SLIDE 1
Teresa Bartlett, MD Senior Vice President and Senior Medical Officer Sedgwick
Western Carolina RIMS presentation summary June 2018 Meeting The Opioid Epidemic a Perilous Drug Crisis How did we get here?
- Purdue Pharma
- Congress passed law late 2000 decade of pain control
- Addictive properties not well understood
- How opioids impact the brain Mu receptors
Statistics from the CDC
- 115 people die each day
- Economic burden estimated at $78 Billion
- Reduced male workforce by 20%
- Added over 92,000 children to foster care system
- Those addicted to prescription opioids are 40% more likely to become addicted to
heroin
- Long term use statistics
- 1 day = 6.0% on opioids 1 year
- >8 days = 13.5% on opioids 1 year
- >31 days = 29.9% on opioids 1 year
- 90 days = 60% 5 years later
Kratom Carfentanil States respond to opioid crisis
- 11 states have adopted formularies and many more to come
- 29 states have passed limits on the first fill of an opioid
- Some states require physicians to check the PDMP before prescribing an opioid
- CARA Act has been adopted to allow partial fill of schedule II medications such as
- pioids