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Dentists Seen as Source for Prescription Pain Pills
July 23, 2009

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News Summary

Individuals addicted to prescription pain medications often turn to dentists as a source for drugs like codeine, Vicodin and OxyContin, CNN reported July 21.

Typically, users will work their way through the phone book, calling dentist after dentist complaining of tooth pain and asking for a prescription. "I kind of found out on my own that a dentist will prescribe you painkillers over the phone, instead of a doctor who you would most likely have to go in and see," said Kenny Morrison, a Los Angeles chef who ironically got addicted to pain pills after having dental work, taking up to 25 pills daily at his worst point.

"The moment somebody hangs up the phone on me, I know that they're literally going down the book," said L.A. area dentist Jay Grossman, who serves on the California Dental Association's disciplinary council. "They're calling the next one in the Yellow Pages, hoping that someone will write them a prescription. If you're an addict, one of your resources would certainly be a dentist."

Grossman said most such callers are deterred when he starts asking detailed questions or suggests an office visit.

Doctor-shopping is a well-known way for individuals who misuse prescription drugs to get pain pills, but dentist-shopping is less recognized as a problem. Some users even try to get drugs from veterinarians.

COMMENTS ON THIS ARTICLE:

Posted by John from Oceanside on 23 Jul 09 11:49 AM EDT
Marijuana cures everything, if your in LA all you have to do is call a weed doctor pay $200.00 cash (no checks) and walk to your nearest weed store. Last count over 800 stores they out-number Starbucks by 2 to 1. Oh I forgot you did do that, now you want something stronger.

Posted by Beth from Tennessee on 23 Jul 09 12:48 PM EDT
A dentist has absolutely NO business prescribing Oxycontin. This drug was originally designed and marketed for end-stage cancer pain. I have had immense dental problems, and surgeries as well as all kinds of procedures, and there is absolutely NO NEED for a dentist to be prescribing oxycontin. I would have to take a second look at a dentist who did, or one that would prescribe pain meds over the phone. Most dentist around here are at least greedy enough to demand an office visit ($$$) before they will prescribe anything.

Posted by Fred on 23 Jul 09 03:13 PM EDT
OxyContin is not a demon drug. It is a controlled-release form of the narcotic painkiller oxycodone and so doesn’t need to be taken as often. Oxycodone is a semi-synthetic alternative to Codeine. Combined with acetaminophen it is called Percocet, Endocet, Tylox, and Roxicet); with aspirin it is called Percodan, Endodan, Roxiprin and with ibuprofen Combunox, When mixed with another semi-synthetic opioid, thebaine it is called hydrocodone this plus acetaminophen is marketed as Vicodin, Symtan, Anexsia, Dicodid, Hycodan, Hycomine, Hycet, Lorcet, Lortab, Norco, Novahistex, Hydrovo, Duodin, Kolikodol, Orthoxycol, Mercodinone, Synkonin, Norgan, and Hydrokon. There are not many effective alternatives to these pain killers, except for analgesics you can buy over the counter like aspirin, advil and tylenol. Doctors and dentists choose different forms and concentrations for various reasons. The point is they are all pretty much the same. One is not worse than or more dangerous than the other until you get into taking more than you are prescribed. Then the ones with acetaminophen are more dangerous because of the liver damage that is caused by acetaminophen overdose, not because of the narcotic. One solution to the Dr. shopping problem is better computerized control of pharmacies so that the doctor or pharmacist can quickly see if the person has multiple prescriptions from different sources. The major problem then is not the dentist but the abuser finding ways around the system, like purchasing over the internet which seems to have no controls whatsoever.

Posted by Fred on 23 Jul 09 03:25 PM EDT
I see I failed to mention the most dangerous thing about pain killers. Whether you are taking codeine, oxycodon or hydrocodon, the most dangerous thing is mixing them with alcohol. This combination has caused many deaths.

Posted by bonnie on 27 Jul 09 05:13 PM EDT
From the research that I have done, I contend that opiates in general have been so over prescribed in the last ten years or so (starting with Oxy in 1996,under the guise of "pain management"), that they have now become an enormous health problem. Dependence, addiction and death rates due to overdoses have skyrocketed and OxyContin is the biggest cause of them all. Dentists should not be prescribing this drug at all - doctors/surgeons should not be sending patients home after every surgery with huge quantities of this drug like they often do now. I also know that the misuse and abuse of this very strong and addictive opiate is driving kids to Heroin, simply because it is cheaper, once they get addicted (the "Oxycontin TO Heroin" epidemic in Massachusetts is a prime example). The proposal to ban Vicodin and other opiates with acetaminophen is the direct result of these meds. being over prescribed, overused, and sitting in every ones medicine cabinets - making them seem harmless. They most certainly are not! In the hands of kids, these drugs are like loaded weapons, and the sooner we realize this, the better. The fact that 70% of patients in our local private rehab are WOMEN addicted to pain killers is proof that this is a health crisis that concerns us all - regardless of age.

Posted by Carol on 28 Jul 09 01:36 PM EDT
My son was prescribed Ocycontin after removal of wisdom teeth. The prescription was in triplicate and was only for a few pills. My dentist's prescriptions are always for just a few pills to get you through the pain until a visit or after a procedure. My daughter has dental anxiety and again, the dentist prescribes 1 or 2 pills only to get her through the procedure. I was surprised that dentists could be a source for any large quantity of painkillers based on my own experience.

Posted by John on 30 Jul 09 06:01 PM EDT
This article absolute BS-there are no Dentists who will presribe to an unknown over the phone. For so many different reasons-

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