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Health and Wellness

ASK THE DOC

In his monthly column, Dr. Kent Herbert answers your questions related to health care matters. Simply submit your question to deb@newfalconherald.com. It’s your chance to ask the doc.Question: I have heard that abuse of prescription drugs is on the rise. How can this be avoided?Answer: Many prescription medications are controlled substances, meaning that their prescription and use is tightly regulated by the Drug Enforcement Agency (DEA). The most common of these medications are painkillers, such as Percocet, and stimulants, such as Ritalin. While these medications are effective for treating certain conditions, they also have a high risk of abuse if used improperly.According to the DEA, about 7 million Americans currently abuse prescription drugs. This is more than the number of people who abuse cocaine, heroin, Ecstasy and inhalants combined. The number represents an 80 percent increase over the last six years.Among medications that are abused, narcotic painkillers are the most common and make up three-fourths of all cases of abuse. In the last year, there were more overdose deaths from painkillers than from cocaine and heroin combined. Hydrocodone, or the brand name drug Vicodin, is the most commonly abused medication.Prescription drug abuse used to be primarily confined to adults, but now one of the fasting growing groups abusing these drugs is teenagers. According to the DEA, one in 10 among high school students admits to abusing prescription medications, and one in five has taken a prescription medication for recreational purposes. The most commonly abused medications among teenagers are stimulants or medications used to treat Attention Deficit Disorder.Many people believe that abuse of prescription medication is safer than illegal drugs, but this is not the case. Addiction to prescription medications is just as common as with illegal drugs, and the medical risks are the same. Furthermore, abuse of prescription medication often leads to the use of illegal drugs.There are several signs that you or someone you know may be addicted to prescription medications.

  • First, one develops a tolerance to drug doses and requires increasingly higher doses of medication to work. Those for whom the typical doses don’t work or who need to take more than the prescribed number of pills may have a problem.
  • Second, one may experience withdrawal symptoms such as shaking, sweating or a racing heart if the drug is not taken regularly.
  • Third, one may have tried to control his or her use and failed or might constantly think about the need to control it. People who abuse prescription drugs also might spend an excessive amount of time trying to get the drug, such as going from doctor to doctor for prescriptions or making up stories to get prescriptions. Finally, they may experience a decreased quality of life due to the medication, such as sleeping a lot because they have taken medication or not feeling free to travel for fear of running out of medication.
It is important to recognize that taking a controlled medication written for someone else, even for a spouse, is illegal. Selling or buying a prescription medication is the same offense as illegal drugs, and their use can be just as dangerous. When a prescription is written for a controlled substance, it is carefully selected to treat a specific condition and is dosed for the person it is written for. Anyone else who takes it may experience serious side effects.To control prescription drug abuse, Colorado has instituted the Prescription Drug Monitoring Program (a database where every prescription for a controlled substance is entered and accessible to all health care providers. Most medical providers will check this before writing a prescription to avoid over-prescribing or duplicating prescriptions. With this system, those who “doctor shop” are more likely to be identified and reported.If you find yourself or someone you know abusing prescription medications, the first step is to be honest and seek help. Often, it is difficult or impossible to wean from the medication without medical help.As always, it is best to avoid the situation by using only those medications prescribed to you, only for short periods of time and for their intended use and getting all of your prescriptions from one doctor and one pharmacy.Parents should control medication that is prescribed for their children, and the medication should be kept in the original bottle under close protection. By doing these things, powerful controlled medications can be used safely, and abuse can be avoided. Dr. Kent HerbertBoard-Certified Family PhysicianFalcon Family Medicine7641 McLaughlin RoadFalcon, CO 80831(719) 494-2006(719) 494-8448 faxwww.FalconFamilyMedicine.com

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