Drug Class Could Keep You From Making Deadly Drug Interaction Decision

by Mike Miller April 28, 2012

With more people taking prescription medication it is no surprise society is seeing a huge increase in serious health issues and death from people mixing their various meds.

Despite warning labels on prescription pill bottles and frequent news reports of celebrity overdoses, people are not taking the risks of fatal drug combinations seriously. Whitney Houston was the latest celebrity who died by combining drugs. Here are some of the biggest risks reported by psychcentral.com:

Seniors at Risk

One of the groups I am most concerned about are our senior citizens. Seniors are more likely to take a variety of medications for different ailments and whose bodies are more sensitive to the drugs’ effects. Given that more than half of older adults take five or more prescription drugs, over-the-counter medications or dietary supplements every day, the risk of an adverse drug interaction is high.

Following are a few drugs not to mix.

Blood Thinners and Aspirin

Combining the blood thinner warfarin (Coumadin) with aspirin can significantly increase the risk of bleeding. The risk is even higher when taken with garlic pills or leafy, green vegetables such as spinach, broccoli, cabbage or Brussels sprouts.

Blood pressure Meds and Potassium

Combining this blood pressure meds like Zestril or Prinivil with potassium can cause irregular heart rhythms or death.

Cholesterol Meds and Niacin

Ironically, the vitamin niacin can be used to lower both cholesterol and triglycerides. However, combining popular prescription cholesterol drugs (statins) and over-the-counter niacin (a type of B vitamin that lowers cholesterol) can increase the risk of muscle pain and damage. Statins can also be dangerous when combined with grapefruit juice, which increases the risk of liver and kidney damage and the breakdown of muscle cells.

The best way to educate yourself about the medications you are taking. Take notes when you go to the doctor’s office and pharmacy and consider a 15 hour drug education class to learn more. Medications make you feel better, but they could make you feel a whole lot worse if you make the mistake of combining them.

Number of People Needing Drug and Alcohol Classes On the Rise

by Mike Miller January 22, 2012

Let’s face it – drugs and alcohol are more pervasive in society today than ever. The number of designer drugs and ways people are finding to get high have never been greater.

How many people do you know who drink alcohol? How many of your acquaintances use marijuana or stronger drugs? Do you know anyone abusing prescription pain medication? I bet you do.

Life is a numbers game. The number of people abusing chemical substances is in an inflationary period that shows no signs of stagnation.

The Numbers

According to CBS News, between 149 million and 271 million people worldwide used an illicit drug at least once in 2009, according to a new review of studies attempting to estimate the extent of the problem. That translates to 1 in 20 people aged 15 to 64 taking an illegal drug.

There is no way this number can be accurate. It has to be deflated because there is a huge segment of users that will never admit to doing so on any survey, anonymous or not.

Even so, two Australian researchers reviewed studies from around the globe to determine the scope of illegal drug use in people aged 15 to 64 and understand its health effects on problem-users in these countries.

Marijuana and hashish (cannabis) use topped the list with between 125 million and 203 million users worldwide in 2009. The highest levels of use were seen in North America, Western Europe, Australia, and New Zealand.

In North America, nearly 11% of the population aged 15 to 64 used cannabis that year. Between 14 million and 56 million people aged 15 to 64 worldwide used amphetamine-type stimulants, such as speed and crystal meth.

Cocaine use was highest in North America, and it had 14 million to 21 million users worldwide.

Opioid use, including heroin, had an estimated 12 million to 21 million users globally. The highest rates of use were in the Near and Middle East, where up to 1.4% of the population aged 15 to 64 had tried the drug at least once that year.

Drug abuse is a global epidemic. More drug and alcohol classes are needed. Stricter punishments need to be put in place. Drug addiction must be slowed if we are to save our planet.

More Potent Pain Killers means More Will Need Online Drug Class

by Mike Miller January 10, 2012

With prescription pain medication seeming to get strong and more addictive by the day, it amazes me that companies now are producing pain killers 10 times more powerful than Vicodin. The new meds will be pure hydrocodone – never before legal in the United States.

Do You Think this is a Good Idea?

