Pharmacy Aspect 2 and 3
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Dave moll's comment, March 28, 2014 10:18 AM
the development of the new patient centered system that is being emplaced by obamacare is going to change not only the field but also how i will be taught during my schooling because the kids that are graduating in 2020 are going to be the most up to date with the new systems and the new models of how to preform and act as a pharmacist
Dave moll's comment, March 28, 2014 10:26 AM
the new roles of pharmacist are going to be hard to establish at first because the new way to practice medicine will not be fully implemented, the newly graduated and the older pharmacist are going to have to work together to provide the care that the system wants provided, this will help the patients more with this system and bring them care that they can actually use and appreciate
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The Future Role of Pharmacists | explorehealthcareers.org

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Dave moll's comment, March 26, 2014 10:10 AM
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Dave moll's comment, March 26, 2014 10:19 AM
They said that retail pharmacies and pharmacist may begin to phased out in the future because it can be handled by computers and machines but at the same time they will be in need because patients will still need information about general health and drug use, while also need help with diet plans, exercise and stress management
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Prescription Drug Abuse: Strategies to Stop the Epidemic - Trust for America's Health

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Prescription Drug Abuse | National Institute on Drug Abuse (NIDA)

Prescription Drug Abuse | National Institute on Drug Abuse (NIDA) | Pharmacy Aspect 2 and 3 | Scoop.it
Prescription drug abuse is the intentional use of a medication without a prescription; in a way other than as prescribed; or for the experience or feeling it causes. It is not a new problem, but one that deserves renewed attention. For although prescription drugs can be powerful allies, they also pose serious health risks related to their abuse.



Prescription drug abuse remains a significant problem in the United States.

In 2010, approximately 7.0 million persons were current users of psychotherapeutic drugs taken nonmedically (2.7 percent of the U.S. population), an estimate similar to that in 2009. This class of drugs is broadly described as those targeting the central nervous system, including drugs used to treat psychiatric disorders (NSDUH, 2010). The medications most commonly abused are:

Pain relievers - 5.1 million

Tranquilizers - 2.2 million

Stimulants - 1.1 million

Sedatives - 0.4 million


Among adolescents, prescription and over-the-counter medications account for most of the commonly abused illicit drugs by high school seniors (see chart).

Nearly 1 in 12 high school seniors reported nonmedical use of Vicodin; 1 in 20 reported abuse of OxyContin.

When asked how prescription narcotics were obtained for nonmedical use, 70% of 12th graders said they were given to them by a friend or relative (MTF 2011). The number obtaining them over the internet was negligible.


Among those who abuse prescription drugs, high rates of other risky behaviors, including abuse of other drugs and alcohol, have also been reported.

What is driving this high prevalence?
Multiple factors are likely at work:

Misperceptions about their safety. Because these medications are prescribed by doctors, many assume that they are safe to take under any circumstances. This is not the case. Prescription drugs act directly or indirectly on the same brain systems affected by illicit drugs. Using a medication other than as prescribed can potentially lead to a variety of adverse health effects, including overdose and addiction.

Increasing environmental availability. Between 1991 and 2010, prescriptions for stimulants increased from 5 million to nearly 45 million and for opioid analgesics from about 75.5 million to 209.5 million.

Varied motivations for their abuse. Underlying reasons include: to get high; to counter anxiety, pain, or sleep problems; or to enhance cognition. Whatever the motivation, prescription drug abuse comes with serious risks.



Risks of commonly abused prescription drugs

Opioids (used to treat pain):

Addiction. Prescription opioids act on the same receptors as heroin and can be highly addictive. People who abuse them sometimes alter the route of administration (e.g., snorting or injecting) to intensify the effect; some even report moving from prescription opioids to heroin. NSDUH estimates about 1.9 million people in the U.S. meet abuse or dependence criteria for prescription opioids.

Overdose. Abuse of opioids, alone or with alcohol or other drugs, can depress respiration and lead to death. Unintentional overdose deaths involving prescription opioids have quadrupled since 1999 and now outnumber those from heroin and cocaine combined.

Heightened HIV risk. Injecting opioids increases the risk of HIV and other infectious diseases through use of unsterile or shared equipment. Noninjection drug use can also increase these risks through drug-altered judgment and decisionmaking.


CNS Depressants (used to treat anxiety and sleep problems):

Addiction and dangerous withdrawal symptoms. These drugs are addictive and, in chronic users or abusers, discontinuing them absent a physician's guidance can bring about severe withdrawal symptoms, including seizures that can be life-threatening.

