Opiate/Opioid Abuse at Work
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Catawba Valley Community College Drug-Free Schools And
Catawba Valley Community College Drug-Free Schools and Communities Act Introduction Catawba Valley Community College complies with The Federal Drug-Free Schools and Communities Act Regulations [EDGAR Part 86]. These regulations include the following: 1. Standards of conduct that clearly prohibit the unlawful possession, use, or distribution of illicit drugs and alcohol by students and employees on the school’s property or as part of the school’s activities; 2. A description of the sanctions under local, state, and federal law for unlawful possession, use, or distribution of illicit drugs and alcohol; 3. A description of the health risks associated with the use of illicit drugs and alcohol; 4. A description of any drug and alcohol counseling, treatment, or rehabilitation programs available to students and employees; and 5. A clear statement that the school will impose sanctions on students and employees for violations of the standards of conduct (consistent with local, state, and federal law) and a description of these sanctions, up to and including expulsion, termination, of employment, and referral for prosecution. The required information will be distributed to all students and employees by the following methods: All new curriculum students receive this information when they are admitted to the College. All curriculum students receive this information when they register for classes. All continuing education students will receive notification by USPS mail about where to find this information. This information is included in the Annual Security Report. This information is posted on the CVCC website on the Safety and Security page Catawba Valley Community College conducts a biannual review of this program in accordance with the regulations. -
Methadone Hydrochloride Tablets, USP) 5 Mg, 10 Mg Rx Only
ROXANE LABORATORIES, INC. Columbus, OH 43216 DOLOPHINE® HYDROCHLORIDE CII (Methadone Hydrochloride Tablets, USP) 5 mg, 10 mg Rx Only Deaths, cardiac and respiratory, have been reported during initiation and conversion of pain patients to methadone treatment from treatment with other opioid agonists. It is critical to understand the pharmacokinetics of methadone when converting patients from other opioids (see DOSAGE AND ADMINISTRATION). Particular vigilance is necessary during treatment initiation, during conversion from one opioid to another, and during dose titration. Respiratory depression is the chief hazard associated with methadone hydrochloride administration. Methadone's peak respiratory depressant effects typically occur later, and persist longer than its peak analgesic effects, particularly in the early dosing period. These characteristics can contribute to cases of iatrogenic overdose, particularly during treatment initiation and dose titration. In addition, cases of QT interval prolongation and serious arrhythmia (torsades de pointes) have been observed during treatment with methadone. Most cases involve patients being treated for pain with large, multiple daily doses of methadone, although cases have been reported in patients receiving doses commonly used for maintenance treatment of opioid addiction. Methadone treatment for analgesic therapy in patients with acute or chronic pain should only be initiated if the potential analgesic or palliative care benefit of treatment with methadone is considered and outweighs the risks. Conditions For Distribution And Use Of Methadone Products For The Treatment Of Opioid Addiction Code of Federal Regulations, Title 42, Sec 8 Methadone products when used for the treatment of opioid addiction in detoxification or maintenance programs, shall be dispensed only by opioid treatment programs (and agencies, practitioners or institutions by formal agreement with the program sponsor) certified by the Substance Abuse and Mental Health Services Administration and approved by the designated state authority. -
Medications to Treat Opioid Use Disorder Research Report
Research Report Revised Junio 2018 Medications to Treat Opioid Use Disorder Research Report Table of Contents Medications to Treat Opioid Use Disorder Research Report Overview How do medications to treat opioid use disorder work? How effective are medications to treat opioid use disorder? What are misconceptions about maintenance treatment? What is the treatment need versus the diversion risk for opioid use disorder treatment? What is the impact of medication for opioid use disorder treatment on HIV/HCV outcomes? How is opioid use disorder treated in the criminal justice system? Is medication to treat opioid use disorder available in the military? What treatment is available for pregnant mothers and their babies? How much does opioid treatment cost? Is naloxone accessible? References Page 1 Medications to Treat Opioid Use Disorder Research Report Discusses effective medications used to treat opioid use disorders: methadone, buprenorphine, and naltrexone. Overview An estimated 1.4 million people in the United States had a substance use disorder related to prescription opioids in 2019.1 However, only a fraction of people with prescription opioid use disorders receive tailored treatment (22 percent in 2019).1 Overdose deaths involving prescription opioids more than quadrupled from 1999 through 2016 followed by significant declines reported in both 2018 and 2019.2,3 Besides overdose, consequences of the opioid crisis include a rising incidence of infants born dependent on opioids because their mothers used these substances during pregnancy4,5 and increased spread of infectious diseases, including HIV and hepatitis C (HCV), as was seen in 2015 in southern Indiana.6 Effective prevention and treatment strategies exist for opioid misuse and use disorder but are highly underutilized across the United States. -
The Opioid Epidemic: What Labs Have to Do with It?
