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December 19, 2012

SAMHSA Prevention of Prescription Drug Abuse in the Workplace Listserv

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December 19, 2012 (PDF version)
 
Feature Article of Importance

Edward Tyrrell, Elizabeth Orton, Laila Tata, and Denise Kendrick. 2012. "Children at Risk of Medicinal and Nonmedicinal Poisoning: A Population-Based Case-Control Study in General Practice." British Journal of General Practice 62(605): e827-33.

This population-based nested case-control study used The Health Improvement Network primary care database 1988-2004 (a database of UK electronic primary care records). It compared 1,819 medicinal and nonmedicinal poisoning cases involving children under age 5 with 17,709 controls matched by medical practice. Medicinal poisoning was independently associated with maternal alcohol misuse in the past year (odds ratio = 5.44), perinatal depression (odds ratio = 1.54), lower income, maternal age, and birth order (with first births at lowest risk). Children in households with two or more adults had lower odds of injury than those in single-parent households. "Primary care data can be used to target interventions to children at risk of poisoning," said the authors. "This is pertinent when prescribing for children/family members, as prescribed medications may become poisoning agents. Prompt identification of maternal depression and alcohol misuse and delivery of poisoning-prevention interventions at this stage may help prevent poisonings."

Read more:
http://www.ingentaconnect.com/content/rcgp/bjgp/2012/00000062/00000605/art00033?token=0051119c16720297d763444703a2b6c7a5a6343386b6d3f6a4b4b6e6e42576b6427385224d13fe6d1


Journal Articles

Amy Zosel, Becki Bucher Bartelson, Elise Bailey, Steven Lowenstein, and Rick Dart. 2012. "Characterization of Adolescent Prescription Drug Abuse and Misuse Using the Researched Abuse Diversion and Addiction-Related Surveillance (RADARS®) System." Journal of the American Academy of Child & Adolescent Psychiatry. doi:10.1016/j.jaac.2012.11.014.

From 2007 to 2009, participating poison centers identified 16,209 intentional adolescent exposures to prescription drugs: 68 percent to opioids and 32 percent to stimulants. The article analyzes these exposures.

Read more:
http://www.jaacap.com/article/S0890-8567(12)00917-3/abstract


News and Reports

Is The Era of OxyContin Abuse Over?
Forbes
December 13, 2012

The author writes an op-ed piece about OxyContin's decline, citing several studies to support his claim (including one published by The Journal of Pain). He suggests the drop in OxyContin use is related to the introduction of an abuse-resistant version of the painkiller.

Read more:
http://www.forbes.com/sites/trevorbutterworth/2012/12/13/is-the-era-of-oxycontin-abuse-over


Safeguard Prescription Medication During the Holidays
EmpowHER
December 10, 2012

This article provides tips for safeguarding medications when family and friends visit for the holidays.

Read more:
http://www.empowher.com/drug-addictions/content/safeguard-prescription-medication-during-holidays
 
  
California Roadside Survey Finds Twice as Many Weekend Nighttime Drivers Test Positive for Other Drugs as for Alcohol; Marijuana as Likely as Alcohol
CESAR FAX, Center for Substance Abuse Research
December 3, 2012

This study found that nearly twice as many drivers tested positive for other drugs (14.0 percent) as did for alcohol (7.4 percent) and marijuana (7.4 percent). Marijuana (either alone or in combination with other drugs) was the drug most likely to be detected, encompassing 53 percent of all drug positives.

Read more:
http://www.cesar.umd.edu/cesar/cesarfax/vol21/21-48.pdf


Suboxone Sales Estimated to Reach $1.4 Billion in 2012--More Than Viagra or Adderall
CESAR FAX, Center for Substance Abuse Research
December 10, 2012

Sales data from the first three quarters of 2012 indicate Suboxone retail sales in the United States will likely reach $1.4 billion this year--a nearly tenfold increase over the $137.1 million in 2006 sales. Suboxone is a narcotic prescribed to treat opioid dependence.

Read more:
http://www.cesar.umd.edu/cesar/cesarfax/vol21/21-49.pdf


Buprenorphine Prescribing Practices and Exposures Reported to a Poison Center--Utah, 2002-11
Morbidity and Mortality Weekly Report, Centers for Disease Control and Prevention
December 14, 2012

Utah saw an increase in the yearly number of patients prescribed buprenorphine--a narcotic that treats opioid dependence--from 22 in 2002 to 9,793 in 2011. Annual buprenorphine prescriptions also rose from 16 to 1,088. During the same period, the number of buprenorphine exposures reported annually to the Utah Poison Control Center increased from 6 to 81.

