The Prescription Drug Crisis and Addiction

129 Pages·2016·3 MB·English

by  Scott Hambleton

The Prescription Drug
Abuse Crisis:
2016 Update
Scott Hambleton, M.D.
Medical Director
Mississippi Professionals Health Program

Ochsner Medical Clinic
Continuing Medical Education
Destin, FL
April 3, 2016
No Disclosures

Todays speaker has no disclosure
of real or apparent conflict of
interest related to the content of
this presentation.

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Objectives:
1) To describe the epidemiology of
prescription drug addiction in America.
2) To identify factors which have
contributed to prescription drug abuse
in America.
3) To identify risks of prescribing
controlled substances for chronic, non-
life threatening conditions.
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I believe pharmaceutical industry
influence is good for medicine .

1. True.
2. False.
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Opioids

Prescribed to
alleviate pain

Examples include :
• Hydromorphone (,
(Dilaudid®)
• Hydrocodone (Vicodin® Lortab ®)
• oxycodone (OxyContin®)
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Generally, opioids are safe and effective
for treatment of chronic, noncancer pain.

1)True
2)False
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Industry Marketing in the 1990s
Opioids are “safe and effective” for chronic
non-malignant pain.
Opioid addiction is rare in pain patients.
Opioid therapy can be easily discontinued.
Opiophobia: causes patients to needlessly
suffer

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US Consumption of Global
Supply of Opioids: 2010
55% of all morphine
56% of all hydromorphone
80% of all oxycodone
99% of all hydrocodone
Americans represent 5.2% of the
earth’s population
(International Narcotics Control Board 2011
Report)
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Opioid Prescriptions Dispensed per
Year (Oxycodone and Hydrocodone)

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