Prescription Drugs More Deadly Than Cocaine, Heroin, Amphetamines

Prescription Drugs More Deadly Than Cocaine, Heroin, Amphetamines
Tuesday, September 02, 2008
by: Sherry Baker, Health Sciences Editor
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NaturalNews) When handsome and talented young actor Heath Ledger died last winter, the New York City medical examiner's autopsy report revealed his death was due to an unintentional life-ending cocktail of prescription drugs, including anti-anxiety medications Alprazolam (Xanax), Diazepam (Valium) and Lorazepam (Ativan), the sleeping pill Zopiclone (Lunesta) and the sedative Temazepam (Restoril), which is also used for insomnia.So this was just one of those rare tragedies that mostly happens to troubled or hard living Hollywood stars, right? Wrong. Unfortunately, people from all walks of life are dying by the thousands across the U.S. due to prescription drugs. And a new study, Florida’s annual report on Drugs Identified in Deceased Persons, dramatically illustrates this truth.Relying on autopsies performed in 2007, the state report concludes prescription drugs (anti-anxiety benzodiazepines, the muscle relaxer carisoprodol and all opioids, excluding heroin) continue to be found in both lethal and non-lethal amounts in the dead far more often than illicit drugs.The bottom line: the rate of deaths in Florida caused by prescription drugs is over three times as high as the rate of deaths caused by all illicit drugs combined.The study shows 2,328 Floridians died of opiate, or painkiller, overdoses while another 743 lost their lives from over-consuming benzodiazepines, which include the drugs Valium and Xanax. On the other hand, about a third less number of people, 989, died of overdoses from illegal drugs like cocaine, heroin, or methamphetamine (“speed”).In a statement for the press, Bill James, Director of Florida’s Office of Drug Control, said: “Prescription drugs are not safe and must be secured. Doctors and pharmacists must help law enforcement identify and stop doctor shoppers. We are also looking for ways to curb illegal internet sales. Only through a comprehensive, coordinated strategy will we be able to reverse this tragic, unacceptable trend."That’s a nice goal and it is true some people abuse prescription drugs. However, the Drug Enforcement Administration states as many as 7 million Americans are abusing prescription medication -- far more people than those using cocaine, heroin, hallucinogens, Ecstasy and inhalants combined.And the truth is, even when legal medications are taken as prescribed, they are too often dangerous and even deadly. In fact, according to a study published in the Journal of the American Medical Association (JAMA), an estimated 1.9 million adverse drug reactions occur each year, and up to 180,000 of them could be life threatening or even fatal.The Department of Health and Human Services (HHS) has released data showing that at least half of all Americans take one prescription drug and one in six of us takes three or even more prescribed medications. And this love affair with pharmaceuticals for health problems is no doubt why prescription drug deaths are now the fourth leading cause of death in the United States, after heart disease, cancer and stroke.

Relapse Prevention, a cognitive-behavioral therapy, was developed for the treatment of problem drinking and adapted later for cocaine addicts. Cognitive-behavioral strategies are based on the theory that learning processes play a critical role in the development of maladaptive behavioral patterns. Individuals learn to identify and correct problematic behaviors. Relapse prevention encompasses several cognitive-behavioral strategies that facilitate abstinence as well as provide help for people who experience relapse.

The relapse prevention approach to the treatment of treatment for cocaine addiction consists of a collection of strategies intended to enhance self-control. Specific techniques include exploring the positive and negative consequences of continued use, self-monitoring to recognize drug cravings early on and to identify high-risk situations for use, and developing strategies for coping with and avoiding high-risk situations and the desire to use. A central element of this treatment is anticipating the problems patients are likely to meet and helping them develop effective coping strategies.

Research indicates that the skills individuals learn through relapse prevention therapy remain after the completion of treatment. In one study, most people receiving this cognitive-behavioral approach maintained the gains they made in treatment throughout the year following treatment.
References:

Carroll, K.; Rounsaville, B.; and Keller, D. Relapse prevention strategies for the treatment of cocaine abuse. American Journal of Drug and Alcohol Abuse 17(3): 249-265, 1991.

Carroll, K.; Rounsaville, B.; Nich, C.; Gordon, L.; Wirtz, P.; and Gawin, F. One-year follow-up of psychotherapy and pharmacotherapy for cocaine dependence: delayed emergence of psychotherapy effects. Archives of General Psychiatry 51: 989-997, 1994.

Marlatt, G. and Gordon, J.R., eds. Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors. New York: Guilford Press, 1985.

How is Cocaine Abused?

How is Cocaine Abused?
Three routes of administration are commonly used for cocaine: snorting, injecting, and smoking: snorting, injecting, and smoking. Snorting is the process of inhaling cocaine powder through the nose, where it is absorbed into the bloodstream through the nasal tissues. Injecting is the use of a needle to release the drug directly into the bloodstream. Smoking involves inhaling cocaine vapor or smoke into the lungs, where absorption into the bloodstream is as rapid as by injection. All three methods of cocaine abuse can lead to addiction and other severe health problems, including increasing the risk of contracting HIV and infectious diseases.
The intensity and duration of cocaine’s effects, which include increased energy, reduced fatigue, and mental alertness, depend on the route of drug administration. The faster cocaine is absorbed into the bloodstream and delivered to the brain, the more intense the high. Injecting or smoking cocaine produces a quicker, stronger high than snorting. On the other hand, faster absorption usually means shorter duration of action. The high from snorting cocaine may last 15 to 30 minutes, but the high from smoking may last only 5 to 10 minutes. In order to sustain the high, a cocaine abuser has to administer the drug again. For this reason, cocaine is sometimes abused in binges—taken repeatedly within a relatively short period of time, at increasingly high doses.
Article from http://www.nida.nih.gov/Infofacts/cocaine.html

Are Policies Valuable?

The Orange County Survey Showed relative consistency on the question of whether maintaining a drug-free workplace benefits company operations. Among all respondents, including those in companies without drug-free workplace policies, 71.4% said drug-free workplaces have a highly positive effect on productivity, with 80% saying they have a highly positive effect on safety.Respondents in companies that have a drug-free workplace policy said their organization is not always particularly vocal about such policies. Only 43.8% of these respondents said their company specifics its drug-free workplace status in recruitment advertising.Companies also showed wide differences in how they respond when a tested employee submits a positive screen. Slightly more than half of respondents in companies with drug-free workplace policies workplace policies said their companies terminate the employment of workers who test positive for illicit drugs. Just under one-third said their companies refer employees testing positive for professional assistance, with about the same percentage saying their company has an EAP. The survey did not analyze responses by industry group, Brooks says.
-Article from Addiction Professional
Vol. 6, No.3
By Gary A. Enos, Editor