patching...
Welcome back, Patch Blogger!

Sen. Clark: Combating Prescription Drug Abuse

State Senator Katherine Clark (D-Melrose) writes about what the legislature is doing to prevent prescription drug abuse in Massachusetts.

 

[The following was submitted by State Senator Katherine Clark.]

The abuse of prescription painkillers has reached alarmingly high levels in our state, and this month the State Senate acted to mandate strict oversight of these powerfully addictive drugs. 

We all are too familiar with the heartbreaking stories of opiate addiction, and we have seen the tremendous toll that drug abuse takes on too many families in our communities.  And unfortunately, the problem is getting more severe.  A 2009 report by the OxyContin and Heroin Commission found that Massachusetts has one of the highest rates of opiate abuse in the nation, causing 3,265 deaths from 2002 to 2007 and 23,369 hospitalizations in 2006 alone.  Opioid-related deaths are now the leading cause of accidental death in Massachusetts, surpassing motor vehicle accidents.  Sadly, our young people are being hit the hardest: half of all heroin and opiate-related detox admissions in Massachusetts are for patients under the age of 30.

Nationally, the U.S. Drug Enforcement Agency (DEA) reports that Vicodin is the second-most abused drug by high school seniors, behind marijuana.  And according to the Centers for Disease Control, more people are overdosing on prescription painkillers than on cocaine and heroin combined.  Data also show that the number of people dying from overdoses has increased proportionately to the growth in the amount of prescription painkillers sold annually. 

We must combat this problem from many angles, and the legislation passed by the Senate includes measures to: promote prevention and increase public awareness; reduce the supply of pills available for diversion; crack down on fraudulent prescriptions; make it tougher for addicts and dealers to “doctor shop;” and increase access to information, treatment and substance abuse services.

Importantly, this bill would increase drug security by making enrollment in the state’s Prescription Monitoring Program mandatory.  The top 30 percent of prescribers, who provide 90 percent of all controlled substances, are required to enroll immediately.  All others would be phased-in over three years.  The bill also requires pharmacies, drug manufacturers and others to notify local police when reporting a theft or loss of a controlled substance, in addition to notifying the DEA as currently required.  

Information on addiction risks, signs of dependency, treatment options and safe storage of drugs will be developed by the Department of Public Health and distributed by pharmacies.   The legislation also mandates security improvements to the forms that health professionals use to prescribe controlled substances.  And doctors and hospitals will be required to notify a parent or guardian of any minor treated for drug overdose and provide counseling and information prior to discharge. 

I’m proud of the work the Senate has done, but I know we all have even more work to do to confront this dangerous trend.  If we don’t push forward, the results and the costs will be devastating not only to our healthcare system and our criminal justice system, but especially to our communities and our families.

Related Topics: Katherine Clark, Sen. Clark, and Senator Clark

Nelly Nightwin

4:28 am on Sunday, February 19, 2012

I was a drug addict too! But now i have a new life, thanks to some tips that me and my friend realised everyone can do to start a new life and let the weed and other stuff behind. Just follow http://quitmarijuana.nightwin.com and get a new life!

Reply

Chris J Carino

7:25 am on Sunday, February 19, 2012

Does the bill provide a Doctor Shopping tracking system so that patients can not get multiple prescriptions at multiple pharmacies from multiple doctors?

I think that is what they are pushing down in FL where 90% of the pills in the country originate from.

Reply

Laurie Hunt

2:12 pm on Sunday, February 19, 2012

On the flip side all of this legislation makes it difficult, and more expensive, for some who take controlled substances on a regular basis. An example of this is medication for ADHD. Because of the current laws in Massachusetts these meds cannot be ordered via the mail in multiple month quantities. When a person orders their meds via mail order they only pay a one month co-pay for a three month supply. Because of Mass laws controlled substances can only be written out for one month at a time. For a medicine with a $50/month co-pay this results in an additional $400/year the patient has to pay.

Reply

Chris J Carino

6:54 pm on Sunday, February 19, 2012

Hi Laurie, I see your point.

However, there are things like Adderall which match your exact description but have a significant street value and are very addictive. Perhaps the solution lies more in working with the co-pay structure vs prescribing pills in bulk?

Patients these days should be going thru more personal interactions with care providers and once a month check ins seems like a good idea.

Although agreed, the fee structure needs some work.

Reply

Laurie Hunt

7:24 pm on Sunday, February 19, 2012

Adderall XR is a tier 3 drug - meaning it is the highest co-pay, whatever that amount may be for the persons insurance.

A monthly check in may sound reasonable but, truthfully, it is a lot to expect of the patient and the Doctor when you are talking about someone who may be taking the medicine for years - decades even.

