Pharmacy Times

Prescription Drug Overdoses Reach Epidemic Levels

Author: Kate H. Gamble, Senior Editor

The number of deaths resulting from overdoses of prescription painkillers has more than tripled in the past decade, according to a CDC Vital Signs report, which found that more than 40 people die every day from overdoses involving narcotic pain relievers such as hydrocodone, methadone, oxycodone, and oxymorphone.

“Overdoses involving prescription painkillers are at epidemic levels and now kill more Americans than heroin and cocaine combined,” said CDC Director Thomas Frieden, MD, MPH, in a statement. “States, health insurers, health care providers and individuals have critical roles to play in the national effort to stop this epidemic of overdoses while we protect patients who need prescriptions to control pain.”

The increased use of prescription painkillers for nonmedical reasons, along with growing sales, has contributed to the large number of overdoses and deaths. In 2010, 1 in every 20 people in the United States age 12 and older—a total of 12 million people—reported using prescription painkillers nonmedically, according to the National Survey on Drug Use and Health. Based on the data from the Drug Enforcement Administration, sales of these drugs to pharmacies and health care providers have increased by more than 300% since 1999.

“Prescription drug abuse is a silent epidemic that is stealing thousands of lives and tearing apart communities and families across America,” said Gil Kerlikowske, Director of National Drug Control Policy. “Health care providers and patients should be educated on the risks of prescription painkillers.”

In April, the Administration released a comprehensive action plan to address the national prescription drug abuse epidemic to reduce this public health burden. The plan includes support for the expansion of state-based prescription drug monitoring programs, more convenient and environmentally responsible disposal methods to remove unused medications from the home, education for patients and healthcare providers, and support for law enforcement efforts that reduce the prevalence of "pill mills" and doctor shopping.

Already, 48 states have implemented state-based monitoring programs designed to reduce diversion and doctor shopping while protecting patient privacy and the Department of Justice has conducted a series of takedowns of rogue pain clinics. President Obama has also signed into law the Secure and Responsible Drug Disposal Act, which will allow states and local communities to collect and safely dispose of unwanted prescription drugs and support DEA’s ongoing national efforts to collect unneeded or expired prescription drugs which have collected over 300 tons of medications over the past year.

In its latest report, the CDC found that prescription painkiller death rates among non-Hispanic whites and American Indians/Alaska Natives were 3 times those of African-Americans and Hispanic whites. In addition, the death rate was highest among individuals aged 35 to 54 years.
Findings from analysis of state data on fatal drug overdoses, nonmedical use of prescription painkillers, and sales of prescription painkillers to pharmacies and health care providers uncovered the following:
The CDC recommends that states take the following steps to help prevent overdoses from prescription painkillers and reduce this public health burden: For more information on this topic, click on the links below: