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Author: Justin Mckibben
You may remember back in early 2016 the pharmacy organization Walgreens announced two programs to address key issues in the opioid crisis.
- Safe medical disposal kiosks for unused prescription drugs
- Narcan expansion programs
By the end of 2016, Walgreens had expanded access to the opioid overdose antidote without the requirement of a prescription to 33 states and the District of Columbia. The Narcan opioid overdose antidote, also known by the generic name Naloxone, is a nasal spray that is utilized all over the country as a means to revive someone experiencing an opioid overdose.
Now, this life-saving compound is becoming even more accessible, as Walgreens is announcing the Narcan opioid overdose antidote will now be available at all of its over 8,000 pharmacy locations!
Pharmacies Stepping Up to the State of Emergency
This new move to combat the opioid epidemic comes at a crucial time. The epidemic continues to claim lives every day, with recovery advocates and government officials rallying for more resources to fight the problem.
Today, Thursday, October 26, 2017, the nation is expecting President Donald Trump to officially declare the opioid crisis a public health emergency at a scheduled White House event.
According to Rick Gates, Vice President of Walgreens,
“By stocking Narcan in all our pharmacies, we are making it easier for families and caregivers to help their loved ones by having it on hand in case it is needed.”
The company offers Narcan opioid overdose antidote without a prescription in 45 states and is willing to work with the remaining states to make to include them.
Of course, the fight for more availability of Narcan and Naloxone has been going on for some time. However, it seems as the country is calling for more sweeping action from government officials; pharmacies are taking it as a call to action themselves. Rick Gates went on to say,
“As a pharmacy, we are committed to making Narcan more accessible in the communities we serve.”
Walgreens also says it will inform customers about the Narcan opioid overdose antidote if they receive drugs with more than 50 morphine milligram equivalents (MME). This is actually a recommendation from the CDC.
It isn’t just Walgreens either. CVS pharmacy has expanded access to Narcan and other products that contain naloxone. CVS reportedly has been offering prescription-free naloxone in up to 43 states as of last month. CVS pharmacies have said that its locations “in most communities have naloxone on hand and can dispense it the same day or ordered for the next business day.”
Big Pharma’s Role
Big Pharma wholesaler AmerisourceBergen is also helping in these efforts. AmerisourceBergen is now distributing Narcan demo devices at no cost to Walgreens pharmacists. These demo devices will help with instructing patients on how to administer the medication safely and effectively.
Robert Mauch, Executive Vice President & Group President, Pharmaceutical Distribution & Strategic Global Sourcing for AmerisourceBergen, states,
“At AmerisourceBergen, we strive to provide our customers the highest quality care and support so they can ultimately enhance the lives of patients in their communities,”
“We recognize the important role we play in addressing the opioid epidemic, and our collaboration with Walgreens is another key milestone to supply our customers with access to lifesaving initiatives and emergency medications that can help keep individuals safe across the country.”
Ironically, AmerisourceBergen just so happens to be one of the three largest drug distributors that were mentioned in the recent 60 Minutes interview with ex-DEA agent Joe Rannazzisi. In the segment that has since caused a major uproar, Rabbazzisi said companies including AmerisourceBergen controlled probably 85%- 90% of drugs that went “downstream” and ended up on the streets.
This might not be what Mauch meant by “recognize the important role we play”, but at least it seems like AmerisourceBergen is taking steps to become part of a solution.
Meanwhile, Adapt Pharma, the manufacturer of Narcan Nasal Spray, celebrates this action by Walgreens to expand naloxone and Narcan access. Seamus Mulligan, CEO at Adapt Pharma states,
“This action is an important milestone and we applaud Walgreens initiatives to improve access to Narcan Nasal Spray in communities across the U.S.,”
“This effort, combined with the opportunity for patients and caregivers to obtain Narcan Nasal Spray without an individual prescription in 45 states, is critical in combating this crisis.”
