Preview

Hydrocodone Research Paper

Better Essays
Open Document
Open Document
1495 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Hydrocodone Research Paper
Penny Graves
Dr. Christie
Exploratory Essay
22 February 2014
Hydrocodone PLEASE Exploratory Essay
Hydrocodone is an opioid narcotic “first synthesized in Germany in 1920 by Carl Mannich and Helen Lowenheim”. (Hydrocodone) Since 1943, hydrocodone use has increased to the point that practically everyone agrees that something needs to change. Hydrocodone is presently a schedule III medication (drugs with an abuse risk less than schedule II). (Controlled drugs)
There is currently a petition from the DEA (Drug Enforcement Administration) to reschedule hydrocodone to a schedule II medication (drugs with a high abuse risk but also have safe and accepted medical use in the United States). (Controlled drugs) “On January 24-25, 2012 the Drug safety and Risk Management Advisory committee
…show more content…
Some feel the rescheduling of hydrocodone will hinder chronic pain patients from receiving their medications. I read several blogs by patients on this subject. They are worried about the change. Many state that without this medication, they cannot live a “normal life” and be a productive member of society.
Patients are not the only group that have concerns. There are several pharmacy groups who oppose the rescheduling of hydrocodone. They feel the rescheduling of hydrocodone will create barriers for patients with chronic pain who need the medication. They also believe that hydrocodone, if rescheduled, will “go up in cost due to the requirement for secure storage, recordkeeping, and inventory management”. (APhA)
Some physicians oppose the rescheduling of hydrocodone, Dr. Fudin, a Chronic Pain Management Physician, has stated that the “rescheduling of hydrocodone will not solve the abuse problem that the FDA is hoping it will. The patients that are abusing hydrocodone will just move on to something else. Plus rescheduling of hydrocodone will lead to inadequate medications for chronic pain patients”.

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Nora D Volkow Summary

    • 76 Words
    • 1 Page

    Nora D. Volkow gave a visual representation showing that the dispensing of opioids in pharmacies has increased in recent years. Volkow is talking about how bad opioid addiction is. Opioid addiction increases the number of overdoses and more people think it's ok to take pain pills. Prescription medicine can be very helpful to people that are in pain. But too many doctors are writing prescriptions for these people and the pills are too easy to get.…

    • 76 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    In the multivariate analysis examining predictors of medication nonadherence, we found that compared with patients who did not use any opioid medication in the previous period, patients using >4 opioid medications had higher odds of medication nonadherence. Other risk factors for nonadherence included age 1 physician office visits in the previous…

    • 774 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Here is a hypothetical situation- a man visits his doctor complaining of lower back pain. The doctor orders tests- they are all fine. The patient has a history of insomnia and depression. There is a significant family history of insomnia, anxiety, depression, and suicide. No personal history of substance abuse but both of his grandfathers (now dead) were barbiturate addicts. Despite the fact that imaging shows no sign of problems (but his physical exam STRONGLY indicates there is pain. The doctor does several invasive procedures. All conservative pharmacological treatment is tried (gabapentin, Lyrica, tramadol, ketoporfen, acetaminophen, cyclobenzaprine, Soma, Cymbalta, amitriptyline) and referral to pain management is made. [Note: in reality many people with very real pain will have normal imaging] Once there Norco (hydrocodone/acetaminophen) 5/325 1 tab four times a day is prescribed. It provides a rapid improvement but over four months his medications have become OxyContin 30 mg twice daily, 4 mg of hydromorphone for break threw pain, 100 mg of Celebrex daily, 3 mg of Lunesta, Soma 350 mg four times a day, and clonazepam 2 mg twice daily. With that he reports (at least for now) he that is pain is only minimal. However he is more and more disabled and has lost much of his function.…

    • 803 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Human Services Case Study

    • 763 Words
    • 4 Pages

    The Cleveland Clinic's' Anesthesiology Institute drew closer the procedure from the point of view of dynamic avoidance, including particular compulsory instruction programs for all office work force on a repeating premise, reinforced techniques for the identification and anticipation of redirection of controlled substances, upgraded ability building for discovery of weakness, and executed a multi-faceted medication testing system, including irregular and "for reason" pee screens, for counteractive action and early recognition of mishandled soporific medications and different substances of misuse (Tetzlaff,et al., 2010). Opioid physician endorsed solutions are both a wellbeing and a security issue in your work environment. Medicines are capable, exceptionally addictive medications that can possibly bring about debilitation, expand the danger of working environment occurrences, blunders and harm notwithstanding when taken as endorsed. Remedy painkillers additionally significantly build specialists' pay expenses, expand the length of laborer incapacity and build work time lost (White,…

