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Florida Governor Pushing for 3 Day Limit on Prescription Opioids

Florida Governor Pushing for 3 Day Limit on Prescription Opioids

While the entire country has been impacted by this ongoing issue, more options for prevention and treatment have become paramount to changing the tides. Just this week Rick Scott, the governor of the state of Florida, proposed a strategy for fighting the opioid epidemic that has gained a lot of attention. Scott has decided to ask local lawmakers to impose a three-day limit on opioid prescriptions during the upcoming legislative session. This latest development is one new piece of recent initiatives to combat the opioid crisis.

Florida Governor Opioid Initiatives

During two press conferences on Tuesday, the Florida Governor announced a pushback on an abundance of opioid prescriptions, while also introducing other ideas for fighting addiction.

One of the initiatives Rick Scott is pushing is to require all health-care professionals who prescribe controlled substances to participate in the Florida Prescription Drug Monitoring Program, also known as the PDMP. This database involves health-care professionals to report important information on patients receiving powerful narcotic medications, including:

  • Name of the doctor
  • Patient name
  • Prescription information after the prescription is filled

But this is not the last of Florida Governor Scott’s opioid initiatives. His office also plans to seek additional reforms such as:

  • Fight unlicensed pain management clinics
  • Requiring education on responsible opioid prescribing
  • Creating more opportunities for federal grants

Scott apparently plans to put some more investments toward helping those already struggling. He is also pushing for more than $50 million for services including:

Part of this initiative is also boosting up the budget of the Florida Violent Crime and Drug Control Council.

At the moment the finer details of the Florida Governor’s proposals are not yet available. However, what it does tell us is that Scott is not ignoring the contribution Big Pharma makes in this current crisis. What we can tell from this outline is that Rick Scott says he is aiming to address prescription opioid pain medication, recognizing it as a key source of the growing problem.

Why 3 Days?

It has been reported time and time again that we should be paying attention to how powerful opioid medications impact rising addiction rates. Now the Centers for Disease Control and Prevention (CDC) has released a recent study showing how quickly someone could get hooked on these kinds of drugs. In this study it is shown:

  • After three days of use, about 6% of patients were still using opioids a year later.
  • Five days into use, about 10% of patients were still using opioids a year later.
  • After 11 days of use, it jumps to 25% of patients still taking opioids a year later.

So it would seem that between 3-5 days, the chances of continued use almost doubled. Then between 5-11 days the chances of use more than doubled. This development may have helped inspire the idea to limit prescriptions to 3 days.

Back in March, Bradley Martin of the CDC, one of the study authors, told Vox magazine:

“There’s nothing magical about five days versus six days, but with each day your risk of dependency increases fairly dramatically,”

So while day 5 and day 6 may not be a dramatic leap over the edge, some may see this proposed limit as an attempt to at least slow a process down.

The Opposing Argument

The Florida Governor will probably face strong criticism, or at least skepticism, from crowds such as:

The opposition is still very real. This isn’t even the first time Florida lawmakers have seen something like this brought to the table. Just last year Florida legislatures quietly rejected an effort last year to impose a five-day cap on opioid prescriptions for acute pain.

Legislatures and doctors are the only concerns Florida Governor may have to tangle with in order to push this idea through. Other potential obstacles standing against this proposal include:

  • Additional out-of-pocket co-pays that patients will incur
  • The ability of patients with chronic pain and terminal illnesses to refill prescriptions

The Florida Society of Interventional Pain Physicians will discuss caps on prescriptions during a board meeting today. Dr. Sanford Silverman is a past president of the Florida Society of Interventional Pain Physicians. In regards to the 3 day limit he stated:

“We don’t think the cap is reasonable since it is a completely arbitrary number,”

“A better idea would be to mandate usage of the PDMP prior to writing an opioid for acute pain.”

Similar Strategies

Other states have created caps on prescriptions, although some may not seem as strict as the 3 day rule.

  • Massachusetts limits the supply to seven days.
  • New Jersey set it so that first-time prescriptions for acute pain cannot exceed a five-day supply. Also, patients being treated for cancer or under hospice care are exempt.
  • Ohio caps distinguish between patients with chronic pain and those with acute pain.

