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NEWS: The Age - 12/03/07 'Abuse of legal drugs worse than heroin and ice'

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Abuse of legal drugs worse than heroin and ice
Christian Catalano
March 12, 2007

OVERDOSING on prescription or over-the-counter drugs is twice as common as overdosing on illicit drugs, new Melbourne ambulance figures show.

With heroin abuse declining dramatically after a glut at the turn of the century, the city's paramedics have attended a far greater proportion of legal-drug overdoses — 6150 in the 12 months to February last year.

Over the same period, data from the Turning Point Alcohol and Drug Centre show there were 3011 ambulance calls for illicit drug overdoses, comprising 1369 for heroin and 1642 for all others, including ice and ecstasy.

"The recent media hysteria around methamphetamines and ice is unfortunate in one way because it detracts from the true scope of the problem," Turning Point research fellow Stefan Cvetkovski said. "Illicit drugs obviously attract more attention, but we need to get some perspective on other kinds of overdose and substance dependence."

Sedatives such as Valium, Mogadon and Rohypnol were the most abused category of legal drugs, followed by analgesics such as Nurofen and Panadeine Forte.

The research also found women accounted for nearly two-thirds of all overdoses with legal drugs and that the average age of these patients was 36. Conversely, two-thirds of those overdosing on illicit drugs were male, with an average age of under 29.

"We're talking about a different group of patients," Metropolitan Ambulance Service paramedic Lindsay Bent said.

"Your prescription-related overdoses and your alcohol-related problems, they don't get a lot of media, but they are significant issues for paramedics."

While heroin and narcotic overdoses occurred mostly in suburbs such as Fitzroy, Collingwood, Footscray, Springvale and Dandenong, prescription overdoses could "happen anywhere across Melbourne".

Mr Bent, who manages the Metropolitan Ambulance Service's inner-city paramedics, said a large proportion of overdoses with legal drugs were suicide attempts.

Others involved the misreading of labels or children swallowing medications.

"It's easier to get hold of these drugs and so it's easy for a person to take a whole lot on one dose."

The Federal Government's principal drug advisory group admitted the response to prescription drug dependency had been "a bit light on".

"People don't see this type of addiction in the same light," the executive officer of the Australian National Council on Drugs, Gino Vumbaca, said.

"If someone stops using illicit drugs and moves on to benzodiazepines (such as Valium) or some other pharmaceutical drug, we don't see that as being as bad."

While the number of prescription-drug overdoses has remained relatively stable in recent years, the figures show heroin-related emergencies are less than a quarter of the 5652 cases reported in 2000.

Intoxication from alcohol remained the largest single problem for Melbourne paramedics, with 4359 attendances over the reported period.

The Age
 
"Your prescription-related overdoses and your alcohol-related problems, they don't get a lot of media, but they are significant issues for paramedics."

thought this was a good point in the article.

there really should be more education on meds
 
Prescription drug abuse on the rise
The World Today - Monday, 12 March , 2007 12:29:00
Reporter: Jane Cowan

ELEANOR HALL: It's usually illicit drugs that capture the headlines but research in Melbourne shows it is the abuse of prescription drugs that should be arousing real concern across the nation.

And it is a problem that's growing internationally, with the United Nations warning that the abuse and trafficking of prescription drugs is set to outstrip illicit drug abuse.

In Melbourne, Jane Cowan reports.

JANE COWAN: When Melbourne's Turning Point Alcohol and Drug Centre began collecting data from ambulance records, heroin was the drug researchers were worried about.

But the Centre's Associate Professor Paul Dietze says the statistics have exposed another unexpected problem.

PAUL DIETZE: The thing that really stood out for us was that these other drug-related attendances we're actually quite prevalent, and some particular types of drugs were actually as prevalent as heroin, even in that kind of peak period of the heroin glut in the late 1990s.

JANE COWAN: The study of more than 6,000 call-outs over 12-months from February 2005, found that overdoses on over the counter or prescription drugs, like Valium and paracetamol, were twice as common as overdoses caused by illicit drugs.

And while men tend to favour illicit drugs and alcohol, women were the main offenders when it came to the abuse of legal drugs.

PAUL DIETZE: It varies by the type of drug. So if you look at paracetamol, for example, it's often younger women who are taking these in large quantities.

And if you look at the prescription drugs, such as Valium, it's often the older women in the suburbs of Melbourne who are taking these drugs in excessive quantities.

JANE COWAN: It's a problem that's emerging worldwide.

The United Nations' International Narcotics Control Board published a report this month that warned the abuse of prescription drugs had already surpassed the abuse of traditional drugs of choice, like heroin and cocaine, in some parts of the world.

In the United States, the abuse of drugs like painkillers and tranquillisers now exceeds the abuse of practically all illicit drugs except cannabis.

In Scandinavia, illicit demand for the sedative Rohypnol has created the problem of counterfeiting.

Gino Vumbaca is the Executive Officer for the Australian National Council on Drugs, which is the main drug advisory group for the Australian Government.

He says pharmaceuticals have always been abused to some degree and it's unclear whether the latest research reflects a relative decline in the use of illicit drugs or whether the misuse of prescription medication is genuinely on the rise.

GINO VUMBACA: Often people talk about, you know, like the war on drugs or the battle against drugs. It's nothing like that.

What it is, is it's a matter of just moving with what's happening with the times and trends, and it's not something you're going to win and it'll end.

This is something we live with and we deal with and address as appropriately and as best we can.

JANE COWAN: Where in the whole process is it best to act, do you think? Is it at the point of writing the prescription that things need to change?

GINO VUMBACA: Well that's obviously one area, yes, yes. But look, often there is no single strategy or program or policy that's going to address a drug use problem, and you know, you're going to need, at the prescription level with GPs, you're going to need it, you're going to need public education as well, and you're going to need some education and information for people using the drugs about the dangers and the potential for addiction dependence.

And more importantly, the dangers for overdose, particularly when it's mixed with alcohol.

JANE COWAN: The Australian Federal Police was today unable to say whether trafficking of prescription drugs and counterfeiting was a problem in Australia.

The UN advises governments to systematically collect data on seized pharmaceuticals and include the abuse of legal drugs in any drug research.

ELEANOR HALL: Jane Cowan reporting.

The World Today
 
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