I am troubled because of the dark side that has accompanied the boom in sales of narcotic painkillers: Murders, pharmacy robberies and millions of dollars lost by hospitals that must treat overdose victims.

Thousands of legitimate pain patients are becoming addicted to powerful prescription painkillers in addition to the thousands more who abuse the drugs.

Prescription painkillers led to the deaths of almost 15,000 people in 2008, more than triple the 4,000 deaths in 1999, the Centers for Disease Control and Prevention reported last month.

Emergency room visits related to hydrocodone abuse have shot from 19,221 in 2000 to 86,258 in 2009, according to data compiled by the Drug Enforcement Administration. In Florida alone, hydrocodone caused 910 deaths and contributed to 1,803 others between 2003 and 2007.

What is Hydrocodone?

Hydrocodone belongs to family of drugs known as opiates or opioids because they are chemically similar to opium. They include morphine, heroin, oxycodone, codeine, methadone and hydromorphone.

Opiates block pain but also unleash intense feelings of well-being and can create physical dependence. The withdrawal symptoms are also intense, with users complaining of cramps, diarrhea, muddled thinking, nausea and vomiting.

After a while, opiates stop working, forcing users to take stronger doses or to try slightly different chemicals.

You’ve got a person on your product for life, and a doctor’s got a patient who’s never going to miss an appointment, because if they did and they didn’t get their prescription, they would feel very sick. It’s a terrific business model, and that’s what these companies want to get in on.

How to Stop the Abuse

Under pressure from the government, Purdue Pharma last year debuted a new OxyContin pill formula that “squishes” instead of crumbling when someone tries to crush it.

But Zogenix, whose drug is time-released but crushable, says there is not enough evidence to show that such tamper-resistant reformulations thwart abuse.

Ponder This

Do you think we need more potent painkillers? Any of my readers out there need something stronger than what is on the market? How do painkillers make you feel? I bet one side effect you experience is extreme irritability. Watch for this – painkillers taken in increasing doses increases irritability in a high percentage of users. Let me know what you think!

Drug Class Reinforces Need for Prescription Drug Database

by Mike Miller January 9, 2012

Trying to control the rampant abuse of prescription drugs is a prescient problem. So far no strong remedy has been discovered. Do you have any thoughts on how to curb this problem?

How would you feel about a national prescription drug database?

The state of California had established just such a database to help control its raging problem. For some reason California officials are preparing to shut down the database used to track abusive pill seekers and doctor shoppers.

Ending this database would be dangerously shortsighted and costly, reversing years of proactive prevention work aimed at thwarting prescription drug abuse in this state. Doctors would no longer be able to check an important and lifesaving database to see if a patient is doctor shopping or using multiple narcotics at the same time. Law enforcement efforts would be severely hampered.

Oldest Monitoring System About to Close

California’s prescription drug monitoring program, founded in 1939, is the oldest in the nation. Its database, known as the Controlled Substance Utilization Review and Evaluation System (CURES), contains more than 100 million entries of controlled-substance drugs.

In addition to its widespread use by law enforcement, CURES responds to more than 60,000 requests from medical practitioners and pharmacists each year. The database provides information critical in the fight against prescription drug diversion and abuse.

Thirty-six states have followed California’s lead, implementing prescription drug monitoring systems. Of those, California is the only state in jeopardy of not having an active database.

According to the Centers for Disease Control and Prevention, prescription drugs, including opioids and antidepressants, are now responsible for more overdose deaths than all illegal street drugs.

Frightening Statistics

In San Diego County alone, prescription drugs were the leading cause of accidental deaths in 2010, according to the county medical examiner. That’s more than the total number of deaths attributable to motor vehicle crashes.

While the most tragic cost is human life, there are many other costs tied to prescription drug abuse – many of which are paid by taxpayers. It doesn’t take much imagination to see law enforcement, judicial and societal problems associated with criminals who have turned to prescription drugs to satisfy their need to get high.

According to a 2010 San Diego Association of Governments (SANDAG) report, two in five arrestees, or 40 percent, say they have used prescription drugs illegally. OxyContin tops the list of most recently abused. The report also found that arrestees who previously abused prescription drugs were significantly more likely to use other illicit drugs.

