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[29 Nov 2005|10:03pm] |
Prescription drugs have been prescribed to many of today's children, and abused by many of today's adults. Over the years, this has become a more common issue in our society, and it has made more people aware of the hazards of what prescription medication can do to an individual. Now, if prescription medication is used the right way, and isn't abused, then the results can be wonderful. A person who is in lots of pain can be treated with painkillers, and not feel so miserable. Or a person with ADHD that has a hard time concentrating or keeping their attention on something, can take medicines that will help them to be able to concentrate. But the problem with this is that there are too many people who are being prescribed these medicines too often, and getting ahold the different types of medications there are has become easier for people that are addicted to them to get their hands on. The purpose of my paper is to explain how more children today are being overmedicated, and how more adults are becoming addicted. Children over the years, have been exposed to more and more medications. It took nearly an entire century for us to realize that children and teens can develop depression, and as of today's society, it is becoming more and more common for them to be diagnosed with it. "In 2002, two million pediatric prescriptions were written for Paxil alone, many to toddlers. A 1999 University of North Carolina study found that only eight percent of a surveyed group of 600 family physicians and pediatricians reported having received adequate training in the management of childhood depression. Yet that did not stop 72 percent of the same group from prescribing SSRIs to patients under age 18." (McManamy)These numbers are astounding to me. The fact that only eight percent of the 600 surveyed physicians (which would be 48) were trained adequatly when it came to managing childhood depression, yet 72 percent of the 600 (which would be 432) still prescribed them anyway! I think that there is something very wrong with that. A child's years are very important, because that is when their still developing, and learning. If we just take the easy way out and prescribe medicine to them, then that could be extremely detremental to their health. If a child is depressed, then counselling or therapy should be used as a solution before anti-depressants are even in the question. I think that physicians just prescribe the medicine so they won't have to deal with the children, but sending them with pills will be the quick and easy solution. "A 2003 FDA analysis of 15 pediatric antidepressant trials found only three established efficacy, with only Prozac reaching the threshold of two successful trials generally required for approval. Moreover, the analysis uncovered worrying data that the kids on antidepressants engaged in more suicidal behavior than the kids on placebos. In October 2004 the FDA instructed manufacturers to warn on the product labeling that kids on antidepressants need to be carefully monitored as "there is concern that such symptoms may represent precursors to emerging suicidality." " (McManamy)As I said earlier, the long term effects are still not known, and sometimes the side effects can make the problems worse than the were to begin with. I myself used to be prescribed to two different anti-depressants. I first started out with Lexapro when I was 16. This was the first anti-depressant I ever took, and the main reason I started taking anti-depressants was because I was not only depressed, but I was suffering from panic attacks at the time as well. I only took Lexapro for a month, but I was quickly taken off of it, because I was recommended to another pharmacist, and he suggested I switch to Paxil. While I was prescribed to Paxil, I was prescribed to Xanax as well. Xanax is a pill that is used for anxiety attacks, and helps to calm you down in situations that may make you feel "panicky". At the time, when I was taking Paxil, I didn't really ever feel happy, but at the same time, I didn't really feel sad either. I didn't realize that I was feeling this way either, so basically I was a walking zombie, and I didn't even realize it! My dosage increased about every two months, and finally it got to the point that it was having reverse effects. The reason I tell you all of this, is because I can vouche that prescribing medicine should be more carefully observed than it is. I think that I should have had more counselling than I did while I was on these, because I really didn't have any at all. I think one of my main problems was not really talking about my problems, and thus the prescribing of pills was not the effective solution. I eventually got weened off of Paxil and Xanax, and it's now been a year and a half since I've taken either pill. So with prescribing of certain pills, mainly anti-depressants, counseling should be a definite must. I'm sure that there have been some success with others who have taken antidepressants, but this was my personal experience with them, and that is why I might come off as being more against them then I am for them. The reason I began with overmedicating children, is because as children turn into adults, if they are overprescribed to certain medications, they may grow dependences or addictions to the certain types of medicines. Although this is not always the case, some adults develop addictions or dependences even in their later years. This is the case of 46 year old Lynn Ray, "who was prescribed to a treatment of tranquilizers after the death of her infant son 15 years earlier. When the doctor stopped writing prescriptions for her and encouraged grief counseling, Ray began doctor-shopping--going from doctor to doctor, fabricating panic attacks, backaches, migraines, and other ailments that would get her multiple prescriptions for tranquilizers and pain killers. "I became a very good actress," Ray says. "I thought I needed these drugs no matter what, even if I had to bamboozle the doctors to get them." "((Meadows, 2001) Someone who is truly addicted to prescription medication or any type of drug in general, will do whatever it takes to get more of it. "Ray had convinced herself that abusing prescription drugs was safer than abusing heroin, marijuana, and other "street drugs." "I would never do those