Prescription (Rx) Drug Misuse: What’s the Problem?. Larissa Mooney, M.D. Thomas E. Freese, Ph.D. What is Misuse?. Misuse = “ Non-medical use ” or any use that is outside of a medically prescribed regimen Examples can include: Taking for psychoactive “high” effects
Larissa Mooney, M.D.
Thomas E. Freese, Ph.D.
Misuse = “Non-medical use” or any use that is outside of a medically prescribed regimen
Examples can include:
Taking for psychoactive “high” effects
Taking in extreme doses
Using with alcohol or other illicit substances
Obtaining from non-medical sources
Classified in 3 classes
6.4 million aged 12+ used a Rx drug (non-medically) in the past year
Rates of Prescription Narcotic Abuse pharmaceuticals
Fatal Drug Poisoning pharmaceuticals
SPLENDID FOR pharmaceuticals
Wind, Colic, Griping in the Bowels, Diarrhea Cholera and Teething Troubles
Epidemiology of Rx and OTC Drug Misuse Among Youth pharmaceuticals
New Landscape of Drug Abuse among Teens pharmaceuticals
Nearly 1 in 10 12 pharmaceuticalsth Graders Abused Vicodin Last Year
High Rates in Non-medical Use of Oxy & Vicodin
Source: Monitoring the Future Study, 2004.
April 21, 2005. Partnership for a Drug Free America. 17th annual study of teen drug abuse. N= 7,300, error margin +/- 1.5%
Misuse of painkillers (no prescription) to get high:
California Student Survey 2006
SAMHSA, 2006; NIDA, 2005
An estimated pharmaceuticalsone in five older adults are negatively affected by combined difficulties with alcoholandRx medication abuse.
Simoni-Wastila et al, 2006
Larissa Mooney, M.D.
Assistant Professor of Psychiatry
UCLA Integrated Substance Abuse Programs
David Geffen School of Medicine at UCLA
SOURCE: National Institute on Drug Abuse, pharmaceuticalswww.nida.nih.gov.
Opiates and Reward pharmaceuticals
Stimulants (i.e., amphetamines) are often prescribed to treat individuals diagnosed with attention-deficit hyperactivity disorder (ADHD).
Substantial amounts of pharmaceutical amphetamines are diverted from medical use to non-prescription use.
Amphetamines increase wakefulness and alertness and have been used by:
The military, by pilots, truck drivers, and other workers to keep functioning past their normal limits
When used to treat ADHD, patients may report increased attention, decreased impulsivity, and decreased hyperactivity.
Milder stimulant that works by affecting the levels of chemicals (neurotransmitters) in the nervous system.
May also be used in the treatment of depression in certain cases
Long-acting form: Concerta
Adderall is used to treat attention deficit hyperactivity disorder (ADHD).
Adderall is a combination of stimulants (amphetamine and dextroamphetamine).
It increases the ability to pay attention, focus, and control behavior problems.
This drug may also be used to treat certain sleeping disorders (narcolepsy).
- Opioid agnonists (methadone, buprenorphine)
- Other supportive medications
FACT: Addiction is pathologic use of a substance and may or may not include physical dependence.
Behavioral therapies effective for treating stimulant dependence
At this time, there are no FDA-approved medications for the treatment of stimulant dependence.
Outpatient taper: slowly decrease dose
Medications to treat withdrawal symptoms