The Opioid Epidemic: What labs have to do with it? Ewa King, Ph.D. Associate Director of Health RIDOH State Health Laboratories Analysis. Answers. Action. www.aphl.org Overview • Overdose trends • Opioids and their effects • Analytical testing approaches • Toxicology laboratories Analysis. Answers. Action. www.aphl.org Opioid overdose crisis 1 Analysis. Answers. Action. www.aphl.org Opioid overdose crisis 2 Analysis. Answers. Action. www.aphl.org Opiates and Opioids • Opiates vs. Opioids • Opiates: Naturally occurring, derived from the poppy plant • Opioids: “Opiate-like” drugs in effects, not chemical structure Includes opiates • Narcotic analgesics • CNS depressants • DEA Schedule I or II controlled substances • Additive effect with other CNS depressant drugs Analysis. Answers. Action. www.aphl.org Efficacy of Opioids • How do opioids work? • Bind with opioid receptors • Brain, spinal cord, GI tract, and throughout the body • Pain, emotion, breathing, movement, and digestion Opioid Receptor Analysis. Answers. Action. www.aphl.org Effects of Opioids Physiological Psychological • Pain relief • Drowsiness/ sedation • Cough suppression • Mental confusion • GI motility • Loss of memory • Respiratory depression • Lethargy/ apathy • Pupillary constriction • Euphoria/ tranquility • Itching • Mood swings • Constipation • Depression • Dependence • Withdrawal • Dependence Analysis. Answers. Action. www.aphl.org Opiates 1 Opiates • Naturally occurring alkaloids Opium • Latex from the opium poppy plant Codeine: • Mild to moderate pain • Antitussive Morphine: • Severe pain • Metabolite of codeine and heroin Analysis. Answers. Action. www.aphl.org Opiates 2 Semi-synthetic Opiates: • Synthesized from a natural opiate Heroin: • Schedule I narcotic Hydrocodone (Vicodin): • Mild to moderate pain • Metabolizes to hydromorphone (Dilaudid) Oxycodone (Oxycontin/Percocet): • Moderate to severe pain • Metabolizes to oxymorphone (Opana) Analysis. Answers. Action. -
Opiate/ Heroin Working Group Final Report
OPIATE/ HEROIN WORKING GROUP FINAL REPORT United States Attorney’s Offices For the Southern and Northern Districts of Mississippi February 28. 2017 HEROIN/OPIATE WORKING GROUP FINAL REPORT Law Enforcement and Data Group Recommendation No. 1: Implement a comprehensive data collection and dissemination program Recommendation No. 2: Heroin (Opiate) Involved Death Investigation Task Force Recommendation No. 3: Greater distribution and training on use of Naloxone Recommendation No. 4: Mandate greater reporting of overdoses and naloxone administration Recommendation No. 5: Expand and advertise availability of the dropbox program Medical Issues Group Recommendation No. 1: Adopt CDC Guidelines Recommendation No. 2: Continuing Medical Education Recommendation No. 3: Upgrades to the Prescription Monitoring Program Recommendation No. 4: Addiction Treatment Education Recommendation No. 5: Review Funding Issues for Alternative Treatments Recommendation No. 6: Limitations on Prescriptions Recommendation No. 7: Mandate increased use of PMP Recommendation No. 8: Change the definition of Pain Management Clinic Recommendation No. 9: IDs for Controlled Substance Prescriptions Treatment and Overdose Prevention Group Recommendation No. 1: More Funding for Treatment Recommendation No. 2: Youth/Juvenile Detention Systems Recommendation No. 3: Expand the availability and use of Vivitrol Recommendation No. 4: Drug Courts and Rentry programs Recommendation No. 5: Public Education and Awareness HEROIN/OPIATE WORKING GROUP FINAL REPORT The United States Attorney’s Offices for the Northern and Southern Districts of Mississippi convened an Opiate/Heroin Working Group in June 2016. At the initial meeting at the Mississippi Bureau of Narcotics (“MBN”) Headquarters, representatives from the medical, pharmaceutical, mental health, law enforcement, judiciary and many other specialties attended a full day symposium to begin the discussion about a comprehensive approach to the opiate and heroin crisis in the nation and in our state. -
