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IDAHO RURAL PARTNERSHIP BOARD MEETING THURSDAY, JANUARY 7, 2010. Why are Unused/Expired Prescriptions and Over-the-Counter Medications a Concern?. Health Consequences - PowerPoint PPT Presentation
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IDAHO RURAL PARTNERSHIP BOARD MEETINGTHURSDAY, JANUARY 7, 2010
Why are Unused/Expired Prescriptions and Over-the-Counter Medications a Concern?
Health ConsequencesPrescription Drug overdose due to non-medical
use is now the second leading cause of accidental death in the U.S. behind only car
crashes. In some States it has risen above car crashes.
Admissions to substance abuse centers doubled for abuse of pain relievers is yet another clear
indication of the growing scope of the problem.
LOST LIVES
Economic ImpactPer-patient health care costs of opioid abusers are estimated at $15,884 per year, compared
with only $1,830 for non-abusers.
“PRESCRIPTION FOR PERIL 2007” How Insurance Fraud Finances Theft and Abuse of Addictive Prescription Drugs” estimates that
drug diversion costs all U.S. insurers about $72.5 billion each year.
LOST RESOURCES
CRIMINAL ACTIVITY
Law enforcement estimates range from 60% to 80% of the enforcement cases involve
substance abuse. Where you find drug abuse you will find crime!
LOST SAFETY
HOW THEY WORK ABUSED BY TEENS TO DRUG NAMES
STRONG PAIN RELIEVERS Used to relieve moderate-to-severe pain, these medications block pain signals to the brain
To get high, increase feelings of well being by affecting the brain regions that mediate pleasure
Vicodin, OxyContin,Percocet, Lorcet, Lortab, Actiq, Darvon, codeine, morphine,methadone
STIMULANTS Primarily used to treat ADHD type symptoms, these speed up brain activity causing increased alertness, attention, and energy that comes with elevated blood pressure, increased heart rate and breathing
Feel alert, focused and full of energy—perhaps around final exams or to manage coursework, lose weight
Adderall, DexedrineRitalin, Concerta, Desoxyn
SEDATIVES OR TRANQUILIZERS
Used to slow down or “depress” the functions of the brain and central nervous system
Feel calm, reduce stress, sleep
Valium, Xanax, Ativan,Klonopin, Restoril, Ambien, Lunesta, Mebaral, Nembutal, Soma, Ketamine
Teens Rx Drugs of Choice for Abuse
ANSWERS: Obtained free from someone they know (56%) One doctor (20%) Bought or stole from someone they know (15%) “Street drug” dealer (4%) More than one doctor (2%) Internet (1%)
QUESTIONS:• One doctor• “Street drug” dealer• Internet• Bought or stole from someone they know• Obtained for free from someone they know• More than one doctor
WHERE DO ABUSERS GET PRESCRIPTION PAINKILLERS?Methods/sources in order of most common to least common:
One-third of 12- to 17-year-olds reportobtaining prescription drugs in their own
homes (Natl. Center on Addiction &Substance Abuse, 2008)
FLUSH IT TODAY….. DRINK IT TOMORROW!
Meds to Patient
Home Medicine Cabinet
Unused and Expired Meds
Personal Disposal Method
Community Law Enforcement
staffed and DEA approved Take Back Program
Idaho State Police to
transport for out of state
incineration
CURRENT PRACTICE
Protect children, pets, and the environment by…
1. POUR MEDICATION INTO SEALABLE PLASTIC BAG.
2. IF MEDICATION IS A SOLID, CRUSH IT OR ADD WATER TO DISSOLVE.
ADDING KITTY LITTER, SAWDUST, COFFEE GROUNDS (ANYTHING TO MAKE MEDICATION LESS APPEALING TO
EAT) TO THE PLASTIC BAG.
REMOVE AND DESTROY ALL PERSONAL IDENTIFICATION FROM THE MEDICATION CONTAINER
SEAL THE PLASTIC BAG COMPLETELY AND DISPOSE
IN THE TRASH.
2008 15,144,571 Prescriptions filled atIdaho Pharmacies2,260,702 Prescriptions were controlled substances
384 Mail Order Pharmacies listed on the Idaho Board of Pharmacy Website
1.SIMPLIFY Require a single prescription format
2.SECURE Allow only authorized prescribers to order Require document security features Require secure production & distribution
3.VALIDATE Require automated point of sale validation
FRONT DOOR OPPORTUNITIES
Schematic Demonstrating how Medications Leaked into Environment
PHYSICIANS•
PHARMACISTS•
HOSPITALS•
LONG TERM CARE
•HOSPICE
•VETERINARIANS
•IDAHO MEDICAL
ASSOC.POISON
CONTROL
POLICY DEVELOPMENT
•EXECUTIVE
BRANCH•
LEGISLATIVE BRANCH
•BOARD OF PHARMACY
•LAW
ENFORCEMENT
PUBLIC AWARENESS
•EDUCATION
•MEDIA STRATEGY
•BUILD
COMMUNITY COALITION NETWORK
ORGANIZE•
APPROVED UNUSED AND
EXPIRED PRESCRIPTION
TAKE BACK PROGRAM
• LAW
ENFORCEMENTSTAFFED
COLLECTION EVENTS
UNIQUE PUBLIC AND PRIVATE PARTNERSHIPS
DISPOSAL•
IDAHO NATIONAL
LABORATORY WILL LEND ITS EXPERTISE TO
HELP GOVERNMENT AND PRIVATE
INDUSTRY DEVELOP
SUCCESSFUL SOLUTIONS TO THIS COMPLEX
CHALLENGE
.