Those numbers are sure to creep higher if the state pulls the plug on the program. They may even catapult. We cannot allow this to happen.

Questions That Need To Be Addressed

Do you really want California to become a state that attracts drug abusers and dealers because their home states see the value of funding prescription drug monitoring programs? Do we really want “Pill Mills” to become synonymous with California? Is this really worth the risk? I don’t think so!

The DEA’s prescription drug unit in San Diego uses CURES on every case it investigates. It’s an invaluable tool. If gone, it will slow law enforcement investigations. With that comes a hefty price tag – from higher crime rates to more deaths to more babies being born hooked on the drugs their mothers are using.

State officials estimate that it costs less than $1 million to run the CURES database annually.

It seems well worth it to me.

Online Drug Class Keeps Fetuses Addiction Free

by Mike Miller November 27, 2011

Prescription medication addiction is becoming a problem of epidemic proportions in this country.  Add fetuses to the growing list of those addicted to prescription medication.  No, that is not a typo, and really the only surprise is that obviously fetuses cannot access the Internet – yet!

Medical authorities are witnessing explosive growth in the number of newborn babies hooked on prescription painkillers, innocent victims of their mothers' addictions.

Early Intervention Key

Doctors want to intervene early to get pregnant addicts into rehabilitation. But some expectant mothers hide their addictions from their obstetricians because they fear government social workers will take the child, Solomon says.

A pregnant woman can't quit cold turkey because as she goes into withdrawal, the baby will, too. The baby could have seizures in the womb. A miscarriage can occur if the fetus begins to withdraw from the medications.

One in 20 babies born in the semirural community north of Tampa is addicted to painkillers, Newport says. The number of babies treated in the neonatal intensive care unit for withdrawal from prescription painkillers has more than doubled from 37 in 2008 to 88 in 2010.

There's a misconception that because these are prescription drugs, they aren't going to be harmful to the baby. Doctors feel very sorry for the babies, and it's very difficult for to understand why these young women think it's OK. Most are addicted before they get pregnant.

The number of pregnant women with addictions to narcotic painkillers has grown so rapidly that Mercy Hospital Recovery Center in Portland, Maine, developed a specialized treatment program for them.

The moms-to-be spend a month in a six-hours-a-day program before stepping down to three hours daily. About half the babies born don't have any withdrawal. The other half have mild withdrawal.

The experience of opiate withdrawal is the most painful and most difficult of any withdrawal syndrome. It has been described by physicians as physical, emotional and spiritual hell.

At Eastern Maine Medical Center in Bangor, Maine doctors screen every pregnant woman for opiate abuse.

In the Tampa-St. Petersburg area, doctors and nurses are trained to look for signs of addiction in pregnant women, such as problems controlling pain with normal doses of medicine.

Long-Term Effects

Much of the prognosis for babies exposed to prescription painkillers is drawn from long experience with children exposed to heroin, an opiate that has many of the same characteristics as the narcotic painkillers. Most of those children, over time, catch up to their peers, although some have learning difficulties and attention deficit problems, doctors say.

Few long-term studies have followed children exposed to the prescription painkillers.

Most importantly, moving forward, this behavior has got to be stopped.  More education is needed to increase awareness.  A good online drug class might be a start.

Partisan Politics Reveals Need for Online Drug Class

by Mike Miller November 22, 2011

What are your thoughts of partisan politics? Are your views so strong you are unwilling to bend on absolutely any issue?  That sure seems to be the case today with the US Congress. I don’t know about you, but the all-or-nothing mentality in Congress these days has me pretty pissed off!

The "designer drug" law written in 1986 prohibited classes of drugs before they could even be invented and before they could be found to be beneficial or harmful. The presumption behind this ban, that any new drug would be "dangerous" and "bad," stigmatizes and deters discovery of new potentially beneficial drugs. Like most of the other provisions of the 1986 law, this one failed to do anything to prevent the spread of "ecstasy," synthetic cannabis such as "spice" and "K2," and stimulants marketed as "bath salts."