Stopping the Shipment of Synthetic Opioids: Oversight of U.S. Strategy to Combat Illicit Drugs MAY 25, 2017
1 STATEMENT OF CHAIRMAN ROB PORTMAN U.S. SENATE PERMANENT SUBCOMMITTEE ON INVESTIGATIONS Stopping the Shipment of Synthetic Opioids: Oversight of U.S. Strategy to Combat Illicit Drugs MAY 25, 2017 This hearing will come to order. [gavel] I’ve called this hearing to address a crisis in our communities. And it’s getting worse, not better. Our country is gripped by an opioid epidemic. It’s a crisis that doesn’t discriminate and can be found in every corner of my state. Earlier this month, Police Officer Chris Green in East Liverpool, Ohio suffered a fentanyl overdose following a routine traffic stop. He noticed white powder in the car and took the necessary precaution of wearing a mask and gloves during the arrest. When he was back at the police station, he noticed a small amount of powder on his shirt and brushed it off with his bare hand. From that mere exposure to his fingers, he passed out from an overdose. Officer Green was given one dose of Narcan on the scene, which is a drug used to reverse the effects of opioid overdose. But Officer Green needed three more doses of Narcan at the hospital to revive him. Fentanyl is a powerful drug that is killing Americans and putting our first responders at risk. It is 30-50 times more powerful than heroin and 100 times stronger than morphine. A lethal dose of fentanyl can be as little as two milligrams. 2 The number of Americans overdosing on fentanyl and its analogues has increased dramatically over the past few years. -
A Review of Cases of Marijuana and Violence
Open Access Int. J. Environ. Res. Public Health 2020, 17(5), 1578; https://doi.org/10.3390/ijerph17051578 Review A Review of Cases of Marijuana and Violence by Redon Ipeku 3 and Thersilla Oberbarnscheidt 4 1 CEO of Health Advocates PLLC, East Lansing, MI 48823, USA 2 Department of Psychiatry Augusta University, Augusta, GA 30912, USA 3 College of Law, Michigan State University, East Lansing, MI 48823, USA 4 Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA * Author to whom correspondence should be addressed. Received: 9 December 2019 / Accepted: 25 February 2020 / Published: 29 February 2020 Download PDF Abstract : Marijuana is the most consumed illicit drug in the world, with over 192 million users. Due to the current legalization push of marijuana in the United States, there has been a lack of oversight regarding its public health policies, as marijuana advocates downplay the drug’s negative effects. This paper’s approach is from a public health perspective, focusing specifically on the cases of violence amongst some marijuana users. Here, we present 14 cases of violence with chronic marijuana users that highlight reoccurring consequences of: marijuana induced paranoia (exaggerated, unfounded distrust) and marijuana induced psychosis (radical personality change, loss of contact with reality). When individuals suffering from pre-existing medical conditions use marijuana in an attempt to alleviate their symptoms, ultimately this worsens their conditions over time. Although marijuana effects depend on the individual’s endocannabinoid receptors (which control behavioral functions, like aggression) and the potency level of tetrahydrocannabinol (THC) in the drug, scientifically documented links between certain marijuana users and violence do exist. -
Staying Safe on Prescription Opioids Together We Can
