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Prescription Medication Addiction/Abuse and Public Health Consequences

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Guest Editor
Health Advocates, PLLC 2760 East Lansing Drive Suite 3 East Lansing, MI 48823, USA
Department of Psychiatry, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
Interests: public health; drug addiction

Special Issue Information

Dear Colleagues,

Addictive prescription medications maintain a special status in the general public and are widespread preventable public health problems. Although illicit sources exist, prescription by licit physicians remains the main source of addicting medications. Pharmaceutical companies generate billions of dollars of profit in sales of prescription medications with implicit or explicit cooperation from physicians and healthcare systems.

Of all types of medications, addicting medications lead in sales and number of prescriptions. In the US, the opioid hydrocodone is the most commonly prescribed medication annually. However, its addicting nature produces exceedingly high rates of unnecessary and dangerous use. Similar medications lead in sales internationally, namely oxycodone, benzodiazepines, stimulants, and more recently medical marijuana.

Addictive prescription medications commonly induce psychiatric mental states, suicides, violence, homicides, and medical complications such as lung and heart diseases.

Increased legal access to addicting prescription medications has increased diversion and illicit use, not decreased as expected. Expanded legal access to opioid medications and medical marijuana has increased, not decreased, public health problems.

For this Special Issue, we invite submissions that examine the prevalence, morbidity, mortality, physician and pharmaceutical practices, public health laws and initiatives, and other aspects of addictive prescription drug abuse and addiction.

Dr. Norman S. Miller
Guest Editor

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Keywords

  • addiction
  • abuse
  • prescription medication
  • opioids
  • marijuana
  • public health

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Published Papers (1 paper)

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Research

18 pages, 1914 KiB  
Article
Evaluation of Medicine Abuse Trends in Community Pharmacies: The Medicine Abuse Observatory (MAO) in a Region of Southern Europe
by Maria Perelló, Karla Rio-Aige, Rafel Guayta-Escolies, Pilar Gascón, Pilar Rius, Anna M. Jambrina, Guillermo Bagaria, Mercè Armelles, Francisco José Pérez-Cano and Manel Rabanal
Int. J. Environ. Res. Public Health 2021, 18(15), 7818; https://doi.org/10.3390/ijerph18157818 - 23 Jul 2021
Cited by 6 | Viewed by 2403
Abstract
The misuse of medicines is a global public health concern that needs to be taken into consideration and requires actions across all government sectors and society. The aim of this study is to identify trends of drug abuse in Catalonia, a region of [...] Read more.
The misuse of medicines is a global public health concern that needs to be taken into consideration and requires actions across all government sectors and society. The aim of this study is to identify trends of drug abuse in Catalonia, a region of Spain located in the South of Europe. For this purpose, a questionnaire-based detection tool was created and implemented in 60 community pharmacies. Out of 548 questionnaires (98.4%), 64.2% of participants were men and the highest age proportion was 25–35 years (31.4%). Potential drug abuse was the highest in urban pharmacies (84.9%). The main drug class involved were benzodiazepines (31.8%), codeine (19.3%), tramadol (7.5%), methylphenidate (5.8%), gabapentinoids (5.8%), cycloplegic drops (4.4%), z-drugs (2.6%), piracetam (2.2%), dextromethorphan (1.6%) and clomethiazole (1.1%). The majority of drugs were requested without prescription (58.6%) and through probably forged prescriptions (23.7%). Slightly less than half (49.8%) of the patients request frequently to the pharmacist, especially in rural and mountain pharmacies (73.3% and 88.5%, respectively). A small proportion (10.8%) were requested with intimidation. Pharmacists only supplied in 21.7% of the cases. This study has demonstrated the suitability of the new detection system, being a useful approach to replicate in other locations with similar needs. Full article
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