PRESENTED BY DR. JOE MANCINI DESPAIRING STATISTICS Accidental death - PowerPoint PPT Presentation

PRESENTED BY DR. JOE MANCINI

DESPAIRING STATISTICS • Accidental death from opioid overdose has quadrupled since 1999! • Annually, more than death from gunshot wounds or motor vehicle accidents! • In total, since 1999, more than death from the AIDS epidemic in the 80s!

DESPAIRING STATISTICS Prescriptions for opioid pain medication quadrupled between 1999 and 2013, but has leveled off since then. YET, the number of deaths continues to rise! WHY?

THE OPIOID CRISIS OPIUM, from which opioids are derived, has been around for 5000 years! WHY A CRISIS NOW?

THE OPIOID CRISIS 115 deaths/day in the U.S. (Greater Than Gun Deaths & Motor Vehicle Accidents?) • Under treatment of chronic pain • Purdue Pharma – Oxycontin 1996 • Xalisco – Mexico • Fentanyl – Primarily from China

OPIOIDS: WHY SO ADDICTIVE? • Pain Relief • Euphoria • Severe Withdrawals Symptoms

OPIOIDS: WHY SO DANGEROUS?

OPIUM vs OPIATES vs OPIOIDS

OPIUM

OPIATES: EXTRACTED DIRECTLY FROM OPIUM • Morphine • Codeine • Thebaine

OPIOIDS SEMISYNTHETIC: SYNTHETIC: Synthesized From Opiates Directly From A Laboratory • Hydrocodone • Methadone • Oxycodone • Fentanyl • Hydromorphone • Sufentanyl • Oxymorphone • Carfentanil

STOPPING THE CRISIS RESCUE PREVENTION RECOVERY (M.A.T)

STOPPING THE CRISIS - RESCUE NARCAN (Naloxone)

STOPPING THE CRISIS - RECOVERY • 12 Step Program • Drug Treatment (10%) • Medication Assisted Treatment (M.A.T)

MEDICATION ASSISTED TREATMENT (M.A.T.) • Buprenorphine (Suboxone) • Methadone • Naltrexone (Vivitrol)

METHADONE

NALTREXONE

BUPRENORPHINE

MORPHINE BUPRENORPHINE

OPIOIDS • Heroin • Oxycontin • Fentanyl • Suboxone • Morphine • Narcan • Codeine • Buprenorphine • Vicodin • Naltrexone • Percocet • Methadone

STOPPING THE CRISIS - PREVENTION • Decrease prescription for opioids • Decrease heroin coming in • Decrease fentanyl coming in • Buprenorphine for pain

THE ROLE OF CANNABIS