For our family, who has had a need for the medicine for over three years now, will likely need it for many years to come and does not abuse it the monthly check-in is inconvenient and very expensive.

I would prefer a system that allows a Doctor/patient to "earn" the right to get a prescription for multiple months at a time possibly through a database. If a relationship with a Doctor and patient is established (a year perhaps?) it should be able to be trusted.

Reply

Chris J Carino

7:53 pm on Sunday, February 19, 2012

http://www.youtube.com/watch?v=As6y5eI01XE

Trust but verify.

Maybe the check in is not with a doctor but I have a hard time prescribing at the 90 day level. It is just a lot of drugs to give someone given the flip side potential. I definitely understand the inconvenience, I do not know the solution but if the 90 day level is allowed then the people with fresh scripts become the addicts targets.

There are others out there like Suboxone which have instant street value. So while there is an inconvenience to the non-abusers, the impact on society as a whole needs to be considered. Can we risks having weakness in the system?

Reply

TK Lawson RPhT

8:28 pm on Tuesday, February 21, 2012

Ninety day Amts. are allowable for CII's Three separate scripts are written and the Pt is seen every 3 months. Most. Pharmacies will dispense # 90 Ct with a 1.10 co- pay for generic mixed amphetamine salts, No law Exists stopping a prescriber from giving 270 Ct at one Appt.

Reply

TK Lawson RPhT

9:09 pm on Tuesday, February 21, 2012

Inconvenience is a misnomer. If the patient is contiuining to ask for early refills,or the lab work isn't done, the patient is dishonored. The prescriber either trusts the compiiant patient , his abuse of controlled substances are clearly NOT evident, and he/she empirically knows the indications or is discharged. or signs a agreement. and abides.by it. Not all people misuse CII's , CIII's or CIV's It's insulting to many.

Reply

TK Lawson RPhT

11:23 pm on Tuesday, February 21, 2012

Hydrococonone bitartrate is the ONLY pain drug with any significant mild to moderately severe drug of good safety and efficattous ammaliaration in the schedule III catagory. Codeine is ineffective and CII's are extremely abusable for those without requisite self discipline and monitoring.

Reply

Cathy Bean

11:31 pm on Thursday, February 23, 2012

If anyone had to live my life for just one day would understand, we cannot label ALL people who take prescription drugs as addicts!!!! I have MS, no cure, no magical surgery; so that being said my doctor carefully monitors me including urine tests, and keeps my family doctor informed every step of the way. I would not be able to function without my medicine, it simply takes the edge off my pain so I can function, if you know anything about people who have legit chronic pain, the medication does not get you high it simply goes to the pain. every time someone in Hollywood dies due to their own carelessness all of us everyday people have to suffer and smack down on doctors who are simply trying to treat their patients , let’s face it people with money and living the Hollywood life will always have access to these drugs! how about have the DEA concentrate on street dealers and not punish legit patients, you can inform, have a national data base so hospitals and doctors can access to ensure they are not dealing with doctor and pharmacy shoppers, and have docs closely monitor their patients is fine but to just label all and take away what keeps their quality of life is NOT the answer! If this woman had to live this type of life then maybe she would understand, I would not wish this on my worst enemy! So let’s stop labeling all without knowing their situation, each case should be treated as an individual!!

Reply
Comment_arrow

Nadine Houston Dalo

7:34 pm on Monday, February 27, 2012

Hi Cathy-You sound like you need you medication and there is no crime with that! The labels are not fair - maybe diabetics are 'addicted" to their meds.....or anyone who needs to be on continuous medication. I have chronic pain but can't/won't take pain anything stronger than 2 advil (ibuprofen) as they make me sick (prescription drugs). There is a difference between being addicted and being an abuser. You don't have to defend yourself to anyone. Be well.

Nadine Houston Dalo

7:08 pm on Monday, February 27, 2012

Sen. Clark ...........question: Why does Massachusetts have such a high rate of opiate addicted young people under 30 and high school seniors? I think if you get to the root of that problem you won't need to do all the other things as you need to get to the root of the problem before it becomes an addiction. Taking away addicts' drugs will only raise the crime rate but getting to kids early through education about "prescription drugs" would be more cost effective and a far healthier way to go........Why not tackle issues before they become problems.........??..Very sad stats - tragic. How do these kids get the pills? What is going on with them they they need to self medicate - Why not be more proactive before kids and young people overdose? Why in this Country is drug abuse such a problem but in Countries where drugs have been legalized -no issues...no abuse of drugs?

Reply

Leave a comment