Dancing with Fentanyl: Insys Sales Reps Caught Rapping to Boost Sales
You can ' t make this stuff up!According toHuffington Post, " Pharmaceutical sales representatives selling an opioid-based drug 50 times more powerful than heroin filmed a company-made rap video in which they danced with a giant bottle of their deadly fentanyl spray, a federal grand jury alleged in an indictment unsealed this week (for more about that, read "Founder of Insys Indicted for Bribing Docs to Illegally Prescribe Fentanyl. Lock Him Up!" )." The grand jury alleged that ' prominent ' sales reps at Insys Therapeutics Inc. appeared in a 2015 music video that used a song by rapper A$AP Rocky, which was played at the c...
Source: Pharma Marketing Blog - October 28, 2017 Category: Pharmaceuticals Tags: Fentanyl Insys Opioids Sales and Sales Reps Source Type: blogs

Pharmaceutical Companies and PBMs Helped to Create Our Opioid Crisis
I have blogged previously about the role of PBMs in shipping drugs to retail drug stores that placed suspiciously high drug orders (see:Drug Distributor McKesson Pays Record Penalty For Suspicious Opioid Orders). The role of the Sackler family, owners ofPurdue Pharma, in aggressively pushing Oxycontin is also now coming to light (see:The Sackler Family: best known for philanthropy, they made billions promoting Oxycontin;Report: Stamford company confirms DOJ probe). Let's face facts. You can't have a country-wide epidemic of prescription drugs without the connivance of some of the major corporations. Some of t...
Source: Lab Soft News - October 27, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Business Medical Ethics Pharmaceutical Industry Source Type: blogs

Scum of the earth award
May I have the envelope please? And the winner is:John Kapoor. Actually I was originally going to give it tothis schtickdreck, Rhode Island physician (now defrocked) Jerrold Rosenberg. Rosenberg took $188,000 from Kapoor ' s company to prescribe an opioid formulation containing fentanyl. It is only approved for what ' s called " breakthrough " cancer pain, which means pain that can ' t be controlled by more conventional opioid formulations. Since the patients didn ' t actually have cancer, Rosenberg also had to defraud their insurance companies. The story doesn ' t say whether any of his patients became opioid addicts, or ...
Source: Stayin' Alive - October 26, 2017 Category: American Health Source Type: blogs

Why this anesthesiologist says “no” to fentanyl
No, I’m not talking about putting fentanyl into my own veins — a remarkably bad idea. I’m questioning the habitual, reflex use of fentanyl, a synthetic opioid, in clinical anesthesiology practice. I’ve been teaching clinical anesthesiology, supervising residents and medical students, in the operating rooms of academic hospitals for the past 18 years. Anesthesiology residents often ask if I “like” fentanyl, wanting to know if we’ll plan to use it in an upcoming case. My response always is, “I don’t have emotional relationships with drugs. They are tools in our toolbox, to be used as appropriate.” But I w...
Source: Kevin, M.D. - Medical Weblog - October 26, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/karen-s-sibert" rel="tag" > Karen S. Sibert, MD < /a > Tags: Meds Pain Management Surgery Source Type: blogs

New Jersey " Gift " Ban Next Step - Public Hearing on Limitations on and Obligations Associated with Acceptance of Compensation from Pharmaceutical Manufacturers by Prescribers
Pictured from left to right: Sharon M. Joyce, Acting Director, Division of Consumer Affairs; Christopher S. Porrino, Attorney General of New Jersey; Maryann Sheehan, Director of Legislative and Regulatory Affairs, Division of Consumer Affairs; Rachel D. Glasgow, Regulatory Analyst “It is our intent to move forward with these rules.” Attorney General, Christopher S. Porrino Last Wednesday, the New Jersey Office of Attorney General, Division of Consumer Affairs, Department of Law and Public Safety, held a public hearing regarding the state’s proposed regulation, “Limitations on and Obligations Associated with Accep...
Source: Policy and Medicine - October 23, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

New Jersey Holds Public Meeting on Proposed Regulation
Pictured from left to right: Sharon M. Joyce, Acting Director, Division of Consumer Affairs; Christopher S. Porrino, Attorney General of New Jersey; Maryann Sheehan, Director of Legislative and Regulatory Affairs, Division of Consumer Affairs; Rachel D. Glasgow, Regulatory Analyst “It is our intent to move forward with these rules.” Attorney General, Christopher S. Porrino Last Wednesday, the New Jersey Office of Attorney General, Division of Consumer Affairs, Department of Law and Public Safety, held a public hearing regarding the state’s proposed regulation, “Limitations on and Obligations Associated with Accep...
Source: Policy and Medicine - October 23, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Fentanyl reduces effectiveness of ticagrelor for PCI – PACIFY RCT
Fentanyl is an opioid which is routinely used for periprocedural relief of during percutaneous coronary intervention (PCI). Intravenous morphine has been shown to reduce the absorption of P2Y12 inhibitors, presumably by delaying gastric emptying [1]. Platelet Aggregation with tiCagrelor Inhibition and FentanYl (PACIFY) trial [2] evaluated the effect of intravenous fentanyl on the efficacy of ticagrelor. Ticagrelor plasma levels, platelet function and troponin levels were compared in a randomized trial with and without the use of fentanyl. There were 70 patients in this study who required PCI. Fentanyl arm had lower ticagr...
Source: Cardiophile MD - October 20, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

