: Use, Abuse and Cause of Death. Jennifer Harmon Assistant Director - Forensic Chemistry Orange County Crime Laboratory
Opioids: Use, Abuse and Cause of Death Jennifer Harmon Assistant Director - Forensic Chemistry Orange County Crime Laboratory jharmon@occl.ocgov.com Opioid: Any psychoactive chemical that resembles morphine
More informationDiscuss the recent spread of opioid misuse. Discuss the rise of the current opioid crisis, a national addiction/overdose problem
Objectives Discuss the recent spread of opioid misuse Discuss the rise of the current opioid crisis, a national addiction/overdose problem Includes medical and illicit opioids Objectives Discuss the dangers
More informationOpioid Use and Other Trends
Opioid Use and Other Trends National Overview Across the nation communities are struggling with a devastating increase in the number of people misusing opioid drugs, leading many to identify the current
More informationHow many days does hydrocodone stay in your system
How many days does hydrocodone stay in your system The Borg System is 100 % How many days does hydrocodone stay in your system Jun 21, 2017. It passes through to the urine where it can be detected for
More informationPrescription Drug Abuse Task Force Rx Report Card
San Diego County Prescription Drug Abuse Task Force 2016 Rx Report Card October 2016 Key Measures of Prescription Drug and Heroin Problems in San Diego County. Visit www.sandiegorxabusetaskforce.org for
More informationAnyone Can Become Addicted. Anyone.
Anyone Can Become Addicted. Anyone. PAStop.org Family Toolkit Seeking Drug Abuse Treatment: Know What to Ask Trying to identify the right treatment programs for a loved one can be a difficult process.
More informationWhat is an opioid? What do opioids do? Why is there an opioid overdose crisis? What is fentanyl? What about illicit or bootleg fentanyls?
What is an opioid? What do opioids do? Why is there an opioid overdose crisis? What is fentanyl? What about illicit or bootleg fentanyls? What is an opioid? What do opioids do?: The term opioid can be
More informationCOMBATING THE OPIATE CRISIS IN OHIO THROUGH COMPREHENSIVE RESPONSE 2018 HOUSING OHIO CONFERENCE APRIL 9 TH, Objectives: Key Terms
COMBATING THE OPIATE CRISIS IN OHIO THROUGH COMPREHENSIVE RESPONSE 2018 HOUSING OHIO CONFERENCE APRIL 9 TH, 2018 2 Objectives: qreview names of different types of opioids qidentify the signs and symptoms
More informationOpioids: Public Health Crisis Local Solutions: National Epidemic
Opioids: Public Health Crisis Local Solutions: National Epidemic Nancy McGraw, LCSW, MBA Public Health Director Sullivan County Public Health Services 50 Community Lane Liberty, NY 12754 Luis Alvarez,
More informationDrug Trends &Trafficking I/S Brian Dempsey
Drug Trends &Trafficking I/S Brian Dempsey 412-777-6945 brian.w.dempsey@usdoj.gov Sources Sources 360 Degree Strategy Strategic collaboration and guidance via three interconnected avenues. Community
More informationDECEMBER 7, 2017 THE OPIOID EPIDEMIC & THE UNIVERSITY S RESPONSE
DECEMBER 7, 2017 THE OPIOID EPIDEMIC & THE UNIVERSITY S RESPONSE Agenda Welcome & Introductions Trending Articles The Opioid Epidemic Key Updates What are Opioids? Chemically similar to heroin, prescribed
More informationSpotlight on Health Policy Beyond the Clinical: The Opioid Epidemic. October 25, 2017
Spotlight on Health Policy Beyond the Clinical: The Opioid Epidemic October 25, 2017 Disclosures and Disclaimer Neither the Institute for Health Policy and Leadership (IHPL) nor I have any relevant financial
More informationUnderstanding the Opiate Epidemic
Understanding the Opiate Epidemic An opiate is a narcotic analgesic that depresses the central nervous system. Natural opiates are derived from the poppy plant. Synthetic opiates are manufactured drugs
More informationOpioid Prescription and Illicit Drug Overdoses: On the Rise
