Prescription opioid use is a risk factor for heroin use | National Institute on Drug Abuse (NIDA)

Logo of the United States National Institute o...

Logo of the United States National Institute on Drug Abuse, part of the National Institutes of Health. (Photo credit: Wikipedia)

NIDA confirms that prescription opioid use is a risk factor for heroin use. It reports that pooling data from 2002 to 2012, the incidence of heroin initiation was 19 times higher among those who reported prior nonmedical pain reliever use than among those who did not (0.39 vs. 0.02 percent) (citing Muhuri et al., 2013). It adds that a  study of young, urban injection drug users interviewed in 2008 and 2009 found that 86 percent had used opioid pain relievers nonmedically prior to using heroin, and their initiation into nonmedical use was characterized by three main sources of opioids: family, friends, or personal prescriptions (citing Lankenau et al., 2012).

Source: Prescription opioid use is a risk factor for heroin use | National Institute on Drug Abuse (NIDA)

Whilst it’s important that President Trump called a national emergency on Thursday, I fear that the US government is way behind the curve. More money will provide limited additional public care but surely what’s required is crisis managament intervention?

Thoughts?

 

Some painkillers ‘increase the risk of developing heart failure’, say experts | The Independent

English: The illustration shows the major sign...

English: The illustration shows the major signs and symptoms of heart failure. (Photo credit: Wikipedia)

The Independent reports that common painkillers used by millions of people in the UK are linked to an increased risk of heart failure, citing experts. Non-selective non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen could increase the risk of being admitted to hospital with the heart problem, a study found. Previous studies have linked the drugs to abnormal heart rhythm – which can cause heart failure – and an increased risk of heart attack and stroke if taken regularly.

Source: Some painkillers ‘increase the risk of developing heart failure’, say experts | The Independent

There are sixteen diseases that particularly interact with ibuprofen, including:

It would be prudent to make NSAIDS prescription only drugs given the complex risks.

Thoughts?