The Obama administration has agreed to fund a heroin overdose reversal agent as part of a nationwide program to curb drug-related deaths.

Heroin-related deaths in the U.S. have nearly doubled between 2011 and 2013. In 2013, the number of people who died from overdose rose to 8,200.

The Obama Administration is taking action to combat the issue by expanding access to a drug that can stop a heroin overdose. The life-saving opioid antagonist, called Naloxone, will be available without a prescription in more than 30 states.

Reversing A Heroin Overdose

The goal of educating non-medical personnel about how to use Naloxone is to prevent overdoses outside of the hospital setting. 
Image: Heroin Addiction

Naloxone, which has a 90 percent success rate if consumed in time, reverses the effects of narcotic drugs. While doctors may use it when pain management complications from surgery arise, it is particularly effective in combating an opiate overdose.

Naloxone can be administered intravenously or through the nasal passage. It blocks the effects of extreme drowsiness, slowed breathing or loss of consciousness.

It counteracts central nervous system depression and allows the respiratory system to work, helping the overdose victim to breathe. The medication has no effect on a person who does not have opioids in their system and therefore, has no potential for abuse.

The Obama Administration’s Plan

Naloxone is also known by the brand name Narcan.
Image: ACE Surgical

The Obama administration launched private and public programs to address opioid and heroin addiction. The programs focus on prescription drug abuse, in addition to issues with substances sold on the street. The program includes a variety of initiatives, including but not limited to:

• Over-the-counter access: CVS Pharmacy will expand its 1-month-old program selling naloxone to patients without a prescription from locations in 12 states to 32 states in 2016.
•  Funding for low-income communities: The Department of Health and Human Services has given $1.8 million to lower socioeconomic classes to purchase naloxone and train first responders on how to use it.
• Native American populations: The Bureau of Indian Affairs (BIA) and the Indian Health Service will provide BIA police officers and investigators with the naloxone.
• Police education: The Fraternal Order of Police will educate 330,000 members about identifying and treating opioid overdoses. The International Association of Chiefs of Police will educate law enforcement on how to prevent overdoses. City and state police officers will begin to require police officers to add naloxone to their everyday toolkit.

In August, the administration announced a $2.5 million strategy to combat the public problem of heroin abuse. Deeming it a health issue instead of a criminal justice problem, political parties on both ends of the spectrum have moved to support increased access to Naloxone.

Obama visited Charleston, West Virginia to unveil the programs. The state is particularly affected by addiction with an overdose rate of more than twice the national average.

Critics argue that the policy is vague and that the education initiatives are hard to implement. Regardless, the program will provide widespread access by doubling the number of doctors who can prescribe naloxone.

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Medications that fall within the opioid family include regulated drugs like oxycontin, oxycodone, vicodin and more. These drugs are prescribed by doctors to alleviate severe pain that is often caused by injury or serious illness.

The Columbia study focuses on individuals abusing pain medication to experience the euphoric feeling it produces.

USA Today

In summary, individuals, specifically whites, who used opioids for recreational reasons were more likely to use heroin. 

The study compares 2002-2005 to 2008-2011 statistics, noting that heroin use has increased by 75 percent in white individuals with a history of abusing painkillers. The study also cites a rise in heroin use in the Hispanic group as well, but only for those that used prescription opioids in the past 1-29 days. For blacks and whites, there was only a significant increase in heroin use in individuals that used prescription opioids in the past 100-365 days.

Narconon

Research shows that for many, the two drugs become interchangeable. Prescription opioids become a substitute to curb heroin withdrawals when it is unavailable. More seriously, individuals who use these prescriptions for nonmedical reasons are also more likely to inject heroin.

“This is alarming and raises concern since injection drug use among prescription opioid users can contribute to the spread of HIV, as recently reported in Southern Indiana, as well as of Hepatitis C,” said Silvia Martins, MD, PhD, associate professor of Epidemiology at the Mailman School of Public Health.

The research shows a strong connection between heroin abuse, prescription opioid abuse and heroin-related overdoses, specifically for whites.

“Overall, our results suggest a connection between opioid and heroin use and heroin-related adverse outcomes at the population level, implying that frequent nonmedical users of prescription opioids, regardless of race or ethnicity, should be the focus of public health efforts to prevent and mitigate the harms of heroin use,” Martins said.

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The use of prescription painkillers in the United States has skyrocketed in recent years. Over the last decade, deaths due to overdose of prescription narcotics have tripled. In spite of the impact on their victims, pharmaceutical companies have made determined efforts to get the maximum return for their products. Two counties in California have taken the big five Pharmaceutical companies to task for their marketing practices in an ongoing lawsuit.

The CDC is working with states to reduce opioid prescriptions to a level that is appropriate for genuine pain management. Florida has provided an excellent case study of how improved oversight can reduce deaths due to overdose. Formerly having one of the highest rates of overdose deaths, Florida has reversed the trend and shown that a reduction in narcotic prescriptions leads to a reduction in overdoses.

At the optimal level, prescription painkillers are effective at controlling pain and suffering. Where standards and practices have lapsed and inappropriate levels of prescriptions have become the norm, it has been a disaster for patients as well as a profit center for the giants of the pharmaceutical industry. The CDC stated that there is no therapeutic value in over-prescribing narcotics but there is a strong, documented correlation with overdose rates and deaths.

Further, the CDC announced the results of Florida’s attempt to turn the tide and reduce overdose fatalities. The reduction of prescription narcotics for pain medication in 2010-2011 successfully led to a significant reduction in deaths due to overdose. Although there has been some progress in dealing with this destructive issue, the pharmaceuticals industry, like Big Tobacco, has shown itself to be ruthless and devious in its efforts to deliver product. The epidemic of prescription abuse, heroine addiction and death by overdose can be traced directly back to their actions.

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