IDAHO RURAL PARTNERSHIP BOARD MEETINGTHURSDAY, JANUARY 7, 2010

Why are Unused/Expired Prescriptions and Over-the-Counter Medications a Concern?

Health ConsequencesPrescription Drug overdose due to non-medical

use is now the second leading cause of accidental death in the U.S. behind only car

crashes. In some States it has risen above car crashes.

Admissions to substance abuse centers doubled for abuse of pain relievers is yet another clear

indication of the growing scope of the problem.

LOST LIVES

Economic ImpactPer-patient health care costs of opioid abusers are estimated at $15,884 per year, compared

with only $1,830 for non-abusers.

“PRESCRIPTION FOR PERIL 2007” How Insurance Fraud Finances Theft and Abuse of Addictive Prescription Drugs” estimates that

drug diversion costs all U.S. insurers about $72.5 billion each year.

LOST RESOURCES

CRIMINAL ACTIVITY

Law enforcement estimates range from 60% to 80% of the enforcement cases involve

substance abuse. Where you find drug abuse you will find crime!

LOST SAFETY

HOW THEY WORK ABUSED BY TEENS TO DRUG NAMES

STRONG PAIN RELIEVERS Used to relieve moderate-to-severe pain, these medications block pain signals to the brain

To get high, increase feelings of well being by affecting the brain regions that mediate pleasure

Vicodin, OxyContin,Percocet, Lorcet, Lortab, Actiq, Darvon, codeine, morphine,methadone

STIMULANTS Primarily used to treat ADHD type symptoms, these speed up brain activity causing increased alertness, attention, and energy that comes with elevated blood pressure, increased heart rate and breathing

Feel alert, focused and full of energy—perhaps around final exams or to manage coursework, lose weight

Adderall, DexedrineRitalin, Concerta, Desoxyn

SEDATIVES OR TRANQUILIZERS

Used to slow down or “depress” the functions of the brain and central nervous system

Feel calm, reduce stress, sleep

Valium, Xanax, Ativan,Klonopin, Restoril, Ambien, Lunesta, Mebaral, Nembutal, Soma, Ketamine

Teens Rx Drugs of Choice for Abuse

ANSWERS: Obtained free from someone they know (56%) One doctor (20%) Bought or stole from someone they know (15%) “Street drug” dealer (4%) More than one doctor (2%) Internet (1%)

QUESTIONS:• One doctor• “Street drug” dealer• Internet• Bought or stole from someone they know• Obtained for free from someone they know• More than one doctor

WHERE DO ABUSERS GET PRESCRIPTION PAINKILLERS?Methods/sources in order of most common to least common:

One-third of 12- to 17-year-olds reportobtaining prescription drugs in their own

homes (Natl. Center on Addiction &Substance Abuse, 2008)

FLUSH IT TODAY….. DRINK IT TOMORROW!

Meds to Patient

Home Medicine Cabinet

Unused and Expired Meds

Personal Disposal Method

Community Law Enforcement

staffed and DEA approved Take Back Program

Idaho State Police to

transport for out of state

incineration

CURRENT PRACTICE

Protect children, pets, and the environment by…

1. POUR MEDICATION INTO SEALABLE PLASTIC BAG.

2. IF MEDICATION IS A SOLID, CRUSH IT OR ADD WATER TO DISSOLVE.

ADDING KITTY LITTER, SAWDUST, COFFEE GROUNDS (ANYTHING TO MAKE MEDICATION LESS APPEALING TO

EAT) TO THE PLASTIC BAG.

REMOVE AND DESTROY ALL PERSONAL IDENTIFICATION FROM THE MEDICATION CONTAINER

SEAL THE PLASTIC BAG COMPLETELY AND DISPOSE

IN THE TRASH.

2008 15,144,571 Prescriptions filled atIdaho Pharmacies2,260,702 Prescriptions were controlled substances

384 Mail Order Pharmacies listed on the Idaho Board of Pharmacy Website

1.SIMPLIFY Require a single prescription format

2.SECURE Allow only authorized prescribers to order Require document security features Require secure production & distribution

3.VALIDATE Require automated point of sale validation

FRONT DOOR OPPORTUNITIES

Schematic Demonstrating how Medications Leaked into Environment

PHYSICIANS•

PHARMACISTS•

HOSPITALS•

LONG TERM CARE

•HOSPICE

•VETERINARIANS

•IDAHO MEDICAL

ASSOC.POISON

CONTROL

POLICY DEVELOPMENT

•EXECUTIVE

BRANCH•

LEGISLATIVE BRANCH

•BOARD OF PHARMACY

•LAW

ENFORCEMENT

PUBLIC AWARENESS

•EDUCATION

•MEDIA STRATEGY

•BUILD

COMMUNITY COALITION NETWORK

ORGANIZE•

APPROVED UNUSED AND

EXPIRED PRESCRIPTION

TAKE BACK PROGRAM

• LAW

ENFORCEMENTSTAFFED

COLLECTION EVENTS

UNIQUE PUBLIC AND PRIVATE PARTNERSHIPS

DISPOSAL•

IDAHO NATIONAL

LABORATORY WILL LEND ITS EXPERTISE TO

HELP GOVERNMENT AND PRIVATE

INDUSTRY DEVELOP

SUCCESSFUL SOLUTIONS TO THIS COMPLEX

CHALLENGE

.