Overdose. High doses can cause severe respiratory depression. This risk increases when CNS depressants are combined with other medications or alcohol.


Stimulants (used to treat ADHD and narcolepsy):

Addiction and other health consequences. These include psychosis, seizures, and cardiovascular complications.


Treatments for Prescription Drug Abuse
Available options for effectively treating addiction to prescription drugs depend on the medication being abused. Approaches to treating pain reliever addiction are drawn from research on treating heroin addiction, and include medications combined with behavioral counseling. A recent large-scale clinical trial supported by NIDA showed that Suboxone (buprenorphine + naloxone), prescribed in primary care settings, helped about half of participants reduce their pain reliever abuse during extended Suboxone treatment. Another promising approach includes longacting formulations of medications, such as Vivitrol, a depot formulation of the opioid receptor blocker naltrexone, recently approved by the FDA to treat opioid addiction. With effects that last for weeks instead of hours or days, long-acting formulations stand to aid in treatment retention and abstinence.
Although no medications yet exist to treat addiction to CNS depressants or to prescription stimulants, behavioral therapies proven effective in treating other drug addictions may be used. NIDA is also supporting multiple studies to identify promising medications for stimulant addiction.

NIDA Supported Research on Prescription Drug Abuse
NIDA's multipronged strategy to reverse prescription drug abuse trends complements and expands our already robust portfolio of basic, preclinical, and clinical research and educational and outreach initiatives. NIDA-supported researchers are conducting large-scale epidemiological studies investigating the patterns and sources of nonmedical use of prescription medications in high school and college students. Results suggest that prevention efforts should include a focus on the motivations behind the abuse, which often have an age and gender bias.
NIDA is also leading efforts to develop pain medications with diminished abuse potential, such as those that bypass the reward system of the brain. This is particularly important in light of returning veteran and growing elderly populations. To that end, NIDA is supporting research to better understand how to effectively treat people with chronic pain, which may predispose someone to become addicted to prescription pain relievers, and what can be done to prevent it among those at risk.
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Dave moll's comment, March 6, 2014 10:13 AM
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Dave moll's comment, March 6, 2014 10:18 AM
after marijuana, prescription drug abuse is the next most abused substance in 12th grade and that was data collected in 2011. nearly 5.1 million americans abused painkillers daily in 2011. nearly 1 in 12 american seniors in high school admitted to abusing vicodin which means they didnt need it medically. also 1 in 20 high school seniors abuse oxycontin
Dorothy Retha Cook's curator insight, June 25, 2015 1:35 PM

addiction to prescription drugs is not as publicly looked down on as the addiction to street drugs and neither is it criminally prosecuted the same. we ask why ? both are used to solve some form or aspect of a problem an individual have atleast takes their mind off of it for just temporary relief but not resolve and is what the drug of choice that brings that feeling is so addictive for such an long extended period of time or not! 

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The future role of pharmacists in primary care

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Dave moll's comment, February 19, 2014 10:16 AM
aspect 3
Dave moll's comment, March 24, 2014 10:25 AM
Pharmacist are wanting to broaden their role in the medical field by becoming either independent or by prescribing their own medicine. This is going to get pharmacist more involved in the treatment of patients and this is going to open up a new place for pharmacist in the medical field
Dave moll's comment, March 25, 2014 10:00 AM
In england pharmacist roles have expanded faster than in the USA and they things that they are now able to do are things like medicine reviews for patients, disease specific medicine management, home services, services to help stop smoking, supervised administration for certain drugs that can be highly addictive, as well as screening for patients and these things are what pharmacist learn and have the knowledge to do and help people just as well as doctors
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Prescription Drug Abuse | The White House

Prescription Drug Abuse | The White House | Pharmacy Aspect 2 and 3 | Scoop.it
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Dave moll's comment, March 3, 2014 10:25 AM
The Office of National Drug Control Policy has stated that they must educate the young and the people who are taking the drugs about how to properly take them and are planning on doing this by putting them on PDMPs (Prescription drug monitoring programs) , this will help educate them on how and when and the right doses to take as well as preventing the patient from shopping doctors, which means going from doctor to doctor to get prescriptions for strong painkillers
Dave moll's comment, March 3, 2014 10:31 AM
According to the National survey on drug use and health, painkillers and prescription drugs are the second most abused drug, just behind marijuana abuse.
Dave moll's comment, March 4, 2014 10:06 AM
From 2005 to 2008 prescription drug abuse in our military rose from 5% to 12%. Also from1997 to 2007 the average milligram per person which means how strong and powerful the drug is rose from 74 mg to 369mg which is 402% increase. the pharmacies are dispensing more and more prescription painkillers, from 2000 to 2009 the amount of prescription opioids grew from 174 million to 257 million which is a growth of almost 50%
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AACP - Job Outlook for Pharmacists

