Prescription Drugs Kill 300 Percent More Americans Than Illegal Drugs

Monday 10 November 2008

Prescription Drugs Kill 300 Percent More Americans Than Illegal Drugs
Heath Ledger found dead from prescription drug abuse. (Photo: AP)

A report by the Florida Medical Examiners Commission has concluded that prescription drugs have outstripped illegal drugs as a cause of death.

An analysis of 168,900 autopsies conducted in Florida in 2007 found that three times as many people were killed by legal drugs as by cocaine, heroin and all methamphetamines put together. According to state law enforcement officials, this is a sign of a burgeoning prescription drug abuse problem.

"The abuse has reached epidemic proportions," said Lisa McElhaney, a sergeant in the pharmaceutical drug diversion unit of the Broward County Sheriff's Office. "It's just explosive."

In 2007, cocaine was responsible for 843 deaths, heroin for 121, methamphetamines for 25 and marijuana for zero, for a total of 989 deaths. In contrast, 2,328 people were killed by opioid painkillers, including Vicodin and Oxycontin, and 743 were killed by drugs containing benzodiazepine, including the depressants Valium and Xanax.

Alcohol directly caused 466 deaths, but was found in the bodies of 4,179 cadavers in all.

While the number of dead bodies containing heroin jumped 14 percent from the prior year, to a total of 110, the number of deaths influenced by the painkiller oxycodone increased by 36 percent, to a total of 1,253.

Across the country, prescription drugs have become an increasingly popular alternative to the more difficult to acquire illegal drugs. Even as illegal drug use among teenagers have fallen, prescription drug abuse has increased. For example, while 4 percent of U.S. 12th graders were using Oxycontin in 2002, by 2005 that number had increased to 5.5 percent.

It's not hard for teens to come by prescription drugs, according to Sgt. Tracy Busby, supervisor of the Calaveras County, Calif., Sheriff's Office narcotics unit.

"You go to every medicine cabinet in the county, and I bet you're going to find some sort of prescription medicine in 95 percent of them," he said.

Adults can acquire prescriptions by faking injuries, or by visiting multiple doctors and pharmacies for the same health complaint. Some people get more drugs than they expect to need, then sell the extras.

"You have health care providers involved, you have doctor shoppers, and then there are crimes like robbing drug shipments," said Jeff Beasley of the Florida Department of Law Enforcement. "There is a multitude of ways to get these drugs, and that's what makes things complicated."

And while some people may believe that the medicines' legality makes them less dangerous than illegal drugs, Tuolumne County, Calif., Sheriff's Office Deputy Dan Crow warns that this is not the case. Because everybody reacts differently to foreign chemicals, there is no way of predicting the exact response anyone will have to a given dosage. That is why prescription drugs are supposed to be taken under a doctor's supervision.

"All this stuff is poison," Crow said. "Your body will fight all of this stuff." Tuolumne County Health Officer Todd Stolp agreed. A prescription drug taken recreationally is "much like a firearm in the hands of someone who's not trained to use them," he said.

While anyone taking a prescription medicine runs a risk of negative effects, the drugs are even more dangerous when abused. For example, many painkillers are designed to have a delayed effect that fades out over time. This can lead recreational users to take more drugs before the old ones are out of their system, placing them at risk of an overdose. Likewise, the common practice of grinding pills up causes a large dose of drugs to hit the body all at once, with potentially dangerous consequences.

"A medication that was meant to be distributed over 24 hours has immediate effect," Stolp said.

Even more dangerous is the trend of mixing drugs with alcohol, which, like most popularly abused drugs, is a depressant.

"In the case of alcohol and drugs, one plus one equals more than two," said Tuolumne County Sheriff's Office spokesperson Lt. Dan Bressler.

Florida pays careful attention to drug-related deaths, and as such has significantly better data on the problem than any other state. But a recent study conducted by the U.S. Drug Enforcement Agency (DEA) suggests that the problem is indeed national. According to the DEA, the number of people abusing prescription drugs in the United States has jumped 80 percent in six years to seven million, or more than those abusing cocaine, Ecstasy, heroin, hallucinogens an inhalants put together.

Not surprisingly, there has been a corresponding increase in deaths. According to the Drug Abuse Warning Network, the number of emergency room visits related to painkillers has increased by 153 percent since 1995. And a 2007 report by the Justice Department National Intelligence Drug Center found that deaths related to the opioid methadone jumped from 786 in 1999 to 3,849 in 2004 - an increase of 390 percent.

