New Data Suggests Americans Filling Fewer Opioid Prescriptions

TRENTON, N.J. (AP) — New data show that the number of prescriptions for opioid painkillers filled in the U.S. fell dramatically last year. They showed their biggest drop in 25 years. The decline comes amid increasing legal restrictions and public awareness of the dangers of addiction. A health data firm released a report Thursday showing a 9 percent average drop nationwide in the number of prescriptions for opioids filled by retail and mail-order pharmacies. All 50 states and the District of Columbia had declines of more than 5 percent. The U.S. is estimated to consume roughly 30 percent of all opioids used worldwide. Health data firm IQVIA's Institute for Human Data Science released a report Thursday showing an 8.9 percent average drop nationwide in the number of prescriptions for opioids filled by retail and mail-order pharmacies. All 50 states and the District of Columbia had declines of more than 5 percent. Declines topped 10 percent in 18 states, including all of New England and other states hit hard by the opioid overdose epidemic, such as West Virginia and Pennsylvania. "We're at a really critical moment in the country when everybody's paying attention to this issue," said Michael Kleinrock, the institute's research director. "People really don't want them if they can avoid them." There was an even greater drop in total dosage of opioid prescriptions filled in 2017, down 12 percent from 2016. Reasons for that include more prescriptions being...
Source: JEMS: Journal of Emergency Medical Services News - Category: Emergency Medicine Authors: Tags: Patient Care News Source Type: news

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While federal funding is helping rural communities address the opioid epidemic, drug addictions can encompass multiple substances. In 11 states, opioids were responsible for less than half of drug overdose deaths, as use of substances like methamphetamine are on the rise.
Source: News stories via the Rural Assistance Center - Category: Rural Health Source Type: news
After years of sharp increases in fatal drug overdoses in the U.S., provisional federal data provide reason for cautious optimism. The drug overdose death rate dropped slightly between 2017 and 2018, according to the new estimates, after two decades of near-constant upticks. Between 1999 and 2017 the age-adjusted overdose mortality rate increased from 6.1 to 21.7 deaths per 100,000 people, according to federal data. According to data released June 11 by the Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS), that number dropped to an estimated 20.8 deaths per 100,000 for the 12 ...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized data visualization public health Source Type: news
Eight months ago, 35-year old Adam Smith (name changed to protect the patient’s identity) was living in his car in Houston, dealing with the fallout from opioid use disorder (i.e., addiction). Even after years of seeking help, he was struggling to pick up the pieces after spending time in jail, ruining relationships, being let go from jobs and losing homes. Adam is one of more than two million people dealing with opioid use disorder, a devastating brain disease with negative consequences to individuals, as well as their families and communities. Adam was fortunate to have been connected to HEROES, a proactive treatme...
Source: JEMS Administration and Leadership - Category: Emergency Medicine Authors: Tags: Exclusive Articles Administration and Leadership Mobile Integrated Healthcare Source Type: news
Kishore and colleagues in NEJM, including Josiah Rich from a university well known to me, discuss the harm reduction approach to injection drug use (IDU). Basically, this means using evidence to guide practice so as to minimize as much as possible the adverse public health consequences of addiction. In addition to the risk of overdose, which is getting most of the attention nowadays, IDU is a means of transmission of Hepatitis C and HIV, and contaminated needles transmit other common infectious organisms that can result in abscesses, and very serious consequences such as myocarditis.So, assuring that users have access to s...
Source: Stayin' Alive - Category: American Health Source Type: blogs
Publication date: July 2019Source: Preventive Medicine, Volume 124Author(s): Emma E. McGinty, Elizabeth M. Stone, Alene Kennedy-Hendricks, Colleen L. BarryAbstractPublic stigma toward people who use illicit drugs impedes advancement of public health solutions to the opioid epidemic and reduces willingness to seek addiction treatment. Experimental studies show that use of certain terms, such as “addict” and “substance abuser,” exacerbate stigma while alternative terms, such as “person with a substance use disorder,” are less stigmatizing. We examine the frequency with which stigmatizing t...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research
Source: Psychopharmacology - Category: Psychiatry Source Type: research
You're reading Options to Opioids: How to Manage Chronic Pain Without Prescribing Pain-Killers, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. While there is considerable debate as to how much blame doctors should be assigned for the ongoing opioid crisis, there is little doubt they can do something to curtail it -- that instead of prescribing drugs that have been found to be highly addictive they can resort to alternate forms of pain management. Doctors’ prescription of powerful painkillers like OxyContin is frequ...
Source: PickTheBrain | Motivation and Self Improvement - Category: Consumer Health News Authors: Tags: health and fitness addiction health and wellness opioids self improvement Source Type: blogs
AbstractPurpose of reviewOverdose deaths have increased significantly over the last 5  years. This review analyzes the severity and nature of the epidemic, its impact on society, factors driving the increase in mortality, special populations disproportionately affected, and solutions to decrease overdose deaths. A thorough understanding of opioid overdose rates and deaths position t he reader to respond most effectively in their sphere of influence.Recent findingsFinal statistics for 2017 show a continued worsening of the epidemic. Recent studies focus on the evolving role of synthetic fentanyl, risk factors for fatal...
Source: Current Treatment Options in Psychiatry - Category: Psychiatry Source Type: research
Conclusion: After thorough investigation of this strategy, we have identified key considerations for the development of a chemically contiguous heroin–fentanyl vaccine. Importantly, this is the first report of such a strategy in the opioid–drug–vaccine field. Beilstein J. Org. Chem. 2019, 15, 1020–1031. doi:10.3762/bjoc.15.100
Source: Beilstein Journal of Organic Chemistry - Category: Chemistry Authors: Tags: antinociception fentanyl hapten heroin vaccine Full Research Paper Source Type: research
Conclusion: With approximately 100 million people suffering from both chronic and acute pain in the United States (US) in 2016, opiates will continue to remain a prominent class of medication in healthcare facilities and homes across the US. Over 66% of total overdose episodes in 2016 were opioid-related, a figure that attests to the severity and wide-spread nature of this issue. A three-point approach accentuating the prevention, treatment, and rehabilitation of both those currently affected and at-risk in the future may be the comprehensive solution.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research
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