DEA Is About to Demonstrate “How Little They Know About What They Imagine They Can Design”
Jeffrey A. SingerLast month the Drug Enforcement Administration, tasked with setting quotas for opioid production in the U.S,announced a proposal to reduce production levels another 10 percent, having already reduced production by 25 percent in 2017 and an additional 20 percent in 2018. This would bring down production levels to 53 percent of 2016 levels. Yesterday the DEA released aproposal to develop “use-specific” quotas. The DEA press release explains this as follows:Today ’s proposal amends the manner in which DEA grants quotas to manufacturers for maintaining inventories…The proposal also introduces several n...
Source: Cato-at-liberty - October 24, 2019 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

New Report on Pharmacy Closures Is Another Reason to Make Naloxone OTC
Jeffrey A. SingerAreport in the October 21 issue ofJAMA Internal Medicine offers another reason for the Food and Drug Administration to reclassify the opioid overdose antidote naloxone over-the-counter. The study finds that despite a growing number of community pharmacies in the U.S. between 2009 and 2015, the overall numbers don ’t reflect the “churn” in the community pharmacy industry. The number of pharmacies increased from nearly 63,000 in 2009 to nearly 68,000 in 2015. But of the nearly 75,000 pharmacies in operation at any point during this time period, one in eight had closed by the end of 2015. It found a dis...
Source: Cato-at-liberty - October 22, 2019 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

October 26th is DEA National Take Back Day
On October 26th, DEA National Take Back Day will once again address a crucial public safety issue. According to the National Survey on Drug Use and Health, 9.9 million Americans misuse controlled prescription drugs – and that study indicates that most of these prescription drugs were either obtained from family and friends or found in the most-neglected staple of every bathroom: the medicine cabinet. What’s the Purpose of DEA National Take Back Day? DEA National Take Back Day gives individuals the chance to dispose of their unwanted prescription drugs in a safe, judgment-free environment. Cleaning out the average pres...
Source: Cliffside Malibu - October 16, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Addiction to Pharmaceuticals Painkiller dea national take back day opioids prescription drug abuse prescription drug addiction prescription drug detox prescription drug use prescription drugs prescription medication prescri Source Type: blogs

Synthetic Opioid Crisis Still Growing, Often Among Unwitting Users
Although opioid prescriptions in the U.S. have fallen, opioid overdose deaths remain at historic levels. The continued spread of fentanyl and other illicitly manufactured synthetic opioids suggests the problem could still get worse. (Source: The RAND Blog)
Source: The RAND Blog - October 13, 2019 Category: Health Management Authors: Bryce Pardo; Beau Kilmer Source Type: blogs

Add PreP and PEP to The List of Drugs the FDA Should Make OTC
Jeffrey A. SingerThis week California Governor Gavin Newsom signed into law a bill that allows people at risk for contracting HIV to obtain both pre-exposure prophylaxis (PreP) and post-exposure prophylaxis (PEP)directly from a pharmacist, avoiding the inconvenience and expense of having to visit the doctor for a prescription. Drugs that provide HIV prophylaxis are classified as prescription-only by the Food and Drug Administration. States get to determine the scope of practice of their licensed health care practitioners. Expanding the scope of practice of pharmacists to allow them to prescribe a prescription-only drug has...
Source: Cato-at-liberty - October 11, 2019 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

The Biological Cause Of Addiction (M)
More Americans now die of opioid overdoses than in car accidents. → Support PsyBlog for just $4 per month. Enables access to articles marked (M) and removes ads. → Explore PsyBlog's ebooks, all written by Dr Jeremy Dean: Accept Yourself: How to feel a profound sense of warmth and self-compassion The Anxiety Plan: 42 Strategies For Worry, Phobias, OCD and Panic Spark: 17 Steps That Will Boost Your Motivation For Anything Activate: How To Find Joy Again By Changing What You Do (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - October 11, 2019 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Addiction subscribers-only Source Type: blogs

Do I Have an Oxycodone Addiction?
According to Healthline, Oxycodone is used to treat moderate to severe pain. It can be used short term or long term, depending on your condition. It is an opioid oral tablet and is better known by its other generic brand names, including Oxaydo, Roxicodone, Roxybond, and OxyContin. It is available in five forms, and since it is an opioid medication, it can be very easy to form an Oxycodone addiction. If you feel as if you may be forming an addiction to Oxycodone, make sure you are aware of the signs, symptoms and when it’s time to get help. Oxycodone Addiction Warning Signs Oxycodone can be a very helpful tool for many ...
Source: Cliffside Malibu - October 10, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Addiction to Pharmaceuticals Painkiller Substance Abuse opiate opiate addiction opioid opioids oxycodone oxycodone abuse prescription drug abuse prescription drug addiction prescription drug use prescription drugs pre Source Type: blogs

More Research Shows It's Not The Prescriptions, It's The Prohibition
Jeffrey A. SingerThe latest issue ofPublic Health Reports (the official journal of the Office of the Surgeon General and U.S. Public Health Service) presents a study by researchers at Boston University and the Massachusetts Department of Public Health which provides further evidence that the narrative driving present opioid overdose policy —that it results primarily from doctors prescribing opioids to patients in pain—is wrong. It results from non-medical drug users accessing drugs in the black market that results from prohibition. In the early part of this century the “drugs of choice” for non-medical users were d...
Source: Cato-at-liberty - October 9, 2019 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

Part 3 - Opioids Have Ceiling Effects, High-Doses are Rarely Therapeutic, and Another Hand-Crafted Graph
by Drew Rosielle (@drosielle)A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions.This is the 3rd post in a series about opioid, with a focus on how my thinking about opioids has changed over the years. See also:Part 1 – Introduction, General Disclaimers, Hand-Wringing, and a Hand-Crafted Graph.Part 2 – We Were Wrong 20 years Ago, Our Current Response to the Opioid Crisis is Wrong, But We Should Still Be Helping Most of our Long-Term Patients Reduce Their Opioid DosesThis is Part 3 – Opioids Have Ceiling Effects, High-Doses are Rarely Therapeutic, and Another ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 4, 2019 Category: Palliative Care Tags: opioids pain rosielle The profession Source Type: blogs