Prescription Cascade The practice of over prescribing medication is a recent problem facing many today. This is referred to as the prescribing cascade. Dr. Mehrdad Ayati an assistant professor of medicine at the Stanford University School of Medicine, describes Prescription cascade in the following statement “To put this simply, a patient goes to a doctor’s office with an illness and is given a prescription this prescription has a side effect that causes another illness, and now the patient, unaware that the prescription is the problem, visits the same, or another doctor and is given another prescription. Then this prescription result in a new side effect, which sends the patient to the same, or yet another doctor for the new symptom, and …show more content…
Lucian L. Leape Conducted a study in 1995 on “health policy analyst at the Harvard School of Public Health, found that 6.5 percent of patients at two teaching hospitals in Boston had been injured by their medicines, and one-third of these cases involved mistakes” (Stolberg, 1999). Due to this Study the F.D.A. official were convinced that the danger of prescription cascade is growing which prompted them to release a 150-page report which was made public, that called for pharmacists, doctors, hospitals and drug companies to work together to create ' 'a new framework ' ' for cutting down on overlapping prescription that have a high risk of causing a cascade. Explicit warning pamphlets were also created according to the new guidelines which requires manufacturers to release side effect possibilities in high risk drugs. (Stolberg, 1999) “Dr. Janet Woodcock, director of the F.D.A. 's Center for Drug Evaluation and Research said people are being harmed and some of the harm is preventable ' ' (Le Fanu, 2014). With millions of drugs on the market, and with multiple drugs just for one ailment, it wouldn’t take much to cause a wrong combination that could cause injury or death. Hospitals across the U.S. reported in 2011 adverse reactions from prescription drugs caused 2.2 million injuries and 106,000 deaths that two-thirds could have been prevented with proper monitoring of prescription drugs. (Bremner, …show more content…
A drug for anything that ails you. Americans need to rethink what they are putting into their bodies’. Food, drugs, pesticides and alcohol all play a role in our prescription medications and the way they work in our bodies. There are other actions that individuals can take to improve their health, such as making changes in your diet; incorporating exercise into your daily routine; learning and using stress reduction techniques; and changing other behaviors like quitting smoking and alcohol consumption. Diabetes and heart disease can be treated with medication, but changes such as exercise, diet and lifestyle have shown higher success rates than with drugs alone. There are positive and necessary prescription use, such as “insulin for Type I diabetes, thyroid hormone for hypothyroidism, or antibiotics for life threatening infections” (Bremner, 2011), but diet and exercise can play a role in how these prescriptions
Dr. John Abramson’s book Overdosed America debunks the myths about the excellence of American medicine. Abramson backs up this claim by closely examining research about medicine, closely examining the unpublished details submitted by drug manufacturers to the FDA, and discovering that the unpublished data does not coincide with the claims made about the safety and effectiveness of commonly used medicines. Abramsons purpose is to point out the flaws of the pharmaceutical industry in order to warn the readers about the credibility of the drugs they are buying. Given the critical yet technical language of the book, Abramson is writing to an audience that may include academic physicians as well as those who want to learn about the corruption of the pharmaceutical industry.
More than often, American’s argue that if we have the technology to gain access to these “miracle meds”, then we should take advantage of it. To receive an opposing view, the National Institute of Drug Abuse asked teens around America why they think prescription drugs are overused, and the results were shocking; 62%: “Easy to get from parent's medicine cabinets”, 51%: “They are not illegal drugs”, 49%: “Can claim to have prescription if caught”, 43%: “They are cheap”, 35%: “Safer to use than illegal drugs”, 33%: “Less shame attached to using”, 32%: “Fewer side effects than street drugs”, 25%: “Can be used as study aids”, and 21%: “Parents don't care as much if caught”. I believe the major problem here isn’t the medication, but instead the fact that our nation is extremely uninformed on the “do’s and dont’s” of prescription medication. When “the United States is 5 percent of the world’s population and consumes 75 percent of the the world's prescription drugs” (CDC), there is a problem present, no matter the reason. Clearly, many critics believe the breathtaking amount of pills we consume in America is simply for the better good, but tend to forget the effects that are soon to follow.
Something is wrong with the focus on the "drug war" when 200,000 people die each year from prescription drugs, yet only 20,000 die from illegal drug use. Adverse reactions of prescription drugs are the third leading cause of death in America. In fact, people have a seven times greater chance of dying walking into their doctor's office than they do getting behind the wheel of their car! Every year approximately 200,000 souls die from prescription drug reactions with another 80,000 dying from medical malpractice (The International). Where is the FDA? Why do they continue to allow doctors to prescribe these drugs? How could they let it get to this point? What once was believed to be a panacia for depression has turned into Pandora's box (Tracy).