America is working hard to find the right path on the road to recovery from the devastating opioid crisis. It is crucial that we make every possible resource available to help save lives. With opioid overdose killing an estimated 91 people every day, the need for this life-saving medication could not be more evident.
Beyond reversing the effects of an overdose, there is more we need to do. While having access to Narcan and naloxone can help tremendously, we also need to promote recovery and addiction treatment resources. Preservation of life is important, but giving people the help they need to live a happier and healthier life should also be a priority in the fight to overcome the opioid crisis. Palm Partners Recovery Center believes in actively providing the best in innovative and holistic treatment opportunities, to help transform lives. If you or someone you love is struggling with substance abuse or addiction, we want to help. Please call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
The Global Commission on Drug Policy (GCDP) is an international institution of global leaders and intellectuals working to help study and inform initiatives on addressing drug use all around the world. This think tank offers recommendations concerning drug use and its consequences for societies across the globe.
The GCDP consists of members from various nations, including but not limited to:
- The United States of America
- The United Kingdom
Former U.S. President Jimmy Carter wrote an op-ed in The New York Times explicitly endorsing the recommendations of the Global Commission on Drug Policy, and the group has released various reports over the years focusing on the efforts to curb the spread of drug abuse.
Recently the GCDP released a position report on the North American opioid epidemic. In this report, the commission issues recommendations that appear to endorse the expansion of harm reduction techniques to battle the ongoing crisis.
The Turning Point for America
According to the GCDP’s new report, North America is at a turning point in the way that drug addiction is viewed. This is not too much of a surprise, considering now more than ever there has been a push for a more compassionate perspective on drug use and addiction. America now finds itself in a unique position where the stigma that has so long been attached to addiction is starting to be abandoned, and more progressive action is being taken.
Now the Global Commission on Drug Policy believes national policymakers should take advantage of this unique opportunity to reduce opioid-related deaths through harm reduction. In the report the authors state:
“While in recent years media and politicians have been more open to viewing addiction as a public health problem, leadership is needed to turn this into an urgent and commensurate response to the crisis,”
One way that the Global Commission on Drug Policy ideals clashes with that of the Trump administration, currently steering drug policy in America is that the GCDP does not endorse the old policies of the War on Drugs.
GCDP vs War on Drugs
Back in June of 2011, the GCDP stated:
“The global war on drugs has failed, with devastating consequences for individuals and societies around the world.”
Again, this recent report echoes that sentiment, saying that attempting to cut off the opioid supply is not the answer. The new report notes how this approach has been tried before, as the first reactions to the opioid epidemic were to limit prescriptions and to introduce pills that were harder to manipulate.
The report goes on to note that this response drove people to use cheaper and often much more potent street drugs instead of prescription pills. Fentanyl is one of the worst synthetic opioids to contribute to the outbreak of overdoses and deaths across the country.
The Global Commission on Drug Policy says cutting off the supply of opioids into the country cannot be effectively executed until after supportive measures are put in place. This means supporting not only both people battling addiction but also people with chronic pain. The report insists:
“The aim is to achieve the right balance in regulation to provide effective and adequate pain care, while minimizing opportunities for misuse of these medications.”
To reduce the harmful impacts of opioids, the commission calling for the acceptance and implementation of harm reduction strategies.
The Global Commission on Drug Policy Suggests Harm Reduction
So if they are saying that the War on Drugs did not work, and neither will bulking up borders, then what will?
Well, according to the GCDP, harm reduction is the right move. The new report calls on American lawmakers to promote programs like:
Naloxone Distribution and Training
As the opioid overdose antidote, Naloxone is an invaluable tool to have in the fight against the opioid epidemic in America, but the price for the drug continued to skyrocket as the epidemic got worse. Making it more available could give access to and train people with life-saving medication to thousands or even millions more.
Safe locations where IV drug users can trade old, contaminated needles for new, sterile needles to help prevent the spread of blood-borne illness like HIV.