Staying Safe on Prescription Opioids Together We Can. Suicide Prevention Information for Veterans, Their Families, and Caregivers Understanding Opioid Use Opioids are drugs a doctor might prescribe for pain relief. For example, your doctor might give you a How to Stay Safe on Prescription Opioids medication with codeine, hydrocodone, morphine, You can do several things to protect yourself and others from the or oxycodone to relieve pain from an injury or after risks associated with prescription opioids: a surgery. Some brand names for these medications include OxyContin, Percocet, and Vicodin. But there are Before you are prescribed opioids, tell your health care many more. provider about all other medications and supplements you are taking. Opioids are highly addictive. This means you could lose control over your use of them and feel sick without Tell your health care provider if you or your family has a them. That’s why they should only be taken under the history of alcohol or drug addiction. There are other pain care and guidance of a medical professional. Opioid treatment options that are equally as effective as (or more misuse can lead to both addiction and overdose. effective than) opioids and don’t carry the same risks for addiction and overdose. An opioid overdose is when a person takes more than the body can handle. It causes difficulty breathing Only take opioids prescribed to you and as directed by your and can result in suffocation and death. Overdose is health care provider. Never accept opioids from anyone else. especially likely with the use of heroin, fentanyl, and other illegal opioids obtainable on the street or online. -
Prescription Opioids Hydrocodone, Oxycodone, Oxymorphone, Morphine, Codeine, Fentanyl
Recognizing Symptoms of Drugs of Abuse Maricel Dela Cruz DO, MPH, FAWM It is the policy of the Intensive Osteopathic Update (IOU) organizers that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflict of interest (COI), and if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity. All faculty in a position to control content for this session have indicated they have no relevant financial relationships to disclose. The content of this material/presentation in this CME activity will not include discussion of unapproved or investigational uses of products or devices. Faculty Disclosure I have no relevant financial relationships to disclose. The content of this material/presentation in this CME activity will not include discussion of unapproved or investigational uses of products or devices. Learning Objectives • Define illicit and illegal drug abuse • List common drugs of abuse as identified by the National Institute on Drug Abuse • Describe evidence-based screening tools to recognize a history of drug abuse in the outpatient setting • Describe signs and symptoms of drug abuse associated with common drugs of abuse • Demonstrate the current recommendations regarding drug abuse screening as per the United States Preventive Services Task Force Definition The use of illegal drugs or the use of prescription or over-the-counter drugs for purposes other than those for which they are meant to be used, or in large amounts. -
Drug Class Review Long-Acting Opioid Analgesics
Drug Class Review Long-Acting Opioid Analgesics 28:08.08 Opiate Agonists Transdermal Buprenorphine transdermal system (Butrans®) Fentanyl transdermal system (Duragesic®) Oral Buprenorphine oral buccal film (Belbuca®) Hydrocodone ER (Zohydro ER®, Hysingla ER®) Hydromorphone hydrochloride extended-release tablets (Exalgo®) Methadone tablets (Dolophine®) Morphine sulfate controlled-release tablets (MS Contin®, MorphaBond®) Morphine sulfate extended-release capsules (Kadian®) Oxycodone hydrochloride controlled-release tablets (OxyContin®) Oxymorphone hydrochloride extended-release (Opana ER®) Tapentadol extended-release oral tablets (Nucynta ER®) Tramadol hydrochloride extended-release capsule (Conzip, others) Tramadol hydrochloride extended-release tablet (biphasic) (Ultram ER, others) Combination Products Morphine sulfate and naltrexone extended-release capsules (Embeda®) Oxycodone ER/acetaminophen (Xartemis XR®) Final Report March 2016 Review prepared by: Vicki Frydrych, Clinical Pharmacist Melissa Archer, Clinical Pharmacist Justin Tran, PharmD Student Ryan Marcum, PharmD Student University of Utah College of Pharmacy Copyright © 2016 by University of Utah College of Pharmacy Salt Lake City, Utah. All rights reserved. Table of Contents Executive Summary ........................................................................................................................ 3 Introduction ..................................................................................................................................... 5 Table 1. Comparison -