Many experts attribute the trend to the increasing popularity among doctors of prescribing painkillers, combined with a leap in direct-to-consumer marketing by drug companies. For example, promotional spending on Oxycontin increased threefold between 1996 and 2001, to $30 million per year.

Sonora, Calif., pharmacist Eddie Howard reports that he's seen painkiller prescriptions jump dramatically in the last five years.

"I don't know that there is that much pain out there to demand such an increase," he said. The trend concerns Howard, and he tries to keep an eye out for patients who are coming in too frequently. But he admits that there is little he can do about the problem.

"When you have a lot of people waiting for prescriptions, it's hard to find time to play detective," he said.

Still, the situation makes Howard uncomfortable.

"It almost makes me a legalized drug dealer, and that's not a good position to be in," he said.

All republished content that appears on Truthout has been obtained by permission or license.

Comments

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There are a lot of deaths

Wed, 11/12/2008 - 22:19 — Frances Griffin (not verified)

There are a lot of deaths from prescription pharmaceuticals taken properly and prescribed by physicians, who are not always well informed or very vigilant about side effects. For examples I cite Viox and Phen-phen, both drugs that were actively marketed by physicians at so called educational events. Then, too we have the problem of drug resistant bacteria, exacerbated by the widespread use of antibaterials in liquid hand soap. So I suggest we start with education and not get hysterical about prescription drug abuse. I'll bet a lot more people die from the effects of smoking cigarettes.

Doesn't anyone get the point

Thu, 11/13/2008 - 02:30 — Anonymous (not verified)

Doesn't anyone get the point here? People, mammals, search for ways to "escape". They have for millennium. The Native Americans used peyote. Aboriginal tribes in South America have their escape(can't remember the drug off the top of my head). The clergy invented beer. Remember the backlash from Alcohol Prohibition? Why does the gov't think it can control a natural desire?(Actually, it doesn't. It's making a profit on it.) Legalize it. Educate. Then let things go a natural way. If someone overdoses, it's their wish. I do like that one fact pointed out, "...marijuana for zero(deaths)."

it has been about 10 years

Thu, 11/13/2008 - 07:06 — Anonymous (not verified)

it has been about 10 years since the JAMA, a very prestigious medical journal, carried an article citing legally prescribed drugs, in hospitals as the 3rd biggest cause of death in this country. this does not include drug related deaths called by another disease; ie, cancer or heart disease. Nor does it include all the adverse effects of drugs not reported by the medical profession as that is not a required statistic. however, the fda, in its pimping for the pharmaceutical corporations, now demands that every minute complaint, or seeming complaint about holistic products be reported to them. so if youtell a doctor that you used a vit b supplement and your urine yellowed they would call it a complaint and report it. of course, vit b's will turn your urine yellow. it is your body ridding itself of excesses and is not necessarily a problem! i would venture to say that allopathic drugs and the practice itself, is the biggest cause of death in this country. and we export it internationally with all the deficient food and gmo seeds that are pushed and peddled. and then there are all the banned drugs in this country that get sent elsewhere, or the toxic and polluting vaccines. the list goes on as this country turns others into modern death traps for its citizens, as happens here. solutions: fight for our health freedom access here; fight the fda regualtions against natural and holistic products and protocols; fights against the destruction of the dshea regs which guaranteed our free access to natural products.

Pop quiz, hotshots: Which is

Thu, 11/13/2008 - 11:18 — Anonymous (not verified)

Pop quiz, hotshots: Which is the only country that allows advertising of dope directly to consumers? Yes, enabling hypochondria and inventing non existent syndromes, diseases, and disorders to make more money is unique to this country. So what do you expect? People are going to shove anything into themselves that they think will make them feel better. And remember, if a huge corporation makes an obscene profit on dope, it's no longer considered immoral, and certainly isn't illegal.

I realize that there is a

Thu, 11/13/2008 - 12:00 — Anonymous (not verified)

I realize that there is a problem, but also there is a problem with doctors becoming skeptical of LEGITIMATE pain. I was treated like I was a drug addict after I went to see a doctor after breaking my shoulder. I needed pain medication and was given something that was not generic. I asked for a generic drug which I use very judiciously. But the doctor treated me with disdain (I was not asking for one of the Oxicondin type drugs). I then wrote him a letter insinuating that he takes money from drug companies since he would only prescribe one drug. Upon receiving the letter, the doctor called me and hollered at me for that insinuation. I told him now he knows how it feels since he insinuated that I was a drug addict. I think that patients should be treated individually and not lumped together in a category.

the abolition of the

Thu, 11/13/2008 - 12:17 — Anonymous (not verified)

the abolition of the pharmaceutical industry should be high on the list of obama's priorities.