Facilities where drug users can go to use their drugs with sterile equipment safely, reducing the number of overdose deaths by providing a place free of punishment for them to use with medical emergency resources on site.
These kinds of programs would allow for users to check their drugs for the presence of any unknown substances it may have been diluted with. For example, most fentanyl users do not know they are using fentanyl.
Decriminalizing Drugs in America
In another aspect of the report, GCDP also makes a much more revolutionary and more radical suggestion that many may consider qualifying as harm reduction: decriminalization.
The report states:
“The Global Commission on Drug Policy also calls for the elimination of illicit drug markets by carefully regulating different drugs according to their potential harms. The most effective way to reduce the extensive harms of the global drug prohibition regime and advance the goals of public health and safety is to get drugs under control through responsible legal regulation.”
With this philosophy in mind, the GCDP made two more drastic recommendations:
- End the criminalization and incarceration of people who use drugs nation-wide in Canada and the United States.
- Allow and promote pilot projects for the responsible legal regulation of currently illicit drugs including opioids.
The idea is that by decriminalizing drugs, they can bypass criminal organizations and ultimately replace the current black market.
“Do not pursue such offenses so that people in need of health and social services can access them freely, easily, and without fear of legal coercion,”
We have begun to see a watered-down variation of this kind of strategy with many Police Assisted Addiction and Recovery Initiative (PAARI) programs, where law enforcement is helping addicts get into treatment instead of arresting them when they ask for help.
Better Treatment Research
The report insists that more research is necessary in a few critical areas in order the effectively address the opioid crisis and the overall drug problem in America.
One of the key points of research the GCDP proposes is for finding the most effective treatments for addiction, specifically to prescription opioids. In addition, the report shows support for medication-assisted treatment (MAT) and opioid substitution therapy (OST) as a means to preserve life to assist in the recovery process. While these programs are met with some of the same contentions as safe injection sites or decriminalization, the commission seems adamant about using harm reduction to keep people alive long enough to get better.
Michel Kazatchkine, a doctor and commission member, said in a recent interview:
“Repression is harmful. Wherever repressive policies are in place, people will not be in the best condition to access services.”
While he and other commission members are in no way naïve to the fact there is no way decriminalization will happen at the federal level soon in the U.S., they remain hopeful that states or cities will make decisions which don’t require federal approval, or for which they are willing to enter to fight with the federal process.
Overall, the hope of the GCDP is that these suggestions, coming from a group of world leaders fully invested in understanding the issue, will convince American and Canadian lawmakers to take a progressive approach to the crisis.
What could some of these changes mean for those trying to recover from opioid abuse? How could some of these ideas change the way addiction treatment operates within America?
One thing is for certain, in fighting opioid addiction, whether as a society, as a family or as an individual, there needs to be compassion and action. It takes courage and it takes a degree of uncertainty. But with the right resources, there is hope for a greater future. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
CALL NOW 1-800-951-6135
One of the very real difficulties many families face today is trying to overcome issues with substance use and addiction. With opioid overdose resulting in the deaths of over 33,000 people in 2015, a rate of death that has consistently risen in the past several years, the opioid crisis is a very relevant concern. This issue does not only impact those abusing drugs but drastically impacts their families and loved ones.
Watching someone struggle with substance abuse or dependence can be a devastating experience. When it comes to those we are closest to, it only amplifies the turmoil. It is so hard to know how to be there for someone who is struggling without doing something that could be counter-productive to making their life better.
So can you protect your loved ones in the opioid epidemic? Yes. But how?
What are the things that families members and friends need to focus on in order to keep their loved ones safe?
Understand Proper Pain Management
According to the CDC, approximately 20% of patients who visit their doctors for pain receive an opioid prescription.
Another article on Addictions.com talks about how opioid addictions often begin at home. Some people may still assume that drug addiction begins on the illicit market, but what we have seen more and more over the years is that the opioid epidemic has largely been fueled by prescription drugs.