At the end of the day, similar strategies may not be left up to the lawmakers. If pharmacies decide to impose their own limits on certain prescription drugs the Florida Governor might not have to push very hard to get the limits he is looking for.

CVS announced Friday that the company plans to:

  • Limit the daily dosage of pain pills based on their strength
  • Require the use of quick-release painkillers before extended-release opioids are dispensed
  • Limit opioid prescriptions to seven days for certain conditions

This restriction will specifically apply to patients who are new to pain therapy.

Only time will tell how far Florida Governor Rick Scott’s new pitch will go, but it seems one thing people can agree on is that the opioid crisis does require some new approaches to prevention.

With more prevention we may be able to slow down the rising rates of opioid addiction. Meanwhile, the need for safe and effective treatment still means a lot for helping those already suffering. Real treatment resources matter. If you or someone you love is struggling, please call toll-free now. We want to help.

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CDC Fighting Opioids with Millions in Funding to 44 States

CDC Fighting Opioids with Millions in Funding to 44 States

Author: Justin Mckibben

The Center for Disease Control and Prevention (CDC) announced on September 5th it would be allocating more than $28.6 million in funding to assist dozens of states, not to mention the District of Columbia, with overcoming the issues they face concerning opioid abuse, addiction, overdose and opioid related death. Many states are still struggling to make headway in the uphill battle. Thanks to the CDC fighting opioids with such a large contribution people in these areas have a better chance of gaining access to crucial resources.

It All Adds Up

The Omnibus Appropriations Bill in 2017 added funding for fighting the opioid epidemic with a $103 million dollar contribution. Combined with this new money from the CDC there will be even more support for things such as:

  1. Addiction prevention programs

  2. Drug monitoring programs

  3. Improved toxicology testing for medical examiners/coroners

This isn’t the first time this year the CDC has dropped a big sum into the opioid outbreak.

Just a few months back in July the CDC fighting opioids led to a $12 million pledge to state overdose prevention efforts. This contribution was made as part of the plan from the Department of Health and Human Services’ (DHHS) in response to the nationwide opioid epidemic.

Who Gets the Money?

So which states are receiving funding through this latest pledge, and why? This money is being distributed out to various states that participate in the CDC’s Overdose Prevention in States Program (OPiS). The OPiS program includes 3 unique programs designed for prevention efforts:

Prescription Drug Overdose: Prevention for States (PfS)

This program will provide $19.3 million in funding to 27 states to expand various of their prevention programs, which also use community outreach.

Data-Driven Prevention Initiative (DDPI)

$4.6 million will go through DDPI to 12 states and Washington, D.C. for similar programs. Other states getting funds through the DDPI include:

  1. Alaska

  2. Michigan

  3. New Jersey

  4. South Dakota

Enhanced State Opioid Overdose Surveillance (ESOOS)

Across the country around $4.7 million will go to medical examiners and coroners in 32 states and D.C. to track and prevent overdoses. The top 5 states on the list of highest rates of overdose death will receive funding, which includes:

  1. West Virginia

  2. New Hampshire

  3. Kentucky

  4. Ohio

  5. Rhode Island

-as well as-

  1. Delaware

  2. Florida

  3. Maine

  4. Washington, D.C.

How is CDC Fighting Opioids?

Not only is the OPiS program a big portion of the plan to fight opioids from the DHHS, but there are 4 other key components to these efforts.

  1. Naloxone expansion programs

  2. Improving public health data related to opioid crisis

  3. Advancing practices for pain management

  4. Greater research and support on addiction and pain

DHHS Secretary Tom Price states that the funding expansion was made possible through legislation signed by the Trump administration earlier this year. He insists it is an important part of committing help to states combating opioid addiction and overdose.

Many are hopeful that this will be the beginning of a trend for allocating funds toward more resources for CDC fighting opioids and the damage they cause across America. Advocates are still hopeful to receive more support, but for now there is at least some hope that something is being done. As far as each individual, recovery begins with taking advantage of any opportunity in front of you to do better. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.

CALL NOW 1-800-951-6135

Delray Beach Suing Big Pharma Opioid Manufacturers

Delray Beach Suing Big Pharma Opioid Manufacturers

Author: Justin Mckibben

Big Pharma has been called out several times in the past couple years for pricing, aggressive marketing and misrepresenting their products. Big Pharma companies have also been called to court a few times for the contribution prescription opioid drugs have made on the opioid epidemic that has damaged the country. The financial and emotional toll of the opioid epidemic has hit hard in several states. South Florida is no exception. Delray Beach has experienced their fair share of strain from the opioid problem, especially when it had been an epicenter of the huge illegal pill mill problem.