The National Forest System Drug Control Act of 1986 was supposed to protect the National Forests from marijuana cultivation. It was a fine idea, but the "protection" was not thought through. Expanded surveillance of urban electricity usage and scanning for temperature anomalies by drug agents encouraged by the potential riches from property forfeitures led to large-scale and destructive marijuana plantations over-running more than 61 National Forests by 2009.

For years after 1986, America's foreign relations were poisoned by the requirement that the U.S. president certify that other nations provided "maximum achievable" cooperation to our drug fight. This was not pass-fail grading, this was "A+ or fail" grading. The arrogant law offended our neighbors and allies. When the U.S. "decertification" humiliated Colombia, it played into the hands of Colombian terrorists -- the FARC, ELN and AUC. After extensive behind the scenes protests by our allies, Congress finally eliminated this requirement.

Today, heroin profits fund the Taliban enemies of U.S. troops. Mexico is awash with the blood of more than 40,000 drug war victims. HIV is still being conveyed to tens of thousands of Americans each year due to lack of access to new needles. Fatal drug overdoses exceed deaths due to motor vehicle crashes. After twenty-five years, the drug problem is more lethal than ever.

Members of Congress said ad nauseam the Anti-Drug Abuse Act was "sending a message" of zero-tolerance toward drugs. Yet every year since its passage, America has grown thousands of tons of the world's strongest marijuana, produced hundreds of millions of doses of synthetic drugs, and sent tens of billions of dollars into the accounts of drug traffickers around the world.

In reality, only one side of the street paid attention to Congress's message: law enforcement. In minority communities, the sincere effort of most police to protect and serve became invisible behind the language and conduct of the war on drugs, with many officers routinely treating people of color as drug-tolerating scum. Every year, pursuant to search warrants, tens of thousands of doors were broken down, homes were ransacked, family members were held at gun point and pets were shot. "Sweeping the streets" has stained the legitimacy of the justice system.

At last rejecting zero tolerance, many police are curtailing homicide and drug market chaos with enforcement strategies that effectively communicate deterrence. As anti-violence pioneer David M. Kennedy reports in his new book, Don't Shoot, these strategies work in every size city and with every drug market.

When justice agencies communicate credible threats of punishment for significant violations, even long time offenders change behavior. Judge Steve Alm's Hawai'i's Opportunity with Probation Enforcement (HOPE) program got most hardcore addicts to quit once they understood his message that a failed drug test always meant some time in jail. This type of honest, direct communication is the opposite of Congress's claim to be "sending a message" to people who don't read newspapers and don't watch C-SPAN.

The panic of 1986 is gone. The Gallup Poll reports a majority of adults support legalizing marijuana. Harvard professor Jeffrey Miron estimated the 2008 federal tax revenue would yield $5.82 billion if marijuana were legal. Saving the $4 billion spent on federal marijuana enforcement annually, legalization could reduce the deficit by almost $10 billion per year. I've suggested this deficit-reducing idea to Congress's Joint Select Committee on Deficit Reduction. The House Co-Chair acknowledged my letter.

Of course, the "super committee" is moving very quickly to find $1500 billion in savings, perhaps too fast to give serious consideration to a controversial change like marijuana legalization. Yet whatever monumental recommendations the Committee does make to change the federal government, the Pentagon, tax law, health care and the rest of the economy will be subject to hasty and superficial consideration, utterly insufficient to evaluate the potential consequences before Congress votes (if it votes at all). After all, whatever is proposed may likely be rejected through more partisan paralysis.

If Congress were functioning properly, it would take the time to consider the many potential improvements in drug policy that could save lives by preventing overdose, reducing the spread of HIV, and lessening violence, preventing crime, and saving money. With a commitment to governing, instead of grandstanding, Congress could make a careful analysis and weigh the alternatives. Getting this kind of analytical background is the idea behind creating a National Criminal Justice Commission. Senator Webb thinks that the Commission idea has suffered a setback, but is not dead. Perhaps its life is in hands not on Capitol Hill.

Do you think something needs to be done? Do you think an online drug class would be effective?  I welcome your input.