In the business of drug production over the years, there have been astronomical gains in the technology of pharmaceutical drugs. More and more drugs are being made for diseases and viruses each day, and there are many more drugs still undergoing research and testing. These "miracle" drugs are expensive, however, and many Americans cannot afford these prices.
Typical ADHD drug overdoses lead to an estimated 3,000 Emergency Room visits each year (Vinerd. 2006). In 2010 alone, there were 17, 000 human exposures to ADHD medications. This number is just what was reported to the Poison Control Center. Eighty percent of these overdoses occurred in kids younger than 19 years old. The other twenty percent of the overdoses occurred in adults (Stiller, 2013).This leads to the number one question: Who is to blame for these overdoes? Do we blame the doctors prescribing the medications or do we blame society?
Wright, A., FebloWitz, J., Phansalkar, S., Liu, J., Wilcox, A., Keohane, C., … Bates, D. (2012). Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools. American Journal of Health-System Pharmacy, 69, 221-227.
The rate of death due to prescription drug abuse in the U.S. has escalated 313 percent over the past decade. According to the Congressional Quarterly Transcription’s article "Rep. Joe Pitt Holds a Hearing on Prescription Drug Abuse," opioid prescription drugs were involved in 16,650 overdose-caused deaths in 2010, accounting for more deaths than from overdoses of heroin and cocaine. Prescribed drugs or painkillers sometimes "condemn a patient to lifelong addiction," according to Dr. Tom Frieden, director of the U.S. Centers for Disease Control and Prevention. This problem not only affects the lives of those who overdose but it affects the communities as well due to the convenience of being able to find these items in drug stores and such. Not to mention the fact that the doctors who prescribe these opioids often tend to misuse them as well. Abusing these prescribed drugs can “destroy dreams and abort great destinies," and end the possibility of the abuser to have a positive impact in the community.
Pharmacy is a booming field when it comes to medicine, but it certainly has controversial issues such as compounding drugs. While the practice of making drugs customized to a patient seems ethical, there are problems that come along with it. Drug compounding was the norm in the past, but over time consumers began to see issues with it. Drug compounding still occurs to this day because some patients do need medicine specifically tailored to their needs. Compounding has also been the focus of recent disasters, some of which occurred less than two years ago. Whatever side one may take on this issue, it is clear that compounding medicine will be a polarizing issue for years to come.
One of the main causes of prescription drug abuse is the insufficiency of education for both doctors and patients. If David knew more about the dangers of prescription drugs, his death would ha...
Diabetes affects 18.2 million people in the United States. It is often referred to by doctors as diabetes mellitus and described as, “. a metabolic disease in which the person has high blood sugar.” (Collazo- Clavell et al. 2009), either because the insulin is inadequate or the body’s cells don’t respond well to the insulin. The health and economic consequences of diabetes are considerable.
Almost 40,000 people die every year from overdose on prescription medicine. Solutions to this overdose issue include alternate treatments, the disposal of leftover medicine and unused prescriptions, and providing Narcan to those using prescription medicine, which is a medicine to reverse an overdose. 58% of overdoses are caused by medicine. For 1 death: 10 people are admitted for treatment of drug abuse, 32 ER visits for drug abuse, 130 abuse prescription drugs, and 825 are nonmedical prescription drug users. 1 in 10 drug abusers actually get treatment for abuse.
It is also easy to see the American people’s infatuation with drugs by simply looking at our current number of prescriptions filled at pharmacies annually. An active data table hosted by The Henry J. Kaiser Family Foundation states that about four billion prescriptions are filled annually (Kaiser). This is enough prescriptions for every person in the country, children and adults, to have twelve each. Once a person is on a drug, it is often hailed as an immediate fix to the problem, but many don’t think or just don’t care about the long-term side effects it could hold.
Prescription drugs become America's new legal drug abuse problem. 1.) The U.S. Makes up 5% if the world's population, yet consumes more than 75% of the own world's prescription drugs, and more people thought that since it is pre-scripted by doctors, it won't be as harmful to take as much as they want a day. 2.) 50 Million people in the U.S. age of 12 and over, have used prescription drugs non-medically in their lifetime. 3.) According to pharmaceutical industries, it rakes about billions of dollars per year producing drugs to treat symptoms, like how the pharmacy, Big Pharma, raked $711 billion. This article is important because it talks about different people's experience with prescription drugs and how pharmacies are getting paid chunks
We are in a society where we take a pill for everything, i.e., to lose weight, to get rid of a headache. Whatever we need a pill for, it is there. In United States, the abuse of painkillers and other prescription drugs has reached epidemic levels and become one of the top causes of death every year. In 2010, more than 38,000 deaths were due to overdosing. These include drugs like methadone, oxydone, or morphine. Death rates from prescription drugs were highest among people from middle-aged groups.
Specific Purpose: To inform my audience about the dangers of prescription drugs when not taken as prescribed by your physician or pharmacist.