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PRESENTED BY DR. JOE MANCINI
PRESENTED BY DR. JOE MANCINI DESPAIRING STATISTICS Accidental death - - PowerPoint PPT Presentation
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
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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!
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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?
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THE OPIOID CRISIS
OPIUM, from which opioids are derived, has been around for 5000 years!
WHY A CRISIS NOW?
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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
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OPIOIDS: WHY SO ADDICTIVE?
- Pain Relief
- Euphoria
- Severe Withdrawals Symptoms
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OPIOIDS: WHY SO DANGEROUS?
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OPIUM vs OPIATES vs OPIOIDS
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OPIUM
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OPIATES: EXTRACTED DIRECTLY FROM OPIUM
- Morphine
- Codeine
- Thebaine
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OPIOIDS
SEMISYNTHETIC: Synthesized From Opiates
- Hydrocodone
- Oxycodone
- Hydromorphone
- Oxymorphone
SYNTHETIC: Directly From A Laboratory
- Methadone
- Fentanyl
- Sufentanyl
- Carfentanil
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STOPPING THE CRISIS
RESCUE RECOVERY (M.A.T) PREVENTION
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STOPPING THE CRISIS - RESCUE
NARCAN (Naloxone)
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STOPPING THE CRISIS - RECOVERY
- 12 Step Program
- Drug Treatment (10%)
- Medication Assisted Treatment (M.A.T)
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MEDICATION ASSISTED TREATMENT (M.A.T.)
- Buprenorphine (Suboxone)
- Methadone
- Naltrexone (Vivitrol)
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METHADONE
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NALTREXONE
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BUPRENORPHINE
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BUPRENORPHINE MORPHINE
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OPIOIDS
- Heroin
- Fentanyl
- Morphine
- Codeine
- Vicodin
- Percocet
- Oxycontin
- Suboxone
- Narcan
- Buprenorphine
- Naltrexone
- Methadone
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STOPPING THE CRISIS - PREVENTION
- Decrease prescription for opioids
- Decrease heroin coming in
- Decrease fentanyl coming in
- Buprenorphine for pain
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