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Trend in Prescription Drug Abuse In 2004, 19.1 million Americans were current illicit drug users (7.9% of the U.S. population) 1 In 2004, 19.1 million.

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Presentation on theme: "Trend in Prescription Drug Abuse In 2004, 19.1 million Americans were current illicit drug users (7.9% of the U.S. population) 1 In 2004, 19.1 million."— Presentation transcript:

1 Trend in Prescription Drug Abuse In 2004, 19.1 million Americans were current illicit drug users (7.9% of the U.S. population) 1 In 2004, 19.1 million Americans were current illicit drug users (7.9% of the U.S. population) 1 Nonmedical use of prescription pain relievers was the illicit drug category with the largest number of new abusers (2.4 million) 1 Nonmedical use of prescription pain relievers was the illicit drug category with the largest number of new abusers (2.4 million) 1 Nonmedical use of prescription drugs ranks second only to marijuana as the most prevalent category of drug abuse 1 Nonmedical use of prescription drugs ranks second only to marijuana as the most prevalent category of drug abuse 1 25% of emergency department visits associated with non-medical use of pharmaceuticals 2 25% of emergency department visits associated with non-medical use of pharmaceuticals 2 1 SOURCE: 2004 National Survey on Drug Use and Health (NSDUH) published Sept 2005 by the Dept of HHS / Substance Abuse and Mental Health Services Administration (SAMHSA) 2 SOURCE: 2004 DAWN (Drug Abuse Warning Network) Report published May 2006

2 Stimulants Sedatives 4.7 million 0.3 million Narcotic Pain Relievers Anti-Anxiety Medication 1.1 million SOURCE: 2005 National Survey on Drug Use and Health (NSDUH), published Sept 2005 by Dept of HHS / Substance Abuse and Mental Health Services Administration (SAMHSA) 1.8 million In 2005, 6.4 million Americans Age 12+ used a prescription drug for non-medical purposes in past month

3 2005 Partnership and Attitude Study (PATS)* Alarming number of teens have a false sense of security about the safety of abusing prescription medications Alarming number of teens have a false sense of security about the safety of abusing prescription medications 19% of teens report abusing prescription medications to get high 19% of teens report abusing prescription medications to get high 40% believe that prescription medicines are much safer to use than illegal drugs 40% believe that prescription medicines are much safer to use than illegal drugs 31% believe theres nothing wrong with using prescription medicines without a prescription once in a while 31% believe theres nothing wrong with using prescription medicines without a prescription once in a while 29% believe prescription pain relievers are not addictive 29% believe prescription pain relievers are not addictive * 18th annual study of teen drug use and attitudes Released in April 2006 by The Partnership for a Drug-Free America

4 Methods of Diversion Rogue Internet Pharmacies Rogue Internet Pharmacies Inappropriate prescribing Inappropriate prescribing Illegal sales Illegal sales Employee theft Employee theft Prescription rings Prescription rings Doctor shopping Doctor shopping Fraudulent prescriptions Fraudulent prescriptions Pharmacy theft Pharmacy theft Foreign diversion and smuggling into the U.S. Foreign diversion and smuggling into the U.S. Pharming Pharming

5 Hydrocodone Vicodin ®, Lortab ®, Lorcet ® Vicodin ®, Lortab ®, Lorcet ® DEA Diversion Drug Trend Report identifies hydrocodone as the most commonly diverted and abused controlled pharmaceutical in the U.S. DEA Diversion Drug Trend Report identifies hydrocodone as the most commonly diverted and abused controlled pharmaceutical in the U.S – United States used 99% of the global hydrocodone supply* 2004 – United States used 99% of the global hydrocodone supply* Approximately 125 million hydrocodone prescriptions were dispensed in U.S. in 2005** Approximately 125 million hydrocodone prescriptions were dispensed in U.S. in 2005** * 2005 INCB report **IMS data

6 Hydrocodone products are the most frequently prescribed drug in the U.S. Hydrocodone products are the most frequently prescribed drug in the U.S. Comparable 2005 data shows that hydrocodone was prescribed three times more frequently than any other controlled substance* Comparable 2005 data shows that hydrocodone was prescribed three times more frequently than any other controlled substance* Hydrocodone is the most frequently encountered pharmaceutical in submissions of evidence to federal, state and local labs** Hydrocodone is the most frequently encountered pharmaceutical in submissions of evidence to federal, state and local labs** DAWN 2005 data– from emergency department visits involving nonmedical use of opiate/opioid pain medications increased 24% overall DAWN 2005 data– from emergency department visits involving nonmedical use of opiate/opioid pain medications increased 24% overall The Aggregate Production Quota for hydrocodone has increased 100% since 2000 (21,417 kg to 42,000 kg) The Aggregate Production Quota for hydrocodone has increased 100% since 2000 (21,417 kg to 42,000 kg) * RxList data * * STRIDE / NFLIS data Hydrocodone Situation

7 Prescription Drug Trends Number of Hydrocodone Prescriptions* Hydrocodone in combination with acetaminophen is the #1 prescribed drug in the U.S. The U.S. has only 4 percent of the worlds population, but consumed 99% of the worlds supply of hydrocodone in One in 10 high school seniors have admitted to abusing hydrocodone in 2006 (MTF). SOURCE: IMS prescription data. (pain reliever) (cholesterol) (blood pressure) (antibiotic) (diuretic) +8.5% +7.9% +1.1% -1.4% +11.5% +15.1% +27.8% +1.3% +7.5% +5.5% (By Number of Prescriptions Sold) Source: Drug Topics, Rx List Note: Percentage change from the number of prescriptions sold in the previous years. Revised May 24, 2007 Top Five Prescription Drugs Sold in the U.S.* * Prescription data is from two separate prescription monitoring sources. 112,380

8 TOTAL DOSAGE UNITS PURCHASED Comparison of CY2006 Purchases of Hydrocodone by Pharmacies Comparison of CY2006 Purchases of Hydrocodone by Pharmacies * Based on 34 Known and Suspected Internet Pharmacies Date Prepared: 03/07/2007 Source: ARCOS Based on what an average pharmacy dispensed in 2006, it would take the entire annual sales from 1,118 pharmacies to equal the same volume these 34 rogue pharmacies did in Total # DEA Registered Pharmacies 61,714


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