Many people who struggle with opioid addiction began by using opioid-based painkillers due to a doctor’s prescription. These kinds of medication are not all that strange when dealing with pain management. Powerful prescription opioids are used for:
A lot of times these medications are prescribed for short-term use to try and reduce the risk of dependence after extended use. However, even with short-term prescriptions, these potent opioids can develop a physical dependence with uncomfortable or even painful withdrawal symptoms.
Overprescribing has also become an element in the opioid epidemic spreading through prescription drugs. Having an abundance of people prescribed to opioids also adds to the risk of more abuse.
By understanding these risks, people can better protect themselves and each other from developing a serious dependence. If you are aware of what can happen with opioids, even if legitimately prescribed, you can watch for signs and take action to prevent further risk.
Monitor Your Medicine Cabinet
According to a SAMHSA study from 2015, more than 50% of people addicted to painkillers receive the drugs from family members or friends.
Not only are those who receive opioids for medical reasons at some risk of accidentally developing a dependence, those who live with them can also be at risk of abusing opioids and becoming addicted. The overprescribing of opioids has also created stockpiles of opioids in thousands of homes all over the country. Left-over medications are also making a contribution to high rates of opioid misuse.
Some people who receive an opioid prescription may not actually use the entire prescription, but frequently they hold onto the excess supply of their medications. This is often innocent enough, as people will sometimes want to have something on-hand in case of unexpected pain down the road. Sometimes they might even offer these medications to others in an attempt to help manage a friend or loved one’s pain. However, even with the best intentions, this can be very dangerous.
Not only can giving someone a powerful opioid they are not prescribed be dangerous, simply having this kind of drug lying around is dangerous. Your medicine cabinet can be easily accessed by others within your household.
If you want to protect your loved ones in the opioid epidemic, make sure that you keep opioid medications under restricted access in your home. Do not play doctor and offer these kinds of drugs to your friends or family.
Also, make sure you properly dispose of any unused medications. You can take excess opioid drugs to a drug drop-off. Find nearby locations, which are often at pharmacies or law enforcement agencies.
Look for Signs of Dependence
Dependence and addiction are two terms that are relatively similar, but not exactly interchangeable.
Opioid dependence refers to how the body builds a tolerance to opioids over time. This process leads to the individual needing increasingly high doses of the drug to receive the same effect. Where addiction is more psychological, dependence is primarily a physical response.
Opioid users become physically dependent on the drugs when they require certain doses to feel and function “normally,” while also trying to avoid cravings and withdrawal symptoms. All of these effects can contribute to the development of a more serious addiction. Some physical signs to watch for include:
- Constricted pupils
- Reparatory depression
- Loss of consciousness/Nodding off
Withdrawal signs can also indicate dependence, including minor symptoms such as:
Understanding the signs or addiction, including withdrawal, can be a way to protect your loved ones in the opioid epidemic. If you can recognize the warning signs, you might be able to intervene before it is too late.
Seek Professional and Effective Help
Education is key to prevention, no matter what the situation or circumstances. Whatever the adversity, arming yourself with information makes you more effective. At the same time, seeking help from those with knowledge and experience with treating addiction is invaluable. Having a safe and effective resource that knows how to help your loved one overcome an opioid dependence or addiction can make all the difference.
It can be overwhelming, and none of us can protect everyone. However, you can be part of the support system that works to keep your family, friends and loved ones safe.
If your loved one is already struggling with opioids, the best thing you can do to protect them is to get them the help they need. If you or someone you love is struggling, please call toll-free now. We want to help.
CALL NOW 1-800-951-6135
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:
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.
A law passed during the legislative session allows West Virginia schools to stock opioid antagonists, such as Narcan and Naloxone, for drug overdoses.
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.
In 2016 there were 268 schools in the Pennsylvania Public High Schools system approved for Narcan intranasal kits from Adapt Pharma for free.
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.
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
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