When Opioids Cause Rather than Ease Pain
Opioids are called controlled substances for a reason. These are drugs that we have studied for years to get the dosing right. Fentanyl is often sprayed up children’s noses, for heaven’s sake, so that fear of a needle doesn’t add to their suffering. These drugs are with the good guys. And yet fentanyl, produced illegally The post When Opioids Cause Rather than Ease Pain appeared first on Johns Hopkins Nursing Magazine. (Source: Nursing Blogs at Johns Hopkins University)
Source: Nursing Blogs at Johns Hopkins University - October 4, 2017 Category: Nursing Authors: Editor Tags: On the Pulse drug abuse fenatnyl narcan opioids overdose SBIRT Source Type: blogs

The Latest Jaw-Dropping Numbers From the Opioid Crisis – Mother Jones
About 64,000 Americans died from drug overdoses last year —a staggering 21 percent increase from the 52,404 in 2015—according to the first government estimate of drug deaths in 2016. Overdoses now kill more Americans than HIV did at its peak in 1995, and far more than guns or cars do today.The numbers, released by the Centers for Disease Control and Prevention, are provisional and will be updated monthly, according to the agency.Fueling the rise in deaths is fentanyl, a synthetic opioid up to 100 times more potent than morphine, and fentanyl analogs, or slight tweaks on the fentanyl molecule. This has not always been t...
Source: Psychology of Pain - September 26, 2017 Category: Anesthesiology Source Type: blogs

The Cost of the Opioid Crisis | The New Yorker
In September, 2016, Donald Trump delivered a speech at the Economic Club of New York."Today, I'm going to outline a plan for American economic revival," he said."It is a bold, ambitious, forward-looking plan to massively increase jobs, wages, incomes, and opportunities for the people of our country." He went on to talk about lowering taxes and removing regulations, renegotiating trade deals and building a border wall. But he overlooked one of the most pressing issues facing the American economy today: the opioid crisis.Politicians tend to talk about the crisis in moral terms, focussing on the ways i...
Source: Psychology of Pain - September 24, 2017 Category: Anesthesiology Source Type: blogs

The First Count of Fentanyl Deaths in 2016: Up 540% in Three Years - The New York Times
Drug overdoses killed roughly 64,000 people in the United States last year, according to the first governmental account of nationwide drug deaths to cover all of 2016. It's a staggering rise of more than 22 percent over the 52,404 drug deaths recorded the previous year — and even higher than The New York Times's estimatein June, which was based on earlier preliminary data.Drug overdoses are expected to remain the leading cause of death for Americans under 50, as synthetic opioids — primarily fentanyl and its analogues — continue to push the death count higher. Drug deaths involving fentanyl more than doubled ...
Source: Psychology of Pain - September 5, 2017 Category: Anesthesiology Source Type: blogs

I Hate Heroin
was formed in 2012 by the mother of three boys who were struggling with Substance Abuse. Not knowing where to turn and having no resources in her home state of Iowa she set out on a quest to try to find support and help for her children.Four years later I Hate Heroin has grown to over 190,000 page members and  is now a National Non Profit Organization. I Hate Heroin is a community of people joined together by one common cause, the battle to overcome addiction. Sadly in April of 2016 our Founder lost two of her children to a Fentanyl Overdose on the same day. She continues on with her mission in great love in their memo...
Source: PsychSplash - August 28, 2017 Category: Psychiatry & Psychology Authors: Clyde Tags: Addiction Anyone Articles Clinical Psychology Drug Information Features Foundation Website Lifestyle Physical Health Resources Self-harm and suicide Social Bookmarking Topics Fentanyl Overdose Heroin Addiction IHH Substance Source Type: blogs

Did Medicaid Expansion Cause The Opioid Epidemic? There ’s Little Evidence That It Did.
Conclusion Some Medicaid recipients who gained coverage under the ACA may have become addicted to opioids, but we find little evidence that Medicaid expansion caused aggregate drug-related death rates to increase. Future research on the opioid epidemic should develop approaches that untangle the effects of Medicaid expansion from pre-existing economic trends and the spread of accessible illegal drugs. That said, by addressing the causes of addiction and promoting appropriate treatment, Medicaid could be an important tool for policy makers in the fight against opioid abuse. In January 2016, the Centers for Medicare and Medi...
Source: Health Affairs Blog - August 23, 2017 Category: Health Management Authors: Andrew Goodman-Bacon and Emma Sandoe Tags: Following the ACA Medicaid and CHIP Public Health Quality Medicaid expansion opioid epidemic Source Type: blogs

Inside EMS Podcast: Carfentanil Cooties
In this week’s episode of Inside EMS, co-host Chris Cebollero and I welcome Dr. David Tan, President-Elect of NAEMSP, to talk about his organization’s endorsement of the latest guidance from the American College of Medical Toxicology and the American Academy of Clinical Toxicology on occupational exposure to fentanyl and fentanyl analogues. That document, in addition ... (Source: A Day In the Life of An Ambulance Driver)
Source: A Day In the Life of An Ambulance Driver - August 22, 2017 Category: Emergency Medicine Authors: ambulancedriverfiles Tags: EMS Health & Safety HazMat Inside EMS Podcasting Source Type: blogs

The Opioid Commission: Ringing The Right Alarm To Respond To The Overdose Epidemic
The 20-year opioid overdose epidemic confronting our nation has continued unabated largely because of an uncoordinated response that has over emphasized supply-side interventions (i.e. prescriber guidelines, Prescription Drug Monitoring Programs, law enforcement) rather than dramatically increasing access to evidence-based treatment as occurred in other Western nations with great success. The White House’s Opioid Commission (chaired by Governor Chris Christie, R-NJ) in declaring a national emergency and breaking with this failed tradition offers much hope for stemming the overdose death rate. The Opioid Commission’s in...
Source: Health Affairs Blog - August 21, 2017 Category: Health Management Authors: Arthur Robin Williams and Adam Bisaga Tags: Featured Public Health Quality Opioid Addiction opioid epidemic Source Type: blogs