    • 763 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Robinson Vs California

    • 761 Words
    • 4 Pages

    Whatever the intent of the law, it is clear that most addicts simply continued to receive drugs from their physician, on prescription, instead of directly from their local pharmacist. If a physician construed the administration of morphine to a patient to be within the scope of legitimate medical practice, he had the right, within the law, to maintain that addict on morphine. On the face of it, then, the law did not change anything. It was the Supreme Court that drew a restrictive interpretation of the Harrison Act and that decided what was to constitute "legitimate" medical practice; in a series of decisions from 1919 to 1922 the court declared maintenance of an addict to be outside the scope of medical practice and therefore illegal. However, in 1925, in the famous Linder case, the Supreme Court overturned its earlier decisions, declaring addiction per se not to be a crime and paving the way for the legality of maintenance. The court affirmed the decision in 1962, in Robinson v. California. Thus the present punitive policies are a consequence of decisions made by the Supreme Court between 1919 and 1922, decisions that were superseded and reversed by later rulings A good case could therefore be made for the unconstitutionality of present legal…

    • 761 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Opioids Case Study

    • 287 Words
    • 2 Pages

    CDC developed and published this guideline to provide recommendations for the prescribing of opioid pain medication for adult patients in primary care settings. Recommendations focus on the use of opioids in treating chronic pain (pain lasting longer than 3 months or past the time of normal tissue healing) outside of active cancer treatment, palliative care and end-of–life care. Improving the way opioids are prescribed through clinical practice guidelines can ensure patients have access to safer, more effective chronic pain treatment while reducing the number of people who misuse, abuse or overdose from these drugs.…

    • 287 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Pros And Cons Of Cdsapca

    • 1822 Words
    • 8 Pages

    Scope and Severity of the Problem Assessment of Past Policy Efforts In a review of the CDAPCA act, it is understandable as to why this law was created and continues to be enforced in the U.S. This law was signed into law by President Nixon to combat illegal drug use that became relatively common in the late 1960s. The law was also created and signed into law because drug laws prior to this act were not adequately addressing the illegal use of legally manufactured drugs. Lastly, this act was signed into law to research drug abuse and provide treatment.…

    • 1822 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    “The Comprehensive Drug Abuse Prevention Control Act of 1970 is the principal federal law regulating the manufacture, distribution, dispensing, and delivery of drugs or substances that may result in abuse or physical or psychological dependence and addiction” (Van Dusen, 2010). Certain narcotics, stimulants, depressants, hallucinogens, anabolic steroids and other chemicals are regulated. According to the (DEA) drug enforcement administration the schedule I drugs is the most dangerous. Medical uses have not been accepted and the potential for abuse is excessive. An example of these drugs is heroin, LSD, and marijuana, even though in some states marijuana is a legalized. Schedule II drugs have a high potential for abuse. Example of this scheduled…

    • 221 Words
    • 1 Page
    Good Essays
  • Powerful Essays

    Oxycontin Essay

    • 1757 Words
    • 8 Pages

    To most people, pain is a nuisance. But to others, pain controls their life. The feeling discomforts us in ways that can sometimes seem almost imaginable. These feelings can lead to many different side effects if not dealt with or diagnosed. These effects can include depression, anxiety, and incredible amounts of stress. The truth about pain is that it is vital to our existence. Without the nervous system responding to pain, we would have no idea if we were touching a hot stove, being stuck by a porcupine's needles, or something else that could leave a lasting effect upon our bodies without us even knowing anything about it. This warning system helps to alert us when there is potential harm to our bodies (Stimmel 26). For those whose lives have been forever disrupted by pain, a miracle drug has been put onto the market which alleviates the pain, and allows the consumer to return to a more normal lifestyle. Since being approved in 1995, Oxycontin has become one of America's most prescribed medicines for chronic pain. It has many street names such as killers, OC, Oxy, and Oxycotton. It is proven to provide sustained relief for up to twelve hours and has few serious side effects. Oxycontin is a safe drug if used properly, but the problem that exists is that when abused, Oxycontin can become lethal (Allison 2).…