All these deaths and

Thu, 11/13/2008 - 16:54 — Anonymous (not verified)

All these deaths and marjuana still isn't legal? It's ridiculous that alcohol, cigs, and these perscription drugs are still legal but oh, because someone is making money off of people dying its still legal. Messed up man, real messed up

It's interesting to me to

Thu, 11/13/2008 - 22:12 — Anonymous (not verified)

It's interesting to me to see so many people up in arms, specifically taking aim at psychiatric medications, when there's no balanced statistic. What about the number of lives saved? Are you so ignorant as to believe that just because a drug treats an ailment in the mind that it cannot be the intervention needed to come between life and death? Escapism is one thing, but genuine pain is another. Benzodiazepines, Seratonin Reuptake Inhibitors and even antipsychotics have very legitimate uses and the denial of all pharmaceuticals would be a denial of legitimate care. It's the "concerned citizen" who, without any informed knowledge about a patient's condition or any medical knowledge whatsoever, endanger more lives than they could ever hope to save. While Vioxx was a big, tragic mistake, it's not representative of the industry. Furthermore, anything used illegitametely can be fatal. Do you support the abolition of spray cans, box cutters, screwdrivers, baking spray, laundry detergent, paint thinner and baking soda, as well? Probably not, because you haven't given this a whole lot of decent intelligent thought.

Hmm ... lotta old people in

Sat, 11/15/2008 - 02:17 — Bill in Detroit (not verified)

Hmm ... lotta old people in Florida. Most of them don't use crack -- lots of them use an incredible variety of other drugs. Coincidence? Maybe. Maybe not.

It is obvious to me that we

Sat, 11/15/2008 - 09:22 — Anonymous (not verified)

It is obvious to me that we live in a drug oriented society. Alcohol is one of the most insidious drugs there is, yet is legal. The damage it has done to families in and of itself is overwhelming. Capitalist societies create pent up anxiety and frustration and people are left with a choice to either self medicate with alcohol or go to their local head jacker and get a perscription for whatever their need may be. Whatever happened to feeling good by doing good?? Capitalism creates depressed and self centered individuals. Try doing something nice for somebody else or perform a random act of kindness, it may diminish the need for a drink or a fix. If you need to smoke a joint to put yourself in this altered state of being, than so be it.

Marijuana never hurt anyone!

Sat, 11/15/2008 - 21:53 — Anonymous (not verified)

Marijuana never hurt anyone! Where's my bong? Bong hits for everybody!!! If pot was legal no one would need RX drugs. Pass the blunt to the dude on the left!! Take it to the head...Take it to the head! Toke-toke-toke! Leave them hard drugs alone, people. A couple of tokes and a couple of beers and....NIRVANA! Ahhhhh! Gotta go raid the fridge now. Bye.

Legalized drug pushers? Yes,

Sat, 11/15/2008 - 22:11 — Weslee (not verified)

Legalized drug pushers? Yes, this is what has happened to doctors. Due to big pharma influence, many doctors prescribe drugs based on the flawed info given them by the drug companies. When patients complain, they often ignore the patients because it would make them culpable in their complicity with the FDA and the drug company deceptions.

keith richards of the

Sat, 11/15/2008 - 23:53 — REALITYZONE (not verified)

keith richards of the rolling stones said he is more stoned now than in the sixties. only difference is now the drugs are from his doctor and legal.

To loosely quote a popular

Sun, 11/16/2008 - 01:29 — Anonymous (not verified)

To loosely quote a popular comedian, there is no profit in the cure of most of what ails us (Aids, cancer, etc). The US government is "compensated" for the growth, sale and distribution of tobacco leaves, and profits nicely from the makers of prescription medication and alcohol. But there are way too many "independent" marijuana growers out there for the government to regulate, and because the government cannot "profit" from the independents, they outlaw the substance (except for medicinal use).

Creating scarcity has been

Mon, 11/17/2008 - 12:32 — RIP: War on Drugs (not verified)

Creating scarcity has been used as a tool for millennia to control price and increase profits. The difference here is the Prison Industrial Complex is on the other side lobbying to increase jail time thereby increasing profits for themselves. When will we learn that we are being taken advantage of with drugs being used as the boogie man to get us to give up our liberty.

My question is, how many

Mon, 11/17/2008 - 19:13 — Moss Bliss (not verified)

My question is, how many people die from the PROPER use of prescription drugs? This would include wasting diseases, like kidney or liver failure from long, legal use of psychiatric drugs. There are safe, natural means of treating a wide variety of psychiatric problems, but our "doctors" choose to be drug pushers rather than healers.