Do People With High IQs Need Online Drug Class?

by Mike Miller November 21, 2011

The valedictorian of our high school class was a total stoner! Do you know people who seem to be very intelligent, often having very high IQs, who are prone to addiction? Looking back now, myself not being a textbook example, there were a number of very intelligent, high IQ comrades in high school and college who abused alcohol and drugs.

Logically, let me begin by saying smart people know that using and abusing drugs and alcohol is a bad thing to do. They are smart enough to know better. But are they more prone to addiction? A recent British survey thinks so.

Higher IQ – Higher Chance of Addiction?

A new British study finds children with high IQs are more likely to use drugs as adults than people who score low on IQ tests as children. The data come from the 1970 British Cohort Study, which has been following thousands of people over decades. The kids' IQs were tested at the ages of 5, 10 and 16.

The study also asked about drug use and looked at education and other socioeconomic factors. Then when participants turned 30, they were asked whether they had used drugs such as marijuana, cocaine and heroin in the past year.

Researchers discovered men with high childhood IQs were up to two times more likely to use illegal drugs than their lower-scoring counterparts. Girls with high IQs were up to three times more likely to use drugs as adults. A high IQ is defined as a score between 107 and 158. An average IQ is 100. The study appears in the Journal of Epidemiology and Community Health.

The lead researcher says he isn't surprised by the findings. "Previous research found for the most part people with high IQs lead a healthy life, but that they are more likely to drink to excess as adults," says James White a psychologist at Cardiff University in the United Kingdom.

It's not clear why people with high childhood IQs are more likely to use illegal drugs.

"We suspect they may be more open to new experiences and are more sensation seeking," says White. In the paper, White and his co-author also mention other studies that find high IQ kids may use drugs because they are bored or to cope with being different.

That seems to ring true for one of my childhood classmates.

One of the smartest kids in my middle school. But, by the time she was in her early 20's, she was a heroin addict. I found out while flipping channels one sleepless night and stumbled upon the documentary "Black Tar Heroin."

Just one more thing to think about. You have smart kids – watch them like a hawk.

Mexican Police Need Drug Awareness Class

by Mike Miller November 12, 2011

Of course the title to this article is naïve. The corrupt Mexican police force that is on the take from drug cartels needs a lot more than an online drug class to curb cartel power and violence.

Raids

Mexican President Felipe Calderon's office did not respond for requests for comments on the CNDH findings, but it says his strategy is showing results with the capture of major gang leaders and a drop in homicides in violent cities like Ciudad Juarez, where murders fell to 1,550 so far this year from 3,622 killings in 2010.

Still, the overall number of drug-related murders is still rising and improved security in some places has not cured a deep mistrust of the police.

Forty-six percent of Mexicans surveyed said they have little or no confidence in federal police and local police fared even worse at 60% in a survey last month on security perceptions by the national statistics agency.

Denting public support is a big jump in unauthorized raids by security forces, which have more than tripled from 2005, including one on the home of a well-known, elderly poet in August.

Even more raids go unreported. Do you know why?

In one case last month, a convoy of two dozen federal police burst into the home of "Amelia" in a lower middle class neighborhood in Mexico City in search of her nephew, who has suspected links to organized crime.

Guided by two bound suspects in the back of their trucks, and no search warrant, federal agents entered her family's small compound hunting for the 21-year-old, forcing her husband and son to kneel at gunpoint.

"They had (my nephew's) wife on the ground splayed out like Christ pointing a machine gun at her head ... His brother was sleeping with his baby and they dragged him out, hitting him with their pistols on his head and back," said Amelia.

When it was all over, the law enforcers left with no arrests but not empty-handed - nearly $450, an iPad, a leather jacket and several cell phones were missing, she said.

Nice, the police are both corrupt (on the cartel payroll) and thieves! Perhaps a good online drug class or online stop theft class might start the ball rolling in the right direction. I appreciate your thoughts on curbing police corruption and cartel power.

Mexican Police Major Part of Drug Problem

by Mike Miller November 11, 2011

No one will deny that drugs are ruining their country. Mexico is spending on its federal police forces like never before as it fights powerful drug cartels, trying to overcome a long history of corruption, abuse and incompetence.