Read more:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6149a1.htm?s_cid=mm6149a1_w


Abusing Rx Drugs Before Age 13
Cincinnati.com
December 10, 2012

In a 2012 Student Drug Use Survey conducted by the Coalition for a Drug-Free Greater Cincinnati, the average age of 7th to 12th grade students who reported their first use of prescription drugs--not actually prescribed for them--was 12.9 years. The survey also found that 6.5 percent (3,720) of the students reported using a prescription drug illegally within the previous 30 days. Finally, 49 percent of the 8,743 students who reported illicit use of prescription drugs said they used them at home, while 23 percent used them at a friend's house.

Read more:
http://news.cincinnati.com/article/20121209/NEWS01/312090027/Abusing-Rx-drugs-before-age-13?nclick_check=1


Teen Prescription Drug Abuse on the Rise: Danger Lurking in Medicine Cabinets
Education Development Center
December 10, 2012

Sally Fogerty, Director of the Children's Safety Network at the Education Development Center, discusses why teens are at risk for prescription drug abuse, what is being done to address the problem, and how adults can keep prescription drugs out of kids' reach.

Read more:
http://www.edc.org/newsroom/articles/teen_prescription_drug_abuse_rise


Prescription to Die: How Medications May Be Killing Veterans Faster Than Suicide
The Huffington Post
December 14, 2012

This article reports on a study of veteran deaths in Texas. The statistics show slightly more civilians died from an overdose or toxic prescription drug combination than from suicide. Of the 266 deaths with known causes, 16.9 percent were deemed suicides, 18.8 percent were motor vehicle accidents, and 17.7 percent were drug-related deaths--85 percent of which involved prescription medications.

Read more:
http://www.huffingtonpost.com/b-christopher-frueh/veterans-mental-health_b_2273013.html


Prescription Painkillers Mixed With Alcohol: A Deadly Mix
The Huffington Post
December 10, 2012

A blog post by Lynn R. Goldman, Dean of The George Washington University School of Public Health and Health Services, discusses the death of a student who mixed oxycodone and alcohol. According to the Centers for Disease Control and Prevention, nearly three out of four prescription drug overdoses are caused by opioid painkillers.

Read more:
http://www.huffingtonpost.com/lynn-r-goldman/painkillers-alcohol_b_2253343.html


Adderall Addiction: Students Misuse Drug to Gain Boost While Studying
Iowa State Daily
December 8, 2012

In 2010 the National Survey on Drug Use and Health found full-time college students between the ages of 18 and 22 were twice as likely to abuse Adderall as adolescents of the same age who were not in college.

Read more:
http://www.iowastatedaily.com/news/article_82ad5eda-3f14-11e2-8788-001a4bcf887a.html


Prescription Opioid Abuse in the Elderly an Urgent Concern
Medscape Today News
December 13, 2012

An epidemiologic study presented at the American Academy of Addiction Psychiatry's 23rd Annual Meeting and Symposium showed approximately 20 percent of people age 65 and older take analgesics several times per week. Among those with chronic pain, abuse or addiction rates are 18 percent.

Read more:
http://www.medscape.com/viewarticle/776128


RIA Reaching Others: Prescription Drug Abuse
University at Buffalo, Research Institute on Addiction
Fall 2012

This is a fact sheet that concentrates on the growing prescription drug abuse problem. It aims to educate health consumers and providers and explain the I-STOP law.

Read more:
http://www.ria.buffalo.edu/pdf/ES6RxDrugs.pdf
http://www.ria.buffalo.edu/ExpertSummaries/ES6.html
 
 
Related Article
If You're a College Student Abusing Prescription Drugs, Read This
University at Buffalo
December 13, 2012
 
In an effort to raise community awareness about the latest trends in substance use and abuse, the University at Buffalo's Research Institute on Addictions announced its receipt of a new grant, along with the release of an expert summary on prescription drug abuse.
 
Read more:
http://www.buffalo.edu/news/releases/2012/12/A01.html
 
 
Drug-Related Deaths in Wisconsin Continue to Rise
University of Wisconsin-Whitewater
December 6, 2012
 
The state of Wisconsin grieved 4,828 drug-related deaths from 1999 to 2008. According to a report compiled by epidemiologist David L. Nordstrom, methadone deaths increased 1,080 percent, from 10 in 1999 to 118 in 2008, while benzodiazepines deaths increased 361 percent, from 23 in 1999 to 106 in 2008.
 
Read more:
http://www.uww.edu/news/archive/2012-12-drugs
 
 
Related News
Wisconsin Drug Deaths on the Rise
Wisconsin Public Radio
December 7, 2012
 
A 97-second audio file and transcription about Dr. Nordstrom's findings on drug-related deaths in Wisconsin.
 