Now community leaders in Delray Beach are seeking restitution from the Big Pharma empires, making it the first city in Florida to take this shot at holding Big Pharma accountable.

The Big Suit

That’s why the Delray Beach commission Tuesday decided to sue drug makers for the part they played in the heroin crisis. The city has enlisted the national law firm of Robbins Geller Rudman & Dowd from their office based in Boca Raton. So far the suit has set its sights on at least 8 major drug makers and distributors. Two of these have already seen similar cases; Purdue Pharma and McKesson Corp.

Mayor of Delray Beach, Cary Clickstein, has stated:

“With virtually no help from our federal government and little from our state … cities like ours are now frantically searching for answers for our own population,”

“We’re right for turning our eyes to those who are known conspirators in this ongoing atrocity.”

According to the law firm representing Delray Beach, the Big Pharma companies being pursued are responsible for:

  • Downplaying the addictive nature of opioids
  • Forcing the burden of dealing with the resultant overdoses on state, county and city governments

One of the more impressive features of this case is that the lawsuit won’t cost the city of Delray Beach. The expenses will be covered by Robbins Geller. However, the case supposedly has the potential to garner millions in damages for the parties pressing the matter.

According to a partner of the law firm, who compared the Big Pharma tactics to the now infamous tactics of Big Tobacco,

“They went out and said that opioids are less than 1 percent addictive. That is obviously not true.”

The Mayor and the law firm seem hopeful, while other states have been laying the groundwork for these powerful fights.

States VS Big Pharma

Back in 2015, two counties in California sought damages against 5 Big Pharma companies for the same reasons, and in no time at all the case had been dismissed. However, recently one of these drug company agreed to pay 1.6 million for substance abuse treatment to settle the lawsuit. 4 others remain as defendants in this ongoing battle.

In 2014, Chicago’s Mayor Rahm Emanuel took a similar stance, but in 2015 the case was also dismissed. However, the court did state in one of these cases:

“The Purdue entities made misstatements about opioids on their own websites with the intention that Chicago doctors and consumers rely on those misrepresentations are sufficient to state claims against the Purdue entities for violations…”

And while U.S. District Judge Jorge L. Alonso dismissed many of the complaints, the battle over whether these companies deliberately misrepresented the drug benefits and risks continues.

Even recently Ohio Attorney General Mike DeWine announced the state is suing 5 pharmaceutical companies, including:

  • Purdue Pharma
  • Endo Health Solutions
  • Teva Pharmaceutical Industries and subsidiary Cephalon
  • Johnson & Johnson and subsidiary Janssen Pharmaceuticals
  • Allergan, formerly known as Actavis

There are numerous other suits that have been filed against Big Pharma companies.

  • Mississippi
  • Four counties in New York
  • The Cherokee Nationfiled a lawsuit against distributors and pharmacies in tribal court over the opioid epidemic.
  • The city of Everett, Washington

While some of these suits may go over better than others, the fact is Big Pharma is under some serious scrutiny.

Delray Beach Making a Case

The Delray Beach lawsuit will seek damages based on the claims that drug makers and distributors violated laws of:

  • State consumer protection
  • Public nuisance
  • Negligence
  • Unjust enrichment

According to city officials, every overdose in Delray Beach costs the city about $2,000 in manpower and lifesaving materials. With 690 overdoses last year, that puts the bill around $1,380,000. The only problem is finding a way to prove that pharmaceutical companies can be linked to these overdoses. While many, if not all, of those overdoses were heroin-related, the city may still have grounds to go after opioid drug makers in Big Pharma because these dangerous drugs are considered an underlying problem in the opioid epidemic.

Between 72 and 82 opioid prescriptions are written for every 100 people in Florida, the law firm reports.

While the law firm anticipates other governing bodies will join as plaintiffs, Delray Beach leaders insist they will not wait for other plaintiffs to join the lawsuit. At this point there is not telling how long the lawsuit will last.

