F**k you, Opioids

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The following is posted with permission from by Peter Kulbacki, Owner and Licensed Manager at Brunswick Memorial, Inc. What am I supposed to say when we get a call from someone telling me that a loved one has passed from an overdose? I’m sorry? Please accept my condolences? Yeah, that’s what I say, but you know what? My visceral response when I hang up the phone is F**K you opioids. Those who know me know I’m not prone to profanity, and as the consummate professional, I cannot say this to the parents, children, siblings, friends, and neighbors that we serve in the aftermath of opioid addiction. But I want to scream it out loud. F**K you heroin. I write this as a son, spouse, parent, brother, grandfather, neighbor, friend, and funeral director. Folks, we have a problem, a very real problem right here in our backyard, in every town. Every...
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DEA Takes Action Against Doctors for Prescribing Opioids to Patients who Overdose

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The Drug Enforcement Administration (DEA) is taking action against an increasing number of doctors for prescribing opioids to patients who overdose, according to CNN . The DEA took action against 479 doctors in 2016, compared with 88 doctors in 2011. Most people who misuse prescription opioids get them for free from a friend or relative, according to the Centers for Disease Control and Prevention (CDC). “Those who are at highest risk of overdose (using prescription opioids nonmedically 200 or more days a year) get them in ways that are different from those who use them less frequently,” the CDC notes on its website. Among those at highest risk of overdose, 27 percent get opioids using their own prescriptions. A study published last year in the Annals of Internal Medicine found 91 percent of people who survived an opioid overdose were able to get another prescription for opioids.
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Amount of Opioids Prescribed Declined from 2010-2015, But Remains High

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There was an overall decline in the amount of opioids prescribed in the United States between 2010 and 2015, but the quantity of prescriptions is still extremely high, according to a new government report. The Centers for Disease Control and Prevention (CDC) reported that the amount of opioids prescribed was three times higher in 2015 than in 1999, The New York Times reports. The amount of opioids prescribed varies county by county, the CDC found. Half of U.S. counties have seen a decrease in the amount of opioids prescribed from 2010 to 2015. The highest prescribing counties still dispense six times more opioids than the lowest prescribing counties. Far more opioids are prescribed per capita in parts of Maine, Nevada and Tennessee than in most of Iowa, Minnesota and Texas.
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Some Patients Taking Opioids for Post-Operative Pain at Risk for Long-Term Addiction

Some Patients Taking Opioids for Post-Operative Pain at Risk for Long-Term Addiction
Some patients prescribed opioids for pain relief after surgery may face a high risk for developing a long-term addiction to the medicine, a new study concludes. The study included more than 36,000 surgery patients, who were followed for six months. None had taken opioids before their surgery. The researchers found 5 to 6 percent of patients continued to fill prescriptions for opioids long after what would be considered normal surgical recovery, HealthDay reports. Rates of new chronic use did not differ between patients who had major or minor surgery, the researchers wrote in JAMA Surgery . This suggests patients continue to use these medications for something other than treating pain from surgery, they said. Risk of long-term opioid use was highest among smokers, patients who had struggled with alcohol and/or drug use in the past, those previously diagnosed with depression or anxiety, and those who had a history of chronic...
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Opioid Prescription Duration Predict Chronic Use, Study Says

Opioid Prescription Duration Predict Chronic Use, Study Says
The duration of a prescription may give clues into how long a person ends up using a narcotic painkiller, a new study finds. The study in the Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report finds that when you use a narcotic painkiller for just one day, you have only a 6 percent chance of still using that drug a year later. But when that prescription is for eight or more days, your likelihood of using the drug a year later jumps to 13.5 percent. And although just less than 7 percent of all prescriptions exceed a month's dosage, using for 31 days or more increases your chances of long-term opioid use to 29.9 percent. “The initial prescription a clinician writes has a pretty profound impact on a person’s [likelihood] for being a long-term opioid user,” said Bradley Martin, co-author of the study and head of the...
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Trump Administration Will Face Hurdles in Reducing Opioid Overdose Deaths

