Doctor: Do no harm with your prescription pad

FILE - In this Oct. 16, 2014 file photo, Centers for Disease Control and Prevention (CDC) Director Dr. Tom Frieden, listens as he testifies on Capitol Hill in Washington. A bold federal effort to curb prescribing of painkillers may be faltering, amid stiff resistance from drugmakers, industry-funded groups and the government’s own top drug regulator. The agency has abandoned the January 2016 target date and opened the recommendations to public comment for 30 days. (AP Photo/J. Scott Applewhite)
Centers for Disease Control and Prevention (CDC) Director Dr. Tom Frieden. (AP Photo/J. Scott Applewhite)

The Director of the Centers for Disease Control this morning joined a growing list of high-ranking government officials pointing fingers at physicians who have prescribed enough opiate painkillers for every American to have their own stash.

Speaking at the National RX Drug Abuse and Heroin Summit in Atlanta, CDC  Director Dr. Tom Frieden said that although drug cartels have improved management of their supply chains and flooded the country with cheaper and more potent heroin, 75 percent of new heroin addicts say they started with prescription drugs.

“What we’ve said to doctors is remember that any single one of those prescriptions could ruin or end a patient’s life,” Frieden told an audience of hundreds of substance abuse stakeholders at the morning’s keynote session. “Prescription drugs are now gateway drugs.”

Although stopping short of blaming doctors and dentists who prescribe addictive painkillers, Frieden said reducing the supply with better prescribing practices coupled with law enforcement efforts would have a significant impact on the supply of drugs available.

“We  know of no other med routinely used that kills patients so frequently and it’s dose related,” Frieden said.”I’m sorry but at the CDC we don’t sugar coat it.”

A survey released by the National Safety Council on Tuesday found 99% of doctors are prescribing opioid medicines for longer than the three-day period recommended by the CDC. Twenty-three percent said they prescribe at least a month’s worth of opioids. Evidence shows that 30-day use causes brain changes, according to the survey.

Continue reading “Doctor: Do no harm with your prescription pad”

Four million vs. 24 million: How many addicts are there in the U.S.?

Credit writer Dan Baum points for timing. But math? Maybe not.

Baum authored a recent Harpers magazine article suggesting that legalizing drugs might be the answer to the current fix we are in.

Harpers' controversial piece on legalizing drugs- all drugs.
Harpers’ controversial piece on legalizing drugs- all drugs.

His Sunday  interview on NPR about the legalization idea out there just hours before an estimated 1800 gather in Atlanta for the National Rx Drug Abuse & Heroin Summit. Among the attendees: President Obama, as well as the head of the DEA, the Surgeon General, the head of the National Institute on Drug Abuse, and various and sundry congresspeople.

Monday morning, a Daily Beast columnist weighed in on ending the war on drugs, citing Baum’s article and pointing out that Obama’s talk will take place in a city ravaged by drugs.

Michael Botticelli, director of the White House Office on Drug Control Policy, is among high-level fed officials at Summit.
Michael Botticelli, director of the White House Office on Drug Control Policy, is among high-level fed officials at Summit.

But while the timing is good, a crucial piece of math used in Baum’s interview is probably not only off base but out of the ballpark entirely.

He suggested about 4 million Americans have a drug dependency problem, citing Peter Reuter of the University of Maryland, who Baum said puts the number of people addicted to hard drugs at fewer than 4 million.

What is being defined as a “hard” drug isn’t entirely clear.

But the feds, based on years of national surveys and emergency room data, estimate more than 24 million people are in need of treatment for addiction.

Even if you’re skeptical of figures provided by the federal government’s drug-fighting agencies, consider this: There are an estimated 600,000 or so heroin addicts in the U.S.  Given its lethal dangers, heroin has all the headlines right now, but it is far from the most common drug of abuse.

Think oxycodone, benzodiazepines, Percocet; throw in methamphetamine, and cocaine. For starters.

If even those five drugs generated the same level of addiction as heroin, once you add in the heroin figures you start bumping up against four million number.

Palm Beach Post Reporters Christine Stapleton and Pat Beall  are covering the four-day Summit live from Atlanta.  The two are members of a Post team of reporters investigating scams in Palm Beach County’s $1 billion drug treatment industry.

The 8-month long investigation by the Palm Beach Post uncovered patient brokering, insurance fraud and kickbacks.