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40 U.S. Deaths a Day From Prescription Painkillers

Prescription Drug Abuse Is an 'Epidemic,' CDC Declares
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WebMD Health News
Reviewed by Laura J. Martin, MD

Nov. 1, 2011 -- Every day, 40 Americans die from prescription painkiller abuse, the CDC says.

Overdoses of opioid prescription drugs now kill more people in the U.S. than do overdoses from heroin and cocaine combined. Twelve million Americans say they abused prescription drugs in the last year.

It's not just a statistical blip. Prescription drug abuse -- taking painkillers not for pain, but to get high -- has tripled since 1999. Rogue doctors are a big part of the problem, according to CDC Director Thomas Frieden, MD. Indeed, a California study found that 3% of doctors wrote 62% of painkiller prescriptions.

"This stems from a few irresponsible doctors," Frieden said at a news teleconference. "The problem is more from them than from drug pushers on street corners."

As a result, one in 20 U.S. adults admits to having abused prescription narcotics. The drugs most abused, according to the CDC, are "drugs such as Vicodin (hydrocodone), OxyContin (oxycodone), Opana (oxymorphone), and methadone."

But there are plenty of other brand names that are being abused:

  • Oxycodone formulations: brands include Oxyfast, Percolone, and Roxicodone
  • Oxycodone combined with other medicines: brands include Endocet, Percocet, Percodan, and Xolox
  • Hydrocodone: brands include Lortab, Tussionex,  and Vanacet

 

U.S. 'Awash' in Prescription Painkillers

In 2010, pharmacies sold enough of these opiate-based prescription drugs to give everyone in the U.S. a typical 5-milligram dose of hydrocodone every four hours for one month.

"Right now the system is awash in these dangerous drugs that get people hooked and keep them hooked," Frieden says.  "Essentially these are narcotics: dangerous drugs prescribed by doctors."

Who is taking all these pills? Abuse is more common in men than in women; non-Hispanic whites more than in other races or ethnicities; in rural more than in urban neighborhoods; and in middle-aged more than younger or older adults.

States with poorer prescription-control laws tend to have more deaths from prescription drug abuse. Not surprisingly, states with the most painkiller sales per person have the most deaths.

Frieden says specific actions are needed:

  • States should monitor who is prescribing drugs and for whom.
  • States should take measures to keep people from shopping for doctors who will more freely prescribe painkillers.
  • Standard painkiller prescriptions should be for three days.
  • Narcotics should be the last resort for pain control.

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