Saturday, January 26, 2013

FDA Panel Votes for Harder Curbs on Vicodin, Other Painkillers


FRIDAY, Jan. 25 (HealthDay News ) -- A U.S. Foods and Drug Administration advisory panel voted Friday to spot harder restrictions on prescription painkillers that contains hydrocodone, probably relocating prescription drugs these kinds of as Vicodin into the very same course as narcotics these kinds of as Oxycontin and Percocet.

Vicodin (hydrocodone additionally acetaminophen) and other hydrocodone- containing medicines keep on being common targets for abuse, and the U.S. Drug Enforcement Administration has very long asked for that the FDA advisory panel undertake the review. The panel spent two days discussing the issue in advance of voting on Friday afternoon, the Related Push claimed.

At present, the prescription drugs are classified as Agenda III medication but the DEA would like them positioned within the a lot more tightly managed Timetable II designation, along with painkillers this sort of as Oxycontin and Percocet.

The FDA is not required to adhere to the suggestions of its advisory panels, but it typically does.

The issue has turn into a contentious one particular.

Supporters of a transfer to Timetable II standing place to tragic fatalities and suicides that have been the consequence of misuse of these prescription drugs.

But, opponents of that harder classification fear that tightening accessibility to the medicines would imply that persons who seriously want them to simplicity discomfort will not be able to get them.

"This is really a final decision of entry as opposed to diversion [for non- health-related use]," described Dr. Lynn Webster, president-elect of the American Academy of Pain Medicine, who explained his firm was not always in favor of or opposed to reclassification.

However, "it will have an influence on a ton of people who have been receiving them for some time for legit functions " if these medications are reclassified, Webster extra.

Dr. Andrew Kolodny, president of Physicians for Dependable Opioid Prescribing, referred to as such considerations " absolutely bogus."

"Even if we modify hydrocodone- made up of products from Routine III to Plan II, it in no way jeopardizes access," he believes. "What this implies is that people who may be equipped to go to their health practitioner every 6 months would now have to see their health practitioner just about every 3 months [to get a prescription]."

Kolodny also contends that " individuals who are on lengthy - time period opioids are more likely to be harmed by that treatment method than aided. There is quite very little variance between a heroin molecule and a hydrocodone molecule."

Couple of persons appear to be to dispute the actuality that way too several of these opioid prescription drugs are as well widely obtainable, even while the pharmaceutical marketplace has recently produced "abuse-resistant" formulations to aid fight misuse.

General, some 22 million Us residents have misused prescription painkillers of 1 variety or an additional given that 2002, in accordance to a report introduced earlier this month by the U.S. Material Abuse and Psychological Health Services Administration. The agency pointed out that prescription painkillers now rank only behind cannabis as a drug of abuse in the United States.

In accordance to Webster, sufferers commonly do not use two-thirds of the hydrocodone- made up of medicines they have been recommended, that means those leftover pills might turn into obtainable for misuse.

"That indicates that there are way much more medications getting approved than is essential," Webster claimed. "And we know that fundamentally eighty % of all medications utilized for non- clinical applications come from the medication cabinet at home."

Added Kolodny, who is also chair of psychiatry at Maimonides Clinical Centre in New York Town : "We have an epidemic of people with opioid addiction. That is what's actually causing overdose deaths."

According to Kolodny, " changing hydrocodone- mixture products from Routine III to Agenda II may well be the solitary most significant federal intervention that could be taken to carry this epidemic below manage."

Webster explained he remained " very seriously involved about equally of these problems [ accessibility and diversion]," but also felt that there were options to reclassifying.

"We require a lot more education and learning about how to securely prescribe these prescription drugs and detect persons who are risk-free candidates and prescribe a lot less," he said. "At the very same time, we will need a countrywide marketing campaign that informs the community and individuals who are obtaining the remedies that it's harmful to have leftover drugs and that they want to find methods to dispose of their medicines or not acknowledge a prescription."


Via: FDA Panel Votes for Tougher Curbs on Vicodin, Other Painkillers

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