Opioid Prescription and Illicit Drug Overdoses: On the Rise Cindy Haynes, MSA-PA, CHES Chronic Pain Program Coordinator Northern Piedmont Community Care Duke Division of Community Health Objectives Define
More informationAddressing Alaska s Opioid Epidemic From Understanding to Action
Addressing Alaska s Opioid Epidemic From Understanding to Action The opioid epidemic is devastating American families and communities. To curb these trends and save lives, we must help prevent addiction
More informationOPIATES FROM PILLS TO HEROIN
OPIATES FROM PILLS TO HEROIN Pat Kneip Special Assistant Attorney General Drug Diversion Investigator S.D. Division of Criminal Investigation What I Will Cover OBJECTIVES: DESCRIBE THE EXTENT OF THE CURRENT
More informationStrategies to Manage The Opioid Crisis
Strategies to Manage The Opioid Crisis Matt Feehery, LCDC Senior Vice President & CEO PaRC (Prevention & Recovery Center) Behavioral Health Services February 1, 2018 A Pill for Your Pain But my doctor
More information9/5/2011. Outline. 1. Past and Current Trends re: RX Abuse 2. Diversion Methods 3. Regulatory Reporting Requirements 4. Q/A
Prescription Drug Abuse Crises Outline 1. Past and Current Trends re: RX Abuse 2. Diversion Methods 3. Regulatory Reporting Requirements 4. Q/A 1 1970s 1980s 2 The 1990s OXYCODONE Oxycodone/APAP OxyContin
More information8/28/2017. Headlines. How Did We Get Here? Pain is the number one reason patients go the doctors office, urgent care and/or emergency room.
Ashel Kruetzkamp, MSN, RN, SANE Headlines How Did We Get Here? Pain is the number one reason patients go the doctors office, urgent care and/or emergency room. Opiates are the most effective pain medication
More informationTreatment Issues: The Opiate Crisis Among Us
Treatment Issues: The Opiate Crisis Among Us Presenter: Jessica Cirillo, BS, MA, ACRPS Clinical Supervisor & Relapse Prevention Specialist with Mirmont Treatment Center Facts About Addiction Addiction
More informationOrange County Heroin Task Force Implementation Update. George Ralls M.D. Director of Health & Public Safety Orange County Government
Orange County Heroin Task Force Implementation Update George Ralls M.D. Director of Health & Public Safety Orange County Government Presentation Outline Overview of Data Orange County Heroin Task Force
More information5/29/2015. Responding to the Opioid Crisis. Responding to the Opioid Crisis. Objectives
Responding to the Opioid Crisis Responding to the Opioid Crisis David Cohen Ramsen Kasha Objectives Gain knowledge on Current opioid epidemic Historical perspective of opioids The impact of opioids on
More informationBROCKTON AREA S OPIOID OVERDOSE PREVENTION TRAINING
BROCKTON AREA S OPIOID OVERDOSE PREVENTION TRAINING Mayor Carpenter s Office In collaboration with High Point Treatment Center Supported by the Massachusetts Opioid Abuse Prevention Collaborative Grant:
More informationPreventing Prescription Drug and Heroin Abuse and Deaths: Practical Strategies. July 12, 2015
Preventing Prescription Drug and Heroin Abuse and Deaths: Practical Strategies July 12, 2015 What are Opioids? Natural opioids are contained in the resin of opium poppy (e.g., morphine, codeine) Semi-synthetic
More informationResponding to the Prescription Opioid and Heroin Crisis: An Epidemic of Addiction
Responding to the Prescription Opioid and Heroin Crisis: An Epidemic of Addiction Andrew Kolodny, M.D. Chief Medical Officer, Phoenix House Foundation Inc. Executive Director, Physicians for Responsible
More informationUpdate on the Opioid Crisis
Update on the Opioid Crisis Robert A. Alldredge Jr Fort Worth Police Deputy Chief Homer Robertson Fort Worth Fire Department Assistant Chief Chris Mosley Sr. Assistant City Attorney/Section Chief Opioid
More informationPrescription for Progress Study conducted by the Siena College Research Institute April 10 - May 4, Stakeholders - MOE +/- 4.
How serious a public health problem in the State of New York is each of the following: [Q1A-Q1I ROTATED] Q1A. Alcohol abuse Very serious 61% 63% 53% 63% 36% 71% 52% Somewhat serious 35% 35% 38% 33% 52%
More informationOpioid Abuse in Iowa Rx to Heroin. Iowa Governor s Office of Drug Control Policy January 2016
1 Opioid Abuse in Iowa Rx to Heroin Iowa Governor s Office of Drug Control Policy January 2016 Why Is This Important? 2 3 National Rx Painkiller Trends CDC, 2013 4 National Rx-Heroin Trends NIH, 2015 5
More informationLisa Marzilli, PharmD, CDOE TOP 3 REASONS PEOPLE VISIT THEIR DOCTOR
Lisa Marzilli, PharmD, CDOE TOP 3 REASONS PEOPLE VISIT THEIR DOCTOR 1 1. Skin disorders, including cysts, acne, and dermatitis. 2. Joint disorders, including osteoarthritis. 3. Back problems. Source: Mayo
More informationOverview of Opiate Addiction
Overview of Opiate Addiction Conflict of interest 2 talks for Purdue about dangers of opioid addiction Bias support patients in both abstinence and methadone but seeing more stability on MMT Opioid Addiction
More informationINJECT PERCOCET
INJECT PERCOCET 10 325 Inject Percocet 10 325 And futures percocet molly The percocet time 3 tylenol same combination of and Percocet off molly effects of wear the and Percocet relief for pain 2 last week
More informationPREVENTION. Carroll County Health Department. Bureau of Prevention, Wellness and Recovery
PREVENTION Carroll County Health Department Bureau of Prevention, Wellness and Recovery What is Prevention? Prevention is the promotion of constructive lifestyles and norms that discourage drug abuse.
More informationFrontline Florida: Emerging Drug Trends The Opiate Epidemic
# of Opioids Detected Among Decedents Number of Heroin Deaths Number of Rx Opioid Poisoning Patients Frontline Florida: Emerging Drug Trends The Opiate Epidemic James N. Hall, Epidemiologist Nova Southeastern
More informationFentanyl Fact and Fiction: The Rise of America s Narcotic Crisis. Dan
Fentanyl Fact and Fiction: The Rise of America s Narcotic Crisis Dan Batsie daniel.batsie@vermont.gov @danbatsie "Opium Throughout History". PBS Frontline. Retrieved 22 October 2006 Jim Edwards for Business
More informationOfficer Al Fear Eastern Iowa Heroin Initiative Cedar Rapids Police Department U.S. Attorney s Office NDIA
Officer Al Fear Eastern Iowa Heroin Initiative Cedar Rapids Police Department U.S. Attorney s Office NDIA Angie Asa-Lovstad, MS, CTF, CPS Co-Director, Alliance of Coalitions for Change (AC4C) Certified
More informationMODUS OPERANDI FENTANYL. Control No.: P-693/
Control No.: P-693/09-2017 Requesting country: The United States of America File No.: 2017/202335-1 Date of publication: 13/09/2017 MODUS OPERANDI FENTANYL RISE IN USE, OVERDOSE, AND EXPOSURE TO AN OPIOID
More informationOverview of the Opioid Addiction Epidemic
Overview of the Opioid Addiction Epidemic Presenter: Dr. Andrew Kolodny Moderator: Cindy Rodgers Audio will begin at 3:00PM ET. You can listen through your computer speakers or call 866-835-7973 Meeting
More informationFentanyls and Naloxone. Opioids, Overdose, and Naloxone
Opioids, Overdose, and Naloxone Presenter Disclosure Presenter s Name: Michael Beazely I have no current or past relationships with commercial entities Speaking Fees for current program: I have received
More informationNational Council on Patient Information and Education
National Council on Patient Information and Education You are not alone The type of pain that caused your doctor to prescribe a pain medicine for you can make you feel that you are different from everyone
More informationOHIO S PRESCRIPTION DRUG OVERDOSE EPIDEMIC:
Cuyahoga County Board of Health OHIO S PRESCRIPTION DRUG OVERDOSE EPIDEMIC: NOVEMBER 5, 2014 CONTRIBUTING FACTORS AND ONGOING PREVENTION EFFORTS DEFINITIONS Opiate- originate from naturally-occurring elements
More informationThe Opioid Epidemic and its Cost on Society and the Economy
The Opioid Epidemic and its Cost on Society and the Economy 6 out of 10 In 2014, more people died from drug overdoses than any other year on record with more than six out of ten deaths involving opioids.