There should definitely be accountability for the damage that has been done thanks to the misrepresentation of drug risks and benefits. The misguided and underestimated use of powerful opioids has destroyed countless lives over the years. But beyond holding Big Pharma accountable, there should also be some effort put forth by the state and community officials to promote safe and effective addiction treatment. Innovative and holistic recovery programs can make a huge impact. If you or someone you love is struggling, please call toll-free now.

CALL NOW 1-800-951-6135

Is Narcan in Schools a Good Idea for Palm Beach County?

Is Narcan in Schools a Good Idea for Palm Beach County?

Author: Justin Mckibben

Narcan, or the generic version Naloxone, is the opioid overdose antidote that we have heard so much about in recent years. The opioid epidemic has left us no choice but to talk about it. While opioid addiction spreads, the overdose death rates skyrocket and community leaders all over the country are trying to find ways to expand access to Narcan and Naloxone. Now some advocates in South Florida, and specifically in Palm Beach County, are pushing for discussion on having Narcan in schools.

This isn’t a brand new concept, and it obviously doesn’t come out of the blue. There is a steadily growing number of kids prescribed legal pain killers, especially after the FDA ruled to allow OxyContin to be prescribed to children 11 years old and up back in 2015.

So with the conversation trying to get off the ground, we might want to take a serious look at the benefits of such resources. This is not the first time the question has been raised about utilizing the overdose antidote in schools, so is it a good idea or not?

Examples of Narcan in School

There are already several states across the country that use Naloxone and Narcan in schools. State programs are set up differently, with some requiring the medication and others leaving it to individual school districts to set their own requirements. Just a few examples of states with Narcan in the classroom include:

  • Ohio

January of this year Ohio Governor Kasich signed a bill making it possible to have Narcan in schools and homeless shelters. Just this week there was a 5 to 1 vote in Akron, Ohio by the Akron Public Schools Board of Education that passed a motion for police officers who work in the district’s middle schools and high schools to be equipped with Narcan in district buildings.

  • West Virginia

A law passed during the legislative session allows West Virginia schools to stock opioid antagonists, such as Narcan and Naloxone, for drug overdoses.

  • New York

The state of New York has a program set up to provide Narcan in schools for free. So far 64 districts are participating in the narcan expansion program.

  • Pennsylvania

In 2016 there were 268 schools in the Pennsylvania Public High Schools system approved for Narcan intranasal kits from Adapt Pharma for free.

  • Illinois

Also back in 2016, the Illinois General Assembly voted to override the Governor’s veto of a bill to allow Narcan in schools so nurses have access. The Illinois legislation specifically authorizes school nurses to administer the drug to anyone they believe may be suffering an opioid overdose.

  • Rhode Island

Every middle school, junior high and high school is required to have a stock of naloxone on the premises.

The kicker is there are currently no programs for Narcan in Florida schools.

Palm Beach County Debate

Of course with programs like these we will always see some standing against it saying it promotes, or at least enables, illicit drug use by students. However, there are plenty of others who have stood on the fron lines and seen how opioid addiction can stem from legal and innocent beginnings. Maureen Kielian is one advocate who spoke up about the possibility of Narcan in schools recently, stating:

“My son became addicted to legally prescribed opioids,”

South Florida Recovery Advocates is a group actively advocating for schools to have Narcan, and Maureen has joined the fight to make a difference for kids like her son. Kielian states,

“We are on it. We just need cooperation from our leaders to save lives,”

Palm Beach County Commissioner Hal Valeche plans to meet with local law enforcement officials and school leaders to try and pursue a future Narcan program for the South Florida schools. He acknowledges that the biggest hurdle may be funding, but Valeche insists that saving lives is more important. He and other advocates understand the cost is nowhere near the value of a life.

While schools try to get their hands on an antidote that might save the lives of their students, people everywhere are still fighting for their lives. Don’t wait for an overdose to get help. Make the choice now. If you or someone you love is struggling with substance abuse or addiction, please call toll-free.

