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Painkiller Overdose Deaths Rising, Study Says
December 11, 2008

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Research Summary

A new study suggests that deaths from accidental overdoses of prescription medications in the U.S. are on the rise, U.S. News and World Report reported Dec. 9.

The study, which focused on accidental deaths in the state of West Virginia, also reported a pattern of "doctor shopping" for painkillers, as well as deaths from medications that were not used as prescribed.

"This epidemic of prescription drug overdose involves a substantial amount of substance abuse, and it affects not just West Virginia, but particularly rural areas of the country," said lead study author Aron Hall of the U.S. Centers for Disease Control and Prevention, who called West Virginia "just the tip of the iceberg."

The study reported that 67.1 percent of West Virginia's 295 fatal overdose victims in 2006 were men, and 91.9 percent were between the ages of 18 and 54. About 63 percent of the victims did not have a prescription for painkillers.

The researchers noted that women doctor-shopped more than men and said that younger people were more likely to use painkillers for non-medical reasons. Opioids accounted for 93.2 percent of the deaths, with methadone responsible for 40 percent of these fatalities.

"Opiates are generally very safe if used appropriately, but opiate abuse and dependence is an illness with high mortality rates," said Adam Bisaga, an associate professor of clinical psychiatry at Columbia University College of Physicians and Surgeons. "So the issue is not with the medication, but rather the detection and treatment of those who abuse and become addicted to opiates."

The report is published in the Dec. 10, 2008 issue of the Journal of the American Medical Association.

This article summarizes an external report or press release on research published in a scientific journal. When available, links to the sources are provided above.

COMMENTS ON THIS ARTICLE:

Posted by Vickie Free on 12 Dec 08 09:59 AM EST
In 2007, In the county I live in in Mississippi, there was 7 accidential overdoses on prescription drugs. My 18 year old son was one of those 7. We are definately witnessing Generation RX. We have to get as much awareness about this out there as possible. We have to WIN this battle..

Posted by Randall Pitone, MD on 12 Dec 08 10:06 AM EST
The usual response to such reports is to focus on tighter control of the medication and more restrictions on physicians. This approach will remain counterproductive as long as the population continues to receive the daily advertisements suggesting a pill for every problem.

Posted by jujubee on 15 Dec 08 12:18 PM EST
Unfortunatel I am one of those recovering from the awful addiction that comes from abusing pain medications. I do believe that there need to be tighter regulations in MDs offices. I went to a pain management doctor for a year, and he had no idea what I was doing. I feel for anyone afflicted with this addiction as well as their family and friends. It is a nasty addiction and very difficult to become free of...if you live through it.

Posted by John on 16 Dec 08 11:02 AM EST
All tighter restrictions on MDs accomplish is to scare the Dr and keep them from presribing to those who truly need the pain meds. Believe me- addicts will always find a way no matter how tight you make it.

Posted by Bonnie B. on 19 Dec 08 10:48 PM EST
To say that the pain medications are not at all to blame, is ridiculous. But more accurately, it is the doctors and the pharmaceutical co.s who are to blame, since they neglect to warn patients of the dangers these drugs pose. Doctors are totally over prescribing these dangerous drugs - with no warnings to lock them away to keep them out of the hands of children in the home. The general public is simply unaware and uneducated of the deadly consequences these drugs pose, when mixed with other prescriptions, or even when used as directed for longer periods of time. We are setting the worst example ever for our kids when we use opiates like they were aspirin. Some people do actually need these potent pain killers - MOST DO NOT! Get real - we have created this epidemic, we can certainly stop it by not using these drugs unless absolutely necessary.

Posted by nina on 15 Jan 09 03:49 PM EST
As a responsible user of pain medication, I take responsibility and lock it up, take as little as possible, withdraw from it frequently to make sure they continue to work for me. Tolerance is a very reak ussue. It becomres dangerous when people who have no experience use the pain killers use them to get high. I have never gotten high, but I can not work with the high level of pain I get from the blood disease I suffer. I have been taking less than I need to get actual relief but I know that would lead to more than the physical dependence I already suffer from. If my doc was not compassionate enough to prescribe these meds, I would be unable to work and feed my family.

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