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Tuesday, October 6, 2009

Adderall Abuse Epidemic In America

The academic world is facing an enemy far greater then anyone could of thought. The abuse of prescription medicine to deal wilth the stresses of life has become a rampant problem with no real solution in sight. Drugs like Adderall, Ritilan, and Dexedrine have become coping mechanisms for a number of reasons throughout the collegial atmosphere and in many cases have become not only socially acceptable, it's almost expected. It is almost hard to believe that 14 million prescriptions of Adderall were filled last year; it is no wonder the drug can be found on every college campus. Adderall abuse went relatively undetected for a long time because it is a prescribed medicine. However, like any prescription medication it can be sold or traded amongst peers and it is on a regular basis. There is no question that there is an Adderall abuse epidemic in America.

"At Cornell, a 2006 Gannett study found that at least six percent of the student body had used the drugs in the past year - though the impression of many students is that the actual percentage is much higher", according to the Cornell Sun. Many people do not talk about taking the drug because of the legal ramifications; many people also view amphetamine use as a way of cheating. Amphetamines give people a heightened sensitivity and greater concentration. Adderall is an amphetamine that increases the amount of dopamine released in the brain increasing the number of neurotransmitters available which increases concentration and alertness. When people take more than the prescribed amount the drug becomes tantamount to Crystal Methamphetamine; abuse can have a damaging effect on the brain resulting in permanent damage.

Sadly, Adderall abuse continues after college as people find that they have become dependent upon it to get their work done. Over time, one has to take more of the drug to get the desired effect because of higher tolerance levels. Amphetamine addiction is a real problem among young adults and many times treatment is the only solution. The vast majority of people who use prescription psychostimulants have very little idea about the serious side effects that can accompany the drug; prescription drugs have become such commonplace and are inside just about every medicine cabinet, this has given many students the idea that there is nothing wrong with their use.

I encourage you to watch this video of a CNN Interview with Dr. Drew Pinsky about this problem.


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Tuesday, August 25, 2009

Michael Jackson Death Has Been Ruled A Homicide

Michael Jackson Death Ruled Homicide

The Los Angeles County Coroner's Office report on the death of Michael Jackson has finally been released. Michael Jackson's death has been ruled a homicide as a result of the findings. The fact of the matter is that Michael Jackson was indeed a drug addict for many years with ample opportunity to receive help; time and time again he refused help and continued to abuse prescription medication with the help of his doctors and particularly Dr. Conrad Murray who is now most likely facing homicide charges. "I'm a little bit surprised," Jane Brackley of London told MTV News in Times Square. "Then again, you knew he was taking quite a few prescription drugs, and somebody had to give them to him." However, we have to ask ourselves whether or not we charge drug dealers with homicide, let alone attempted homicide, when people overdose and die from the drugs they were sold. Michael Jackson, despite being highly intoxicated, was well aware of the choices he was making and was urged to check into treatment; but, the choice to go to treatment has to be the patients and his doctor (whose salary was $150,000 per month) was not just going stop prescribing Jackson drugs that he was addicted to.

"According to the affidavits lodged with the search warrants, Jackson had a roster of half a dozen doctors who prescribed him drugs, excluding two in Germany who had allegedly introduced him to propofol." reports the Australian On-Line Newspaper. Do we punish all of those doctors or just the one who gave him the medications that Jackson already had a dependency for? While being interviewed by detectives, again according to the Australian: allegedly Dr. Murray said Jackson "was very familiar with the drug (propofol) and referred to it as his 'milk'". Sedatives and pain killers can be extremely dangerous drugs if not properly managed by a doctor who specializes in that field, so it is not all that surprising that something like this happened. Dr. Murray claims that after realizing Jackson's dependence to Propofol he attempted to get him off it. The Australian reports: "He became concerned about the possibility of addiction to propofol and decided to wean Jackson off the drug. For two nights before the death, he administered a different drug cocktail and Jackson was able to sleep. But the night before his death, Dr. Murray gave Jackson Valium at 1am and stayed beside him all night, trying different drugs to induce sleep. Finally, at 10:40am, he relented and gave Jackson propofol." After Jackson stopped breathing it took 82 minutes before an ambulance was called, which clearly shows that Murray knew that he was in trouble and tried everything he could to fix the problem on his own.

One thing seems very clear, there are a lot of pieces to the puzzle of Jackson's death and there is not just one responsible party. It is easy to agree with the idea that Murray is liable for the pop star's death, but, to say that one doctor should be charged with homicide for the death of a person who had a lot of help along the way by multiple doctors and even "friends" seems absurd. There is no question in my mind regarding the negligence of Dr. Murray on that fatal night; however, he was given a patient to fix who had already been broken by several other doctors over the years. Michael Jackson's drug addiction was facilitated by many family, friends, and doctors for over twenty years and it was only a matter of time before his disease got the best of him. The question that remains now, is whether we punish the doctors or change the legislation regarding the ability for private doctors to prescribe certain drugs?

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Thursday, August 20, 2009

Baby Boomers Abuse of Drugs and Alcohol

The rate of illicit drug use is going up in the 50-59 age group; this group includes America's Baby Boomers, the generation born between 1946 and 1964. The Baby Boomers' abuse of drugs(both legal and illegal) and alcohol has been increasing in the United States. This becomes more apparent as people in this age bracket need to see doctors for other ailments and request pain medication. Woodstock may have ended 40 years ago but the party has stayed the same for many who were young adults at that time. "The U.S. Substance Abuse and Mental Health Services Administration reported Wednesday that rates of illegal drug use by the older generation have doubled in recent years." Statistics are showing that people age 50 to 59 who admit to using illicit drugs in the past year nearly doubled from 5.1% in 2002 to 9.4% in 2007 while rates among all other age groups are the same or decreasing. The use of drugs and alcohol by people at that age will no doubt add to increased hospitalization in the coming years. "These findings show that many in the Woodstock generation continue to use illicit drugs as they age," said SAMHSA Acting Administrator Eric Broderick. "This continued use poses medical risks to these individuals and is likely to put further strains on the nation's health care system, highlighting the value of preventing drug use from ever starting."

The information used in the study came from various surveys including 16,656 men and women participating in the 2002 through 2007 National Surveys on Drug Use and Health. On top of illegal drugs there are many who use pharmaceuticals as well; the CDC states that "of 2.4 billion drugs mentioned in patients' medical records in 2005, 118 million were antidepressants. High blood pressure drugs followed, with 113 million and arthritis or headache drugs were mentioned in 110 million." I find those numbers to be staggering and a good indication that there are just as many Baby Boomers addicted to legal drugs as illegal - if not more! There are some serious issues that need to be addressed regarding this with respect to the solution. How to go about stopping a generation of people who have been using drugs in one way or another for over 40 years is not an answer that we can come to easily.

I will say that many Baby Boomers do end up recognizing the problem and check themselves into drug an alcohol treatment facilities. But drug and alcohol treatment programs typically need to be fine tuned to deal with the additional health problems that can affect the Baby Boomers age group. These problems might include hypertension, obesity, diabetes, and chronic lung problems. I am curious how you feel about this study.

People tend to start having health problems in the age group and there is no telling what effects the use of illegal drugs will have. I encourage you to watch a video called Woodstock Generation Still Getting High.

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