More informationPennsylvania Prescription Drug Monitoring Program Trends,
DEA Intelligence Report Brief DEA-PHL-DIR-006-17 Pennsylvania Prescription Drug Monitoring Program Trends, 2014-2015 December 2016 1 Executive Summary The abuse and diversion of pharmaceutical drugs, particularly
More informationTHE OPIATE EPIDEMIC AND LIBRARIES. Presented by Dr. Steve Albrecht, PHR, CPP, BCC, CTM
THE OPIATE EPIDEMIC AND LIBRARIES Presented by Dr. Steve Albrecht, PHR, CPP, BCC, CTM DrSteve@DrSteveAlbrecht.com 866-261-5150 @DrSteveAlbrecht REALITY IS NOT A RIVER IN EGYPT... Some Caveats... I m not
More informationRecognizing Narcotic Abuse and Addiction and Helping Those With It
Recognizing Narcotic Abuse and Addiction and Helping Those With It Michael McNett, MD Medical Director for Chronic Pain Member, WI Med Society Opioid Subcommittee Ancient History 1995: OxyContin approved
More informationGrand Rapids Police Department
Heroin Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of the various opium poppy plants grown in Southeast and Southwest Asia, Mexico, and Columbia. Heroin can
More informationusing analytics to identify and strategically manage patient opioid abuse
using analytics to identify and strategically manage patient opioid abuse Philip Finocchiaro, MD, FACP Senior Medical Director, Quality and Clinical Outcomes Verscend Olivia Mapplethorpe Senior Client
More informationWelcome! Supreme Court of Ohio Specialized Dockets Conference. October 23-24, 2017
Welcome! Supreme Court of Ohio Specialized Dockets Conference October 23-24, 2017 Drug Testing: Do you know enough to be dangerous? Presented by William L. Parker President & CEO American Court & Drug
More informationEmerging Drug Threat April 09, 2018
Emerging Drug Threat April 09, 2018 Tommy Farmer Special Agent in Charge Tennessee Dangerous Drugs 423 752 1479 Thomas.farmer@tn.gov Tennessee Bureau of Investigation That Guilt Shall Not Escape, Nor Drugs
More informationPrescription Opioids
What are prescription opioids? Prescription Opioids Opioids are a class of drugs naturally found in the opium poppy plant. Some prescription opioids are made from the plant directly, and others are made
More informationWhite Paper on. Prescription Drug Abuse
White Paper on Prescription Drug Abuse October 22, 2014 Table of Contents: I. Introduction II. Scope of the Problem III. Most Common Drugs Involved in Overdoses IV. Efforts in Tennessee V. Prescription
More informationDo your Part Be the Solution
Do your Part Be the Solution Objectives: 1) What is opioid addiction? 2) How bad is it? 3) What can be done? a) Prevention i. Primary prevention (reduce new cases) ii.. Secondary prevention (manage the
More informationThe Prescription Opioid and Heroin Crisis: Responding to An Epidemic of Addiction
The Prescription Opioid and Heroin Crisis: Responding to An Epidemic of Addiction Andrew Kolodny, M.D. Chief Medical Officer, Phoenix House Foundation Inc. Executive Director, Physicians for Responsible
More informationControlled Substances
Controlled Substances Inspector Henry deruiter #668 Organized Crime Enforcement Bureau Detective Sergeant Doug Bedford #964 Guns, Gangs, Drug Enforcement Unit June 27, 2018 Deeds Speak Presentation Overview
More informationDrugs and Alcohol. Annual Refresher Training
Drugs and Alcohol Annual Refresher Training What to Expect Review of a high functioning alcoholic Focus Highlight Prescription drug abuse Our drug free work environments Resources What to Expect Review
More informationPrescription Drug Updates
Prescription Drug Updates 1 Presentation Outline 59 Slides 30 minutes CDC Information DEA Statistics Federal and State Law New Trends Summary & Suggestions Q & A 2 Please Brush Your Teeth What Drug Causes
More informationOPIOID OVERDOSE EPIDEMIC: What Healthcare Providers Need to Know