The problem is that these

Mon, 11/17/2008 - 19:28 — Anonymous (not verified)

The problem is that these are basically legalized hard drugs, and they're very available to anyone who wants them for recreation. Trust me. They need to be toned down and regulated more, and marijuana definitely needs to be taken into consideration. Other than that, we're never gonna stop killing ourselves with escapism so the attempt is futile infinite.

Drug abuse on the part of

Mon, 11/17/2008 - 22:47 — Anonymous (not verified)

Drug abuse on the part of the person ingesting the drug, or abuse on the part of the doctors? Benzodiazepines are addictive in TWO WEEKS of daily use, and many doctors will still hand out more than two weeks worth. Ditto pain killers. Doctors need to be held accountable for addicting people who had no interest in getting high.

This does not specifically

Tue, 11/18/2008 - 17:15 — David (not verified)

This does not specifically tell us if these prescription drugs were being used as prescribed by doctors or illegally as recreational drugs. I use painkillers for chronic pain every day, and while I am definitely physically addicted to them due to long term use (if I stopped suddenly, I'd probably be in for a week of withdrawal), I still continue to use them as directed by my doctor. I certainly don't take like 30 of them in a day or take them with alcohol, ever. These drugs actually allow me to remain a productive member of society. As a programmer, I could not function at my job without medication because my pain is so distracting. Luckily I tolerate these drugs quite well and they don't melt me into a puddle like they would some people. There is nothing inherently wrong with long term use of prescription opiates for chronic pain, and an article like this only inflames the stereotypes of "drug addicts" and also makes it much harder for legitimate pain management doctors to prescribe these drugs to legitimate chronic pain patients who use these drugs to maintain useful lives.

Come on, TO. Don't jump on

Wed, 11/19/2008 - 14:41 — Jonathan Mitchell (not verified)

Come on, TO. Don't jump on the prescription drug hysteria bandwagon. David hit the nail on the head: painkillers have a legitimate use, and patients who take them responsibly are not to blame if someone else wants to wash down seven Vicodin at once with a glass of whiskey. Panic is not just unhelpful; it's harmful. It breeds an unwillingness to differentiate. If SOME people die as a result of drug use, then ALL drug use is bad and NO one should be able to use drugs, even if he or she lives with excruciating pain every day. Dumb, but everybody knows perfectly well that's where this "debate" is headed. There is no middle ground with an issue like this--particularly not in a nation as hysteria-prone as the United States.

This is sort of like looking

Mon, 11/24/2008 - 11:15 — Anonymous (not verified)

This is sort of like looking at a rodeo and saying "300 percent more rednecks from Texas get hurt during a rodeo than eskimos." While the event in both cases are the same, "gettting hurt in a rodeo" in mine and "killed by a drug" in the article, the startling headline is dependent on comparing different sample sets. How large is the population of "Eskimos at a rodeo" compared to "rednecks from Texas at a rodeo"? Ok, now how large is the population of "people who use legal drugs" compared to the population of "people who use illegal drugs"? I'm unimpressed with this article.

shit let's just all smoke a

Sat, 12/13/2008 - 01:46 — Anonymous (not verified)

shit let's just all smoke a fat blunt and be happy. no advil, no crack, just some nice natural HERB!

There are few guarantees in

Thu, 12/18/2008 - 13:58 — Anonymous (not verified)

There are few guarantees in life. Taking prescription medicine does not guarantee the patient will improve or live. Sugar, booze, TCH, painkillers, and glue are all toxic to some degree either to the pathogenic source or the patient or both.

I'm a 2x cancer survivor.

Sat, 12/20/2008 - 09:23 — Anonymous (not verified)

I'm a 2x cancer survivor. And, about 10 years ago, my autonomic nervous system shut down. The neurological symptoms were extremely painful. The doctors didn't know what to do for me, so, they began prescribing narcotics. Morphine got me walking again, but, came with a price. By the time I suffered my second bout with cancer, Fentynal was introduced on top of the Morphine. I became addicted and very depressed. I checked myself into a 28-day rehab program in February 2008 and have been narcotic-free since! I knew overdosing was inevitable if I remained on the same path. I couldn't do that to my family. Since surrendering to the disease of addiction, my life has been getting better and better. I'm not pain free, but, who is? It's how we chose to deal with the pain that is our true test. I pray for those still struggling and hope my story brings you some sense of hope. God bless!

Wow. Big surprise.