Since taking office in late 2006, President Felipe Calderon has pumped up the public security ministry's budget threefold, growing federal police ranks from 6,000 agents to 35,000 now.

Financial aid from the United States has helped pay for top-of-the-line equipment and training aimed at creating a model force to outperform inefficient and underpaid state and municipal officers, often accused of working for drug gangs.

But the results have so far not met the government's hopes, and reports of abuses across the country are rising.

Complaints of rights violations by the federal police - including arbitrary detention and torture - last year reached almost 600, quadruple those filed in 2006, according to the national human rights commission, or CNDH.

The charges often do not go very far.

Between December 2006 and June 2010 there have only been 41 investigations into accusations of torture and of those, just one went to trial.

Widespread abuse charges reflect a deeper problem in Mexican security forces - sub-par investigative skills and low salaries that can be a hook for wealthy drug gangs looking to put police on their payrolls.

Corrupt local cops in the border city are a key part of the drugs trade and helped form La Linea, the enforcement arm of the Juarez cartel.

Recognizing the weaknesses of the police, Calderon pulled in the army and the marines to take a leading role in the drugs war.

They have captured or killed several senior traffickers, but Calderon is well aware that strong police work is critical for any kind of lasting solution.

He proposed a unified police command to dissolve municipal forces that fail background checks or hand them over to state authorities, but the checks are behind schedule.

Reforms passed by Congress in 2008 to introduce oral trials and improve Mexico's justice system are also moving slowly.

The drugs war has killed more than 44,000 people since Calderon became president.

With no end in sight to the violence and his efforts to clean up the police falling short, his conservative National Action Party, or PAN, is way behind in early polls ahead of the presidential election next July.

Mexican drug cartels have gained way too much power. With police on the take, the government has an even bigger task of trying to curtail the power of these cartels. Does anyone have a suggestion to halt cartel power?

Bath Salts Banned in Ohio

by Mike Miller November 3, 2011

As teens and seemingly everyone else looks to get high anywhere they can, bath salts are becoming the latest drug rage. If you follow this blog, which I know many of you do from the countless comments on both it and my onlinealcoholclass.com blog, you know I have written about this a couple of times already.

As it becomes a bigger problem here in the United States it is nice to see the legal system stopping the sale of a substance that is lethal, though never intended for recreational drug use. The most recent state to ban the sale of bath salts – Ohio.

Ohio retailers will no longer be able to sell synthetic recreational drugs marketed as bath salts and K2 or spice, and use and possession of the substances also will be banned when a new state law goes into effect Monday.

The legislation signed by Gov. John Kasich in July adds synthetic marijuana known as K2 or spice and six synthetic derivatives of cathinone that have been found in bath salts to the list of Schedule 1 controlled substances. The products have been sold legally at convenience stores, tobacco shops and other businesses.

The K2 or spice contains organic leaves coated with chemicals that provide a marijuana-like high when smoked, and bath salts drugs are crystalized chemicals typically snorted or injected that provide a cocaine-like high. The substances have been known to cause reactions including hallucinations, paranoia, severe agitation and seizures, and that bath salts reportedly have been linked to deaths in Ohio and elsewhere.

As more people around the country have experimented with the synthetic drugs, more medical problems have been reported and more efforts have begun to ban the substances.

The American Association of Poison Control Centers reported last month that the number of calls to the country's poison centers rose dramatically from 303 in 2010 to more than 4,700 in the first seven months of this year. The American Medical Association has come out in support of national legislation to ban bath salts, and several states have implemented their own bans on bath salts and K2 or both.

Under Ohio's new law, penalties for possession or trafficking of K2 or spice will be the same as those for marijuana — a minor misdemeanor for possession and a felony for trafficking in the vicinity of a school or juvenile. Possession and trafficking of bath salts would fall under the normal felony penalties for Schedule 1 controlled substances such as cocaine and amphetamines.

There's a perception that these products are somehow safer than street drugs because they come in eye-catching packaging and are sold in gas stations, convenience stores and novelty shops. The reality is, these substances are dangerous and can have life-threatening consequences.

About the author

Mike Miller is the director of Online Drug Class, a website dedicated to Alcohol Drug Classes and Education.

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