Download an Information Sheet on Opiate Use During Pregnancy
PARENT/FAMILY EDUCATION OPIATE USE DURING PREGNANCY childrensMN.org OPIATES Medications or drugs known as opiates (or narcotics) are commonly prescribed OPIATE USE DURING for pain. The most common names of these drugs include OxyContin, Percocet, PREGNANCY: HOW DOES IT Vicodin, morphine and methadone. Use of opiates during pregnancy often causes AFFECT MOTHERS AND BABIES? complications for mothers as well as complications for babies exposed to opiates in the womb. Illegal opiates like heroin also cause risks for mother and baby. During pregnancy, everything you eat or drink can have an effect on Prescription opiates can be used illegally, or taken at higher doses than prescribed. your unborn baby. This includes Use of any form of opiate can lead to dependency which has been observed medications, drugs, alcohol and in the rapidly increasing number of young women that have developed opiate tobacco. Certain substances are dependency in the past 10 years. Many people who have become dependent on not safe during pregnancy and you prescription opiates are also at risk of using heroin. should review any medications, drugs (over the counter, prescribed The newborn baby exposed to opiates in the womb may have withdrawal and illegal), supplements, or herbs symptoms after being born. When babies have symptoms of withdrawal, they often that you are taking with your need to stay in the hospital longer and may not be able to stay in their mother’s doctor or midwife. By informing room. Instead, they may need the close observation and care that is given in a your care team about ALL drugs special care nursery. -
2020 Drug and Alcohol Prevention Program (DAAPP)
Drug and Alcohol Abuse Prevention Program (DAAPP) For Students and Employees Biennial Review Period: August 2018 to July 2020 Published: October 7, 2020 Asheville-Buncombe Technical Community College The Drug Free Schools and Campuses Regulations (34 CFR Part 86) of the Drug-Free Schools and Communities Act (DFSCA) requires an Institution of Higher Education (IHE) such as Asheville-Buncombe Technical Community College (A-B Tech), to certify that it has implemented programs to prevent the abuse of alcohol, use and/or distribution of illicit drugs both by A-B Tech students and employees either on its premises and as a part of any of its activities. At a minimum, an IHE must annually distribute the following in writing to all students and employees: • Standards of conduct that clearly prohibit the unlawful possession, use or distribution of illicit drugs and alcohol by students and employees; (see Appendix A for the Drug and Alcohol Policy and Procedures, Appendix B for the Code of Student Conduct Policy and Procedures, and Appendix D for the Threat Assessment Policy and Procedures) • A description of the legal sanctions under local, state, or federal law for the unlawful possession or distribution of illicit drugs and alcohol (see Legal Sanctions on page 6); • A description of the health risks associated with the use of illicit drugs and alcohol abuse (see Health Risks on page 7; • A description of any drug or alcohol counseling, treatment, or rehabilitation or reentry programs that are available to employees or students (see Drug and Alcohol Programs on Page 12); and • A clear statement that the institution will impose sanctions on students and employees and a description of those sanctions, up to and including expulsion or termination of employment and referral for prosecution, for violations of the standards of conduct or law (see Disciplinary Sanctions on Page 14).