Brought to you by the Arizona Pharmacy FoundationEducating the public concerning the delivery of pharmaceutical care

www.azpharmacy.org

Mission Statement:

AWARERX.ORG is an information source providing authoritative resources about medication safety,

prescription drug abuse, medication disposal, and safely buying medications on the internet.

Every day, 2500 teensabuse a prescription drug

for the first time.

24

15

1

0

5

10

15

20

25

%

Got it from a friend

Medicine cabinet in my home

Internet

Rx pain relievers (Vicodin, OxyContin, Soma)

Rx stimulants (Adderall, Ritalin)

Rx tranquilizers/sedatives (Xanax, Valium)

Rx Sleep Aids (Ambien, Lunesta)

OTC cough/cold with ‘DXM’ (Robitussin,

Coricidin)

Unintentional drug poisoning now second leading cause of accidental death in US, after car crashes

111% increase in ER visits concerning non medical use of narcotics (2004-2008)

Rx drugs are now the most commonly abused drugs among 12-13 year olds

ARIZONA YOUTH In 2010, 10.4% of AZ youth reported current Rx drug misuse (the most

commonly used substance after alcohol, tobacco and marijuana and a 69.8% increase between 2006 and 2010)

◦ While rates of Rx type use were comparable to national levels for Sedatives and Stimulants, Arizona youth in all grades reported higher rates of Pain Reliever misuse (16.8% lifetime use, 7.7% current use)

◦ The majority of youth (92.7%) reported obtaining them from everyday sources (e.g. friends and family/home)

◦ In 2010, 68.6% of youth reported using both Rx drugs and alcohol in the past 30 days, with 27.6% reporting Rx drug use and heavy (binge) drinking

Mortality & Morbidity◦ Opioid-related cases in the ER have

consistently increased A 34.5% increase between 2008-2010

◦ 442 deaths involved Rx narcotic drugs in AZ in 2010 (A 53.5% increase between ‘06-’10) 11% were youth & young adults ages of

15-24 years Opioid Analgesics accounted for 64.3%

◦ Health insurance and AHCCCS costs 52.5% of opioid-related AZ ER cases in

2010 were paid for by AHCCCS/Medicaid CDC estimates Rx Pain Relievers cost

health insurers up to $72.5 billion annually

Increase in Crime

Misperceptions that abusing medicine is not dangerous (safer than “street drugs”)

Ease of access via medicine cabinets at home or friend’s house, own or other person’s prescriptions

Sanitized

Created in amedical

laboratory for healing purposes

Sanctioned

Accepted bysociety asa “positive”

Safe

Certified by FDA

Street drugs are generally considered more dangerousParents are less familiar with “pills” – they often have no frame of reference since these types of drugs of abuse didn’t exist in their youthThere’s a lack of urgency around Rx-OTC

Only 1 in 5 (20%) teens report that their parents have never talked to them about alcohol or illegal drugs

Half of teens (51%) say their parents have never talked to them specifically about prescription drug abuse

• Tragic Events at Local Level

• Helps Address Public Perception Gap

• Medicine is more than a commodity.

• Value of pharmacists & other health professionals.

• Personal Responsibility in Health Care

• Proactive on Issues of Importance to the

Public and the Pharmacy Profession

Focus Areas: Illicit Online Pharmacies Counterfeit Drugs Prescription Drug Abuse & Recovery OTC Abuse by Kids Medication Disposal Medication Misuse/Patient Safety & Adherence

Does the website require a prescription?Where does the company ship their medications from?Do they keep the medication in a controlled environment?Who is monitoring the company to make sure it provides REAL medication?

Eighty-five percent of anchor sites (135) do not require a prescription in order to purchase controlled prescription drugs online.

Of those sites not requiring prescriptions: •42 percent (57) explicitly stated that no prescription was needed; •45 percent (61) offered an “online consultation;” and, •13 percent (17) made no mention of a prescription.