Sun, 12/21/2008 - 15:21 — Anonymous (not verified)

How Many Die from properly

Sat, 01/03/2009 - 16:31 — Anonymous (not verified)

How Many Die from properly using Prescriptions? The number in the USA is estimated in excess of 106,000 per year.That was the number of people who died taking proper doses of tyheir MD prescribed pharmaceuticals in the year 2000. Gary Null and associates published a study on this a couple of years ago. When you add in medical malpractice and non-drug iatrogenic causes such as hospital infections etc, the number climbs to over 250,000. These studies published in various journals including JAMA, over the last 8 years are based on older data which by now has almost gotten worse over time.

Every day people are dying

Sun, 01/04/2009 - 21:54 — Ada Wakeman (not verified)

Every day people are dying that felt it was ok to take prescription drugs because they are "legal". Chemically they have the same molecular structure as cocaine and heroin. We daily see the ravages of prescription drugs. If we don't wake up we will see many more Heath Ledger's but some of them will be close friends or even members of our families. If he had only gone to a drug rehabilitation clinic in time to save himself...

And is there a choice you

Sun, 01/25/2009 - 15:49 — joeAnne (not verified)

And is there a choice you could make in this kind of case? I don't really think so. So, no matter what the illegal drugs are still illegal and worse than pills that we are obliged to take to make our life be longer. ______ Alcohol Rehab

promotional spending on

Wed, 02/04/2009 - 17:42 — Anonymous (not verified)

promotional spending on Oxycontin increased threefold between 1996 and 2001, to $30 million per year. Seven year old data...... tsk tsk tsk

Why is Tobacco not in this

Sat, 02/14/2009 - 14:22 — Dan@LameGame.Name (not verified)

Why is Tobacco not in this list? 450,000 deaths per year. Why is Aspirin not in this list? 5,000 deaths per year. Why are bad prescriptions not in this list? 7,000 deaths per year. With those additions the legal drug to illegal drug kill ratio would jump to 47,000 percent. 300 percent might be defensible as accidental. 47,000 % is vastly obvious as mass murder. What this article claims is a solid 300% more fatal than illegal drugs is merely 2 types of prescription drugs that are commonly abused, these cherry picked from thousands of lifelong prescriptions that never cure. Often a doctors hand writing is illegible so a wrong prescription or too much is delivered to the patient. Those would certainly be prescription drug kills. To gain accuracy this article would have to be titled Prescription Drugs of Abuse kill 300% more Americans per year... I think it would be a stronger point, if you're comparing to illegal drugs to compare them to legal drugs which kill far more Americans than anything but cancer. I've not seen the Coca Cola death rate but I'm guessing it's high due obesity related disease, and aluminum poisoning (4mg of aluminum per aluminum can of coke). So the ratio is probably even higher than my 47,000% calculation by a few thousand percent.

To Dave who wrote "I use

Sat, 02/14/2009 - 14:47 — Dan@LameGame.Name (not verified)

To Dave who wrote "I use pain killers for chronic pain"... Your situation speaks to egregiously poor doctoring. A lot of chronic pain is due poor diet, like lacking Omega 3 oils, or protein, or organic sulfur as is in onions. Some Chronic pain is due the sufferer never stretching their muscles and connective tissue. I've suffered daily back pain for months at a time. Eventually I got on a regimen of stretching about 15 times per day and finally I became limber and graduated from the pain. What ever your doctor says your condition is, you should do a search online for the condition name plus diet, read what you find, then do a search for the condition name plus cure or heal, read that stuff too, then do a search for the condition name plus some keywords you found in the first two searches that are related to curing the condition. If your chronic pain is in your joints, look into Glucosamine, Chondroitin and MSM. They're supplements for joint health available from GNC or some pharmacies. You shouldn't need them if your diet is proper, leafy dark greens, beans, nuts, seeds, grains, active culture yogurt, cruciferous veges like broccoli, yellow or orange veges like sweet potato or carrots, hemp milk or flax seed for Omega 3. That's the basics. If you want your beans delicious eat hummus. Guacamole is another delicious high nutrient.

You cannot die from a heroin

Thu, 03/26/2009 - 16:18 — Verimius (not verified)

You cannot die from a heroin overdose -- look it up. That's a drug propaganda myth.

I have seen TOO many friends

Sat, 04/18/2009 - 18:55 — Joebkobe (not verified)

I have seen TOO many friends die from Oxy and Xanax in the 2000's... i have strugled w/ my own addiction to drugs and OXYCONTIN was the hardest to quit. Now sober but it wasn't easy. As for the first comment saying you "can't die from heroin o.d." I have seen it happen. I have almost died myself (on more than one occasion) from taking to many xanax and painkillers. It is an EPIDEMIC!!!

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