Overdose deaths from both prescription opioids and heroin continued to rise in 2011, the most recent year for which data were available, according to the CDC. While prescription opioid deaths followed a more than decade-long trend and increased about 2% to 16,917, heroin deaths jumped by 44% -- from 3,036 in 2010 to 4,397.
Officials with the CDC said the increase in heroin deaths may be partly due to users having less access to prescription opioids and switching to the illicit drug. It can be said that about 75% of heroin users say they started out by using prescription opioids.
The increasing number of heroin deaths also coincides with anecdotal reports about rising heroin use among people who have had diminished access to prescription opioid painkillers. The prescription opioid death number is getting close to stabilizing, but added that it's "
still bad because it hasn't gone down." That number has been on the rise since 1999, when it was 4,030. In 2010, the figure was 16,651.
Doctors are trying, but they need to do a better of job of screening for opioid abusers by checking prescription drug monitoring programs in their states for patients who are doctor shopping, and by using urine screens to detect if they are using illicit drugs.
Andrew Kolodny, MD, a long-time advocate of tighter controls on opioids, said the growing deaths from heroin and opioids is something that could have been predicted 10 years ago. "I see this as all the same problem, an epidemic of people addicted to opioids," said Kolodny, chief medical officer of Phoenix House, a national addiction treatment organization. "Treatment has to be easier to access than pills or heroin."
We are seeing more heroin use, and presumably the new users of heroin are people who run out of their ability to get prescription opioids. In a way it is an unintended consequence.
Deaths involving benzodiazepines, which are commonly used concomitantly with opioids, also continued to rise, showing up in 31% of opioid overdose deaths in 2011, up from 30% in 2010.
Prescription drug overdoses more than doubled in the past 13 years in Orange County, a deadly increase that has closely mirrored the popularity of their illicit use, according to a report recently released. Illegal drugs – such as cocaine and heroin – used to make up the majority of overdose deaths. In 2012, however, 57 percent of overdose deaths in the county involved prescription drugs, such as Vicodin, Oxycontin and Codeine, the report states.
The steep increase in prescription drug deaths has been nearly in sync with the increasing use of them among addicts, officials said, with users over the years seeking out pain medication to obtain a high similar to heroin.
Last year, 2013, illegal drugs were behind 20 percent of Orange County’s 330 overdose incidents.
Prescription drugs were involved in 57 percent of the cases, 188 deaths. The remaining 23 percent of cases involved both illegal and prescription drugs, the report found. The report detailed all death investigations by the coroner’s office for 2012, but officials singled out the increasing appearance of prescription drugs, noting the flip from illegal to prescription drugs.
Drugs such as Oxycontin, Opana, Codeine and Vicodin are increasingly being used, and sold, by people seeking a high, officials said, often with deadly consequences. Narcotics investigators in Orange County have been seeing the trend for years on the street, he said, and it’s a trend that’s occurring across the country.
There has been a surge in the use of opioid drug - heroin and prescription painkillers - in the United States, and this rise in popularity has some calling it an “epidemic.” Here in Orange County, public health officials say there is a growing problem with opioid abuse and subsequent overdoses.
The increase in heroin use across the country is interconnected with an expanding opioid market, driven by the high demand for prescription painkillers, such as Oxycontin and hydrocodone. As a general class of drugs, opioids have a high potential for abuse.
Across North Carolina, there has been a more than 300 percent increase in opioid overdose deaths since 1999, according to the state Center for Health Statistics.
One important part of that approach is the use of the medication, naloxone, which can quickly reverse an overdose caused by opioid medications and even heroin. This was possible due to a state law passed in 2013 that gave doctors the ability to prescribe naloxone to a person at risk of opioid overdose, as well as that person’s friends and family members. Naloxone is just one piece of a larger effort to address substance abuse and misuse, particularly with prescription and other opioids.
Simply put ... THERE IS NO "MAGIC" PILL ... WITHOUT SERIOUS CONSEQUENCES!