barry county substance abuse task force: increasing amounts of prescription use within the community...
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Barry County Substance Abuse Task Force: Increasing Amounts of Prescription
Use Within the Community 2007 - 2011
Prepared By: Shreenath Shah and Michael Spence
Pharm D. Candidates 2013Ferris State University College of Pharmacy
This power point presentation was developed in part under grant number 15722 from the Office of National Drug Control Policy and Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services. The views policies, and opinions expressed here are those of the authors and do not necessarily reflect those of ONDCP, SAMHSA, or HHS
Objectives • Substance Abuse in the USA • Introduction to the commonly abused
prescription medications • View of Barry counties prescription
medication use (Then and Now) • How you can help
Substance Abuse in the United States
Three types of drugs are abused most often:
1. Opioids- Pain Relievers
2. CNS Depressants- Stress, Seizures, Sleep
3. Stimulants- ADHD and Narcolepsy
Opioid Prescription Trends in the United States
Stimulant Prescription Trends in the United States
Prescriptions (Rx)
Schedule II Substances: • MUST be written or
typed and manually signed by a practitioner with valid DEA #
• Provide a valid reason for medication
• MAX of 30 day supply • NO Refills
Schedule III Substances: • May be ordered by
practitioner orally, in writing, or by fax to the pharmacist.
• May be refilled if so authorized on the prescription or by call-in.
• Can be refilled up to five times within six months
Commonly Abused Rx’s1. Stimulants:
• Amphetamines(Adderall), Methylphenidate (Concerta, Ritalin) – Schedule II – RX – ADHD– Excessive sleepiness– Depression
• Methamphetamines , MDMA (Ecstasy), Cocaine – Illegal substances
Concerta
Commonly Abused Rx’s1. Stimulants Continued…– Intoxication Effects• Increased energy, alertness, feelings of exhilaration
– How are they abused • Crushed and Injected, Smoked or Snorted
– Side Effects• Faster heartbeat, seizures, insomnia, nervousness, paranoia
aggressive behavior, hallucinations and heart attacks – Street Names: • Methylphenidate : Rits, Vitamin R and West Coast • Amphetamine: Speed, bennies, black beauties, crosses, hearts,
uppers and truck drivers
Commonly Abused Rx’s2. Opioids
I. Oxycodone containing products - CII- Oxycodone + Ibuprofen ( Combunox)- Oxycodone + Acetaminophen (Percocet, Oxycontin,
Endocet, Oxceta, Tylox) - Street Names: Roxys, Percs, Roxicotten, 512s, O’s, Hillbilly heroin
Commonly Abused Rx’s2. Opioids Continued…
I. Hydrocodone containing products – CIII- Hydrocodone + Acetaminophen (Vicodin, Norco, Lortab)- Street Names: Viko, Vikes or Hydro
II. Methadone – CII- Brand Names: Dolophine, Methadose, Methadone diskets - Street Names: Juice, Meth, Fizzies, Amidone
Vicodin
Methadone
Commonly Abused Rx’s2. Opioids Continued…– Use: Moderate to severe pain – Side Effects: • Lowered heartbeat and breathing , coma, addiction,
– How are they abused • Crushed and smoked, snorted or injected
– Intoxication Effects • Pain relief, euphoria, impaired coordination,
drowsiness
Population Size 2010 Census • Cloverdale – N/A • Delton -872 • Dowling -374• Hastings – 7,308• Woodland - 425• Bellevue -1,282• Freeport – 483 • Middleville – 3,319 • Wayland -4,709• Hickory Corners - 322• Nashville – 1,628• Plainwell – 3804
Stimulant Use 2007 and 2011 in Barry County
Cloverdale Delton Dowling Hastings Woodland Bellevue Freeport Middleville Wayland Hickory Corners
Nashville Plainwell0
50000
100000
150000
200000
250000
300000Stimulants Dispensed
2007 2011
