|By Barbara Herbert, M.D. |
Special to Reminder Publications
Americans are using prescription drugs in ever-increasing numbers. According to the Centers for Disease Control, nearly half of Americans 48 percent - now take at least one prescription drug, and nearly a third 31 percent use two to four.
While the benefits of these medications are vast in preventing and curing disease and alleviating pain and suffering, there's a terrible downside to this explosive growth: prescription drugs are being abused more than ever before.
Prescription medications are now the second most commonly abused category of drugs, behind only marijuana. The National Institutes of Health estimates that nearly 20 percent of people in the U.S. have used prescription drugs such as painkillers, sedatives, tranquilizers, or steroids for non-medical reasons.
The behavior isn't confined to any one age group. Seniors are vulnerable because they develop more painful disabilities, take so many prescriptions, and their metabolism changes with age. Among Americans 60 and older, more than 75 percent use two or more prescriptions, and 37 percent use five or more, according to the CDC.
Young people are particularly susceptible. In its first assessment of prescription drug abuse among high-school students in 2009, the CDC found that one in five high-school students has taken a prescription drug without a doctor's prescription. Pain relievers, stimulants, sedatives, and tranquilizers are the most commonly abused items. Youth have easy access to them in home medicine cabinets, and because the drugs have a legitimate use, a known amount, and are prescribed by health care providers, teenagers think they're a safe way to "get high." The abuse is so widespread that the Partnership for a Drug-Free America estimates that every day 2,500 teenagers, some as young as 12, use a prescription drug to get high for the first time.
The abuse of prescription drugs is a national public health problem: there are now more deaths from prescription drug overdoses than from heroin.
Lawmakers and public health officials have stepped up efforts to combat such abuse. Prescription monitoring programs, which track prescriptions written and filled, now operate in at least 34 states. Using electronic data bases, these programs support physicians who keep patients out of pain by helping to deter and prevent drug abuse. The programs can record excessive prescribing and help to prevent such activity as "doctor shopping" for prescriptions.
But more can be done. Each one of us, as consumers, patients, and health providers, can do something about this. Here are steps to take and not take:
Herbert is medical director of the Comprehensive Addiction Program at St. Elizabeth's Medical Center in Boston. Physician Focus is a public service of the Massachusetts Medical Society. Readers should use their own judgment when seeking medical care and consult with their physician for treatment. Comments to PhysicianFocus@mms.org.
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