CALL NOW 1-800-951-6135

Sheriff in Ohio Refusing to Use Narcan to Prevent Overdose Deaths

Sheriff in Ohio Refusing to Use Narcan to Prevent Overdose Deaths

Author: Justin Mckibben

Ohio has been a major epicenter of the overdose outbreak. In 2014, Ohio was #2 of states with the most overdose deaths.  Since then, Ohio has topped the list for heroin overdose deaths in the country, and remains in the top 3 states with the highest overdose death rates, both overall AND per capita. In fact, the overdose capitol of America is actually Montgomery County, Ohio, with over 365 opioid-related deaths in the first 5 months of 2017.

So with Ohio being one of the states hit the hardest by the ravishes of the opioid epidemic and the overdose crisis, you would think that Ohio officials would be more apt to adopting progressive and preventative measures for saving lives. In some areas, yes. However, in others… not so much.

Butler County Sheriff Richard K. Jones says his deputies won’t carry Narcan, despite its effectiveness reversing the effects opioid and heroin overdoses.

Butler County Overdose Deaths

Making this a much more controversial issue, drug overdose is killing more people than any other cause in Butler County. According to a statement by Dr. Lisa Mannix’s office, in the first 4 months of 2017 the coroner investigated 175 deaths, and 96 of them were lethal drug overdoses.

The month of April was especially deadly for drug users in the area. According to Mannix, her office-

“- has never seen that many deaths of any kind in a single month.”

In just those 30 days, 30 people died from drug overdose. According to the coroner’s office, 83% of the overdose deaths involved illegal opiate substances. This includes the now infamous synthetic opioids such as:

If this deadly trend continues, the coroners office expects those rates will see a 50% increase from the total overdose deaths in 2016.

The Sheriff Says “I Don’t Do Narcan”

He’s Jones just happens to be the only sheriff in Southwest Ohio whose department does not use the opioid overdose antidote Narcan, or the generic Naloxone. And apparently, he has no intention of starting anytime soon.

Jones was asked about the lack of Narcan use by his police department shortly after the now controversial comments made by a Middletown city councilman suggesting a policy to refuse giving a response to overdose calls. According to the sheriff, local residents and even social workers often ask him why law enforcement continue to revive people who overdose multiple times. His response was simple; his deputies don’t. When interviewed and asked about it, Jones stated:

“I don’t do Narcan.”

Yes… let that just sink in for a second.

This is a man who has the job description of ‘protect and serve’ but when it comes to addicts, he would prefer to do neither.

So what was his justification?

Jones went on to rationalize his opinion by, according to the original report, ‘talking about babies he has seen born addicted to heroin in his jail and mothers who teach their teenage children how to use heroin so they can shoot the mom up.’ When the reporter pressed on about the lack of Narcan in his department, Jones stated:

“They never carried it. Nor will they. That’s my stance.”

The sheriff went on trying to validate his rationale by claiming safety was the primary priority. He argued that people revived from an overdose are often violent and are almost never happy to see the police.

So in short, it sounds like this sheriff would let sick and suffering men and women, even teens, die from overdose rather than save their lives… because they might be upset or aggressive?

What Do You Do?

As expanded access programs to provide Narcan to first responders have become more popular it seems some have gone on to debate how long should tax payer money do to saving lives, and how many times should someone be revived.

This is a tough conversation to have. For some there is no easy answer. Those who are more focus on being monetarily minded and conservative will typically argue that resources should not go to repeatedly paying to save addicts from death. But is it fair for anyone to decide whether someone should die or not simply because they are addicted to drugs? Are we really willing to let people die to boost the government’s budget?

However, for some of us the answer is easy- you cannot put a price on a life. Struggling with substance use disorder does not diminish the value of a person. It should go without saying that if the resources exist to prevent death from overdose, than we should use it. Narcan may not be the cure to addiction, but it might keep just enough people alive long enough to find help and make a difference in the world.

Thankfully, this isn’t how all of Ohio is handling the opioid overdose outbreak in their state. Sheriff’s deputies in surrounding counties carry the opioid overdose antidote, including:

  • Warren County
  • Clermont County
  • Hamilton County

Other expanded access programs in Ohio are going strong and saving a lot of people, but of course the next step to solving the issue is helping to establish sources of effective treatment.

Drug addiction treatment can be the decisive variable that allows for these overdose victims and others suffering with substance use disorder to get a new chance at life. Holistic healing with innovative and personalized recovery programs has the potential not to just save a life, but transform lives. If you or someone you love is struggling, please call toll-free now.

CALL NOW 1-800-951-6135

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