    • 1757 Words
    • 8 Pages
    Powerful Essays
  • Better Essays

    Opiates are a group of narcotics that contain opium or natural synthetic opium (Shoenfeld, 2012). Some of the commonly abused opiates include: Oxycodone, Hydrocodone, Heroin, Codeine, Morphine, and Methadone as well as many other pain medications. They can be crushed and snorted, taken orally, and even injected. The most restrictive legally available drugs are the opiates Methadone and Morphine (Shoenfeld, 2012). They are prescribed for severe pain. Individuals can be prescribed methadone as an option for treatment but in reality is highly addictive and commonly abused.…

    • 1082 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Essay On Oxycodone

    • 873 Words
    • 4 Pages

    Oxycodone is an opioid analgesic meaning that it can affect patients by effectively reducing pain while also having potential side effects such as sedation, respiratory depression, and euphoria. Percocet is the brand name for a combination of oxycodone and acetaminophen. Percocet has 5 mg of oxycodone and 325 mg of acetaminophen. Oxycodone is considered a schedule II controlled substance, in which there is only one higher schedule, which includes drugs that are not safe for medicinal use and have a high chance of abuse such as heroin and ecstasy (Rodríguez 2013). The schedule II category still has a high potential for abuse except are still prescribed to patients with a need for effective pain control (Rodríguez 2013).…

    • 873 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Within the two years Florida lawmakers approved the opioid reform, there was a dwindling decrease in opioids overdoses reported. For example, in the County of Pinellas where it had approximately 65 Pill Mill establishments, these locations were drastically obliterated due to the new policy set in place. Within this particular time frame, an estimated 80 doctors from these Pill Mills has had their medical licenses revoked (Alvarez). With this beneficial outcome, the state of Florida has established a powerful precedence for the rest of the United States dealing with similar opioid regulation problems. If there was definite support from the government to crackdown on Pill Mills, then the whole opioid abuse would decline dramatically as shown in the State of Florida by modifying the Pill Mill law.…

    • 1228 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    Opioids such as OxyContin and Vicodin, are the most widespread prescribed painkiller for the treatment of moderate to chronic pain. While opioids are highly effective in masking the pain temporarily, these drugs are highly addictive. Many patients, especially those who take more than the prescribed amount, often develop a dependency on these drugs, resulting in addiction. There is growing evidence that opioid drugs are being widely prescribed and abused, causing an increase in healthcare costs. To help fight the growing dependency and addiction to these drugs, doctors should take more time explaining the many harmful side effects of these drugs to their patients before prescribing them, In addition, doctors should be up front with their patients about the likelihood of developing tolerance to the drugs, which ultimately leads to dependency. Since there is widespread abuse of these drugs, opioid prescriptions should continue…

    • 1779 Words
    • 8 Pages
    Good Essays
  • Satisfactory Essays

    The substantial increase in the abuse of prescription drugs is fueled by many factors, including the development and marketing of new controlled substances, and ever-changing methods of diversion such as rogue Internet pharmacy schemes or rogue pain clinics. Attempts to prevent, detect, and reduce the diversion and abuse of controlled substance pharmaceuticals continue to evolve. The DEA has taken action on several fronts over the next few years to help reduce this growing problem.…

    • 307 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    I’m sure everyone here knows or has heard of someone that is dealing with an opioid problem. The misuse and abuse of opioids in this country has become rampant. Oxy, Vicodin, codeine, heroin – every time I read the news or listen to a news report there is always some mention of opioids. And while Dallas County does not see this problem as much as other parts of Texas and the rest of the States do, it is still a problem. We need to make sure that when those struggling with opioid abuse problems come through our courts that they are led to the best resources and treatments programs available. We can’t just continue to punish those facing a crisis with fines and jail time and expect their problems to go away. On the other hand, we need to be harsher with those responsible for selling and dealing. As a public defender I have represented both users and dealers and I can say from experience that the largest issue at hand is the inconsistency with which cases are treated. I will strive…

    • 1460 Words
    • 6 Pages
    Good Essays