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Dave moll's comment, March 26, 2014 10:30 AM
There will be an estimated shortfall of pharmacist of more then 157,000 by 2020 which means in 2020 the need for pharmacist will be high because they would have lost so many and at the same time the field is growing
Dave moll's comment, March 27, 2014 10:22 AM
New and upcoming pharmacists are going to be needed because the aging population is growing as well as technology and new sophisticated medicines are coming to the field with new devices to create and distribute medicine
Dave moll's comment, March 27, 2014 10:25 AM
The recent drug abuse has triggered an action for pharmacist to play a bigger role in how to use certain drugs and the issues they can cause. This will increase the need for pharmacist because they will need more to help more patients understand their medicines and how they work and how they should use it
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SpecificStSubstance.aspx

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Dave moll's comment, March 6, 2014 10:04 AM
Aspect 2
Dave moll's comment, March 6, 2014 10:10 AM
The ASHP which is the American society of Health-system Pharmacist says that pharmacist have to skills and knowledge to have the responsibility of helping stop the abuse of painkillers as well as fully educating the patients oh how and when to take them so they dont get addicted and they know the adverse affects of of misusing painkillers and know how to accurately administer the correct regime for the patient to cope with the pain they are experiencing
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FDA seeks to curb abuse of prescription painkillers

FDA seeks to curb abuse of prescription painkillers | Pharmacy Aspect 2 and 3 | Scoop.it
The FDA looks to curb the abuse of powerful drugs.
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Dave moll's comment, March 6, 2014 10:01 AM
aspect 2
Dave moll's comment, March 6, 2014 10:04 AM
the FDA wants to make any hydrocodone combination drug a schedule II which means it would be harder to get and they wouldnt be able to get more than a 90 day supply and once that 90 regime is up they have to go back to the doctors to decide whether or not to continue the drug regime because they believe this way of dispensing powerful painkillers will start to curb the abuse of painkillers and make it go down over time
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Doctors continue fight against prescription drug abuse - Mail Tribune

Doctors continue fight against prescription drug abuse Mail Tribune More than 70 doctors, nurses, counselors, pharmacists and others involved in the group have been meeting since 2011 to devise better ways to assess addiction risk for patients,...
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Dave moll's comment, March 4, 2014 10:20 AM
aspect 2
Dave moll's comment, March 4, 2014 10:23 AM
The united states has more deaths from prescription drug over doses then the amount of deaths from car crashes since 2008, which just reiterates the seriousness of how badly people are abusing prescription drugs
Dave moll's comment, March 4, 2014 10:27 AM
The opioids people get addicted to stimulate the pleasure centers in the brain and they get a high and the keep trying to chase it so the urge to capture that high again becomes uncontrollable and they also don not want to have withdraw because its symptoms are worst than having the flu
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Future vision for pharmacy and pharmacy regulation | General Pharmaceutical Council

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Dave moll's comment, February 19, 2014 10:15 AM
aspect 3
Dave moll's comment, March 6, 2014 10:29 AM
Pharmacist have the opportunity to take on a bigger and better role in taking care of patients. they recently made a new strategy plan to be implemented during 2014-2017, this plan makes the patients the center of attention and is going to be flexible enough to change as the roles of pharmacist change. they want the rest of the healthcare system to realize the skills pharmacist have in taking care of patients and how they can work with physicians to get the patient on a better more effective regime so they get better quicker
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CDC - Prescription Painkiller Overdoses Policy Impact Brief - Home and Recreational Safety - Injury Center

CDC - Prescription Painkiller Overdoses Policy Impact Brief - Home and Recreational Safety - Injury Center | Pharmacy Aspect 2 and 3 | Scoop.it
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Dave moll's comment, March 4, 2014 10:14 AM
There was over 475,000 emergency calls about people misusing prescription painkillers and these calls lead to the more than 36000 that died from overdosing. That amount of emergency calls for prescription drug has double in the past 5 years
Dave moll's comment, March 4, 2014 10:15 AM
that double in 5 years.... from 2003-2008
Dave moll's comment, March 4, 2014 10:18 AM
In 2010 alone 2 million people admitted to using and abusing prescription painkillers when they didnt need them. that means that over 5,500 people a day abused painkillers