OPIOID OVERDOSE EPIDEMIC: What Healthcare Providers Need to Know WHAT S NEW UPDATE CUMBERLAND, MD Renata J. Henry, M.Ed. Director, Central East ATTC March 16, 2016 Behavioral Health is Essential to Health
More informationNot according to prescription. SS/A Gerry Baril MDEA Lewiston. Prescription Drug Diversion
Not according to prescription SS/A Gerry Baril MDEA Lewiston Prescription Drug Diversion Pills Are As Common as Pot Small operation from a woman s purse Major marijuana cultivator Rx drugs are commonly
More informationRP PERCOCET STREET VALUE
RP 5 325 PERCOCET STREET VALUE Rp 5 325 Percocet Street Value Max dose of percocet a day Urgent care percocet bothell wa 98012 directions I need a substitute for percocet 10/325 percocet Percocet constipation
More informationCOUNTY OF SAN DIEGO. Opioid Update
COUNTY OF SAN DIEGO Opioid Update Linda Bridgeman Smith, DUI & Prevention Services Manager Health & Human Services Agency, Behavioral Health Services Co-chair, Prescription Drug Abuse Task Force 1 HEADLINES
More informationH NDS-ONHealth. Prescription Drug Abuse. Drug overdose death rates in the United States have more than tripled since 1990 and have never been higher.
H NDS-ONHealth Health Wave Newsletter, October 2013 Visit us on our website at www.healthwaveinc.com Drug overdose death rates in the United States have more than tripled since 1990 and have never been
More informationOTHER DRUGS OF ABUSE Source:
Volume 6, Number 4 APRIL - JUNE, 2017 This newsletter is provided by the Lorain County Crime/Drug Lab discussing technical and general information dedicated to local agencies within Lorain County. The
More informationResponding to the Opioid Addiction Epidemic
Responding to the Opioid Addiction Epidemic Andrew Kolodny, M.D. Chief Medical Officer, Phoenix House Foundation Inc. Executive Director, Physicians for Responsible Opioid Prescribing Senior Scientist,
More informationWhat is a lethal dose of oxycodone
Cari untuk: Cari Cari What is a lethal dose of oxycodone 25-2-2018 In people that are not tolerant of opioids, a single dose of 40 milligrams or a total daily dose of 80 milligrams of oxycodone has the
More informationHow serious is the opiate problem in Fairfield County?
How serious is the opiate problem in Fairfield County? The Use of Opiates in Fairfield County has increased from levels in the 1990's that were barely detectable to epidemic proportions in 2010. How serious
More information10 mg hydrocodone equals how much oxycodone
Cari untuk: Cari Cari 10 mg hydrocodone equals how much oxycodone Posts about dilaudid 8 vs oxycodone 30 written by buyprescriptionmedication. Can you help me with the conversion of Oxycodone IR (5mg tab)
More informationYouth Opioid Study: Attitudes and Usage Young Adults Ages 18 to 24 in the United States
Youth Opioid Study: Attitudes and Usage Young Adults Ages 18 to 24 in the United States Conducted for: Presented on: April 30, 2015 Conducted by: www.qmarketresearch.com Page 1 Contents Background... 3
More informationOpioid Overdose in Oregon Report to the Legislature
SEPTEMBER 2018 Opioid Overdose in Oregon Report to the Legislature This report summarizes the burden of opioid overdose among Oregonians as required by ORS 432.141. It describes Oregon s progress in reducing
More informationNIDA Quick Screen V1.0F1
NIDA Quick Screen V1.0F1 Name:... Sex ( ) F ( ) M Age... Interviewer... Date.../.../... Introduction (Please read to patient) Hi, I m, nice to meet you. If it s okay with you, I d like to ask you a few
More informationNew Guidelines for Prescribing Opioids
New Guidelines for Prescribing Opioids Keeping Your Claimants Safe Presented by: Dr. Mitch Freeman, Pharm.D. Chief Clinical Officer, Pharmacy Solutions Agenda The Opioid Challenge Today How We Got Here
More information