Oxycodone Use 2007 and 2011 in Barry County
Cloverdale Delton Dowling Hastings Woodland Bellevue Freeport Middleville Wayland Hickory Corners
Nashville Plainwell0
20000
40000
60000
80000
100000
120000
140000
160000
180000
200000Oxycodone Products Dispensed
2007 2011
Hydrocodone Use 2007 and 2011 in Barry County
Cloverdale Delton Dowling Hastings Woodland Bellevue Freeport Middleville Wayland Hickory Corners
Nashville Plainwell0
100,000
200,000
300,000
400,000
500,000
600,000
700,000
800,000
900,000
1,000,000
Hydrocodone Products Dispensed
2007 2011
Methadone Use 2007 and 2011 in Barry County
Cloverdale Delton Dowling Hastings Woodland Bellevue Freeport Middleville Wayland Hickory Corners
Nashville Plainwell0
20000
40000
60000
80000
100000
120000
140000
160000
Methadone Dispensed
2007 2011
Summary/Conclusions • Prescription drug use rising in the USA • Oxycodone, Hydrocodone and Stimulant use
are most prescribed and dispensed medications in Barry County – Plainwell, Hastings and Delton all show significant
increases in amounts of pain medication dispensed
– Middleville and Wayland show similar increases in prescription medication use
Teenagers and Substance Abuse: National Statistics
• 1 out of 10 teens have abused stimulants (Adderall or Ritalin)
• 1 out of 5 teens have abused a prescription pain reliever– Hydrocodone, Oxycodone,
Methadone
Teenagers and Substance Abuse: Barry County
What Can I Do ? • Communication• Encourage Positive Behavior • Calmly set limits regarding drug abuse, ensuring
child understands and is on the same page• Lead by example • Returning expired medications:– Medications, uncontrolled and controlled that are
not disposed of properly can be stolen and misused
Medication Return: Barry County
More Information/ Helpful Resources • Barry County Substance Abuse Task Force: – http://www.barrycountysatf.com
• Substance Abuse Guide • Prescription and OTC Drug Abuse Guides
• The Partnership at DrugFree.org – http://www.drugfree.org/
• National Institute for Drug Abuse: – http://teens.drugabuse.gov/
• Family Checkup: Positive Parenting Prevents Drug Abuse– http://www.drugabuse.gov/family-checkup
Questions?
References• 1. National Institute on Drug Abuse [Internet].Maryland: NIH [Updated 2013 Jan] Commonly
Abused Prescription Drugs Chart; [Cited on Feb 19 3013] Available from: http://www.drugabuse.gov/drugs-abuse/commonly-abused-drugs/commonly-abused-prescription-drugs-chart
• 2. National Institute on Drug Abuse [Internet].Maryland: NIH [Updated 2013 Jan] Family Checkup: Positive Parenting Prevents Drugs; [Cited on Feb 19th 2013] Available From: http://www.drugabuse.gov/family-checkup
• 3. National Institute on Drug Abuse for Teens [Internet]. Maryland: NIH for Teens [Updated Feb 19th 2013] Facts on Drugs [Cited on Feb 19 2013] Available from: http://teens.drugabuse.gov/drug-facts
• 4. Barry County Substance Abuse Task Force [Internet] Michigan (Barry); [Updated February 2013] Program Material [Cited on Feb 20 2013] Available from: http://www.barrycountysatf.com/program-materials.html
• 5. The partnership at drugfree.org [Internet]: [Updated February 2013] Prescription drug Abuse in the United States [Cited on Feb 19 2013] Available from: http://www.drugfree.org/drug-guideThis power point presentation was developed in part under grant number 15722 from the Office of National Drug Control Policy and Substance Abuse and Mental Health Services Administration, U.S.
Department of Health and Human Services. The views policies, and opinions expressed here are those of the authors and do not necessarily reflect those of ONDCP, SAMHSA, or HHS
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