Trump Administration Will Face Hurdles in Reducing Opioid Overdose Deaths
President-Elect Donald Trump, who has pledged to solve the nation’s opioid crisis, faces significant hurdles in achieving that campaign promise, according to The Wall Street Journal. Much of the work of preventing drug overdose deaths is done at the local level, the article notes. Newer and deadlier versions of opioids are continually appearing. In addition, complex regulatory changes are often needed to rework federal drug policies. Trump has vowed to dismantle parts of the Affordable Care Act, which requires millions of subsidized health plans to cover treatment for substance use and mental health disorders. He has vowed to prosecute illegal drug traffickers more aggressively, and to close shipping loopholes that he says allow the Chinese to mail synthetic fentanyl into the country. He also called for reducing the amounts of legal prescription opioids that can be manufactured and sold in the United States, and increasing access to naloxone for first...
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Study: Opioids Appear to Blunt Natural Parenting Instincts

Study: Opioids Appear to Blunt Natural Parenting Instincts
A new study suggests opioids may blunt natural parenting instincts. The findings may help explain why some parents who are addicted to opioids put their children at risk, The New York Times reports. The researchers scanned the brains of 47 adults before and after they underwent treatment for opioid dependence. While their brains were being scanned, participants looked at pictures of babies. Their brain scans were compared with those of 25 healthy people who looked at baby photos. Some of the photos were manipulated to make the babies seem more appealing, with round faces and big eyes, while others were made to look less appealing, with smaller cheeks and eyes. The brains of people with opioid dependence did not produce as strong a response to the cute baby pictures as the brains of healthy people. When the people dependent on opioids were given naltrexone—a drug that blocks the effects of...
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New Hampshire City Opens Fire Stations to People Addicted to Opioids

New Hampshire City Opens Fire Stations to People Addicted to Opioids
Manchester, New Hampshire has opened the doors of its fire stations to people addicted to opioids, in an effort to address its community’s opioid crisis. The city of 110,000 people began its “Safe Station” program in May. Since then about 370 people have shown up at fire stations, The Wall Street Journal reports. A person walking into a fire station is checked for medical problems that might require a ride to the hospital. The person is then connected to a nearby nonprofit. Some end up in a recovery center or outpatient program, while others take information and return on another day. At least 70 percent of people who have sought help in fire stations have gone into treatment, according to Christopher Hickey, the fire department EMS officer who created the program.
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Medical Services for People Dependent on Opioids Rose 3,000% in Seven Years

Medical Services for People Dependent on Opioids Rose 3,000% in Seven Years
A new study finds medical services for people dependent on opioids rose more than 3,000 percent between 2007 and 2014, according to Kaiser Health News . The study is one of the first to analyze data from privately insured patients who are dependent on opioids. It was conducted by Fair Health, a nonprofit databank corporation focused on health care costs and insurance. Researchers used data from 150 million patients. A diagnosis of opioid dependence often leads to office visits, lab tests and related treatments, the study found. Patients with an opioid dependency diagnosis used these services 217,000 times in 2007, and 7 million times in 2014
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Street Drug Combining Fentanyl and New Synthetic Opioid Poses Danger

Street Drug Combining Fentanyl and New Synthetic Opioid Poses Danger
A street drug that combines fentanyl and a new synthetic opioid is being sold illegally as the prescription painkiller Norco, according to a new report. Researchers caution that the street version is much stronger and more hazardous than the real medication. The illegal version of Norco looks very similar to brand-name Norco, according to Dr. Patil Armenian of the University of California, San Francisco. She reported the case of a woman who took the illegal version of Norco in the Annals of Emergency Medicine. Legal Norco contains acetaminophen and hydrocodone, HealthDay reports. The illegal version has led to an unexpected cluster of fentanyl deaths in California this spring, Armenian said.
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