Source: The National Center on Addiction and Substance Abuse at Columbia University White Paper, “You’ve Got Drugs!” V: Prescription Drug Pushers on the Internet, July 9, 2008

Of the 159 identified websites offering controlled prescription drugs for sale in 2008:

24 percent (38) indicated that the drugs would be

shipped from a U.S. pharmacy;

40 percent (63) indicated that they would be coming from

outside the U.S.; and,

36 percent (58) gave no indication of the geographic

source of the drug.

Source: The National Center on Addiction and Substance Abuse at Columbia University White Paper, “You’ve Got Drugs!” V: Prescription Drug Pushers on the Internet, July 9, 2008

Some websites you visit:Are not licensed in the U.S. or do not have a licensed

pharmacist working at the dispensing facility Will sell you medication that is medically unnecessary for

you Won’t verify the medication they are sending you will not

interact with any other current medications you are taking Won’t secure your personal information

Some of the medications distributed on the internet:Are counterfeit (look real, but are fake)Are not the correct dose for your condition (too strong or weak) Are not approved by the FDA Are not stored properly in the shipping process Contain unsafe ingredients Have expired

NABP’s VIPPS Accreditation (Verified Internet Pharmacy Practice Sites)

For more information visit the following links:

http://www.awarerx.org/temp3/onlinePharmacies.html

http://www.nabp.net/index.html?target=/vipps/intro.asp&

http://www.fda.gov/buyonline/

Keep medications in original containersNever take someone else’s medicationRead the label every time you take a doseKeep a current list of your medicationsList your allergies (food, herbal, drugs)Place medication in a safe location

Prescription pain killersAnti-anxiety medicationsMedications for sleep

You play a big role in keeping these powerful medicines out of the hands of those who shouldn’t have them

Take medication as directed, including length of time.Discard medications when too old or no longer needed

See expiration date, beyond use date, or “EXP” on Rx label or OTC package.

Do not flush unused medications unless directed to do so on the label or patient instructions.

1. Take your prescription drugs out of their original containers

2. Mix drugs with undesirable substance, such as cat litter, or used coffee grounds.

3. Put this mixture into a disposable container with a lid, such as an empty margarine tub, or into a sealable bag.

http://www.alliancehealthcard.com/freerx/54167-%20own%20orange%20pills%20square.JPG

4. Conceal or remove any personal information, including Rx number, on the empty containers by covering it with black permanent marker or duct tape, or by scratching it off.5. Place the sealed container with the mixture, and the empty drug containers, in the trash.

http://proteus.pca.state.mn.us/publications/w-hhw4-54.pdf

Finish entire prescription of antibioticsThese are prescribed in exact quantities and are meant to be taken until all pills are gone even if you feel better before this pointLeft over antibiotics can lead to bacteria resistant to that antibiotic in the future

New Prescriptions or As Needed PrescriptionsYou can have your pharmacy fill a partial prescription (less than what is written by doctor) to test medication Or fill only what you needThe rest of the prescription will be saved at the pharmacy for future fills

• Participate in your health care• Keep records of your

allergies, medications and conditions

• Know your health care goals• Use pharmacies you trust• Ask your pharmacist and

doctor when you have questions

http://www.pharmacist.com/Content/NavigationMenu3/Newsroom/AmericanPharmacistsMonth/American_Pharmacists.htm

Talk about this alarming trend

Safeguard medications at home (and ask friends to do the same)

Dispose of medications properly

Order prescriptions only from an approved internet site

http://proteus.pca.state.mn.us/publications/w-hhw4-54.pdf

http://www.smarxtdisposal.net/

http://drugfreeaz.org/

http://www.awarerx.org/

http://nabp.org/

The Arizona Pharmacy Foundation is a licensee of the AWARxE program, in collaboration with the National Association of Boards of Pharmacy (NABP).

For more information please contact the Arizona Pharmacy Association 480-838-3385, www.azpharmacy.org