Read more:
http://news.wpr.org/post/wisconsin-drug-deaths-rise
 
 
Preventing Prescription Abuse in the Workplace (PAW) Prescription Drug Abuse Webinar
Substance Abuse and Mental Health Services Administration
2012
 
View the PowerPoint slides from a Nov. 27, 2012, Webinar conducted by Dr. Scott Novak of RTI International. The slides provide an overview of the prescription drug abuse epidemic, including its history and at-risk social groups, as well as the psychopharmacology of prescription medications. Specifically, the slides outline four major subtypes of nonmedical drug use, distinguish between the types of most abused prescription drugs, identify populations at risk for different types of prescription drug abuse, and identify risk factors for various consumption patterns. The Webinar is part of SAMHSA's Preventing Prescription Abuse in the Workforce (PAW) Technical Assistance Project.
 
Read more:
http://captus.samhsa.gov/sites/default/files/capt_resource/paw-prescriptiondrug.pdf
 
 
Admissions Reporting Benzodiazepine and Narcotic Pain Reliever Abuse at Treatment Entry: The TEDS Report
Substance Abuse and Mental Health Services Administration
December 13, 2012
 
Substance abuse treatment admissions involving benzodiazepine and narcotic pain reliever abuse increased 569.7 percent from 2000 (5,032 admissions) to 2010 (33,701 admissions), while all other admissions decreased by 9.6 percent during the same period.
 
Read more:
http://www.samhsa.gov/data/2k12/TEDS-064/TEDS-Short-Report-064-Benzodiazepines-2012.htm

 
Related Article
Combination of Two Drugs a Risk for Substance Abuse
Nurse.com
December 13, 2012
 
This article reports on specific demographic groups that have higher treatment admission rates for combined benzodiazepine/narcotic pain reliever use compared with admissions for other treatment. Non-Hispanic whites make up 91.4 percent of combination admissions and 55.8 percent of other admissions; females are responsible for 49.2 percent of combined admissions and 30.2 percent of other admissions; and people ages 18 to 34 account for 66.9 percent of combined admissions and 43.7 percent of other admissions.
 
Read more:
http://news.nurse.com/article/20121213/NATIONAL02/112170009/-1/frontpage
 
 
FDA Panel Opposes Pure Hydrocodone Painkiller
USA Today
December 7, 2012
 
The Food and Drug Administration (FDA) is concerned about products that combine hydrocodone with acetaminophen, and Zohydro is one of first pure hydrocodone medications available. Still, an FDA advisory panel felt there was little need for a new opioid drug. It's likely that new prescription painkillers will be approved only if they have an abuse deterrent formulation.
 
Read more:
http://www.usatoday.com/story/news/nation/2012/12/07/pure-hydrocodone-painkiller/1755005
 
 
To Reduce Prescription Drug Abuse, Focus Less on Patient Satisfaction
The Partnership at Drugfree.org
December 11, 2012
 
Pain management education must help prescribers put less emphasis on patient satisfaction and more on functional improvement, according to Sherry Green, CEO of the National Alliance for Model State Drug Laws.
 
Read more:
http://www.drugfree.org/join-together/prescription-drugs/to-reduce-prescription-drug-abuse-focus-less-on-patient-satisfaction-3
 
 
Please e-mail Rekaya Gibson at rgibson@pire.org with questions or comments about the SAMHSA Prevention of Prescription Drug Abuse in the Workplace Listserv.  
 
 
About PAW and the Listserv
The PAW TA Center addresses prescription drug abuse--a growing public health problem with increasing burdens on workers, workplaces, and our economy. Prescription drug abuse affects workplace productivity and increases employee absenteeism, employee presenteeism, and workers' compensation claims. On a wider scale, overdose deaths linked to prescription opioids tripled from 1999 to 2006, and prescription drug abuse killed more Americans in 2009 than died that year in auto crashes.
 
Send your request for PAW technical assistance to PAW-TA@pire.org or contact Rekaya Gibson at 504.261.8107 or Deborah Galvin at 240.276.2721. Requests are subject to SAMHSA approval. You will be notified of the status of your request.
 
We aim to conduct systematic and inclusive searches of professional journals, leading newspapers and magazines, and federal websites, as well as contributions from listserv subscribers (please e-mail suggestions to rgibson@pire.org). We will send links to articles along with brief descriptions of those articles. As we develop the listserv, however, we hope to add commentary and invite feedback from subscribers. Our goal is to expand the listserv to become a widely used and recognized source of the most current and authoritative information on prescription drug abuse--especially in workplaces.
 

The "SAMHSA Prevention of Prescription Drug Abuse in the Workplace Listserv" is a service provided by the SAMHSA Preventing Prescription Abuse in the Workplace Technical Assistance Center (PAW) to keep the field abreast of recent news and journal articles to assist in forming policy, research, and programs to reduce prescription drug misuse or abuse. Please note, the materials listed are not reflective of SAMHSA's or PAW's viewpoints or opinions and are not assessed for validity, reliability, or quality. The "SAMHSA Prevention of Prescription Drug Abuse in the Workplace Listserv" should not be considered an endorsement of the findings. Readers are cautioned not to act on the results of single studies, but rather to seek bodies of evidence. Copyright considerations prevent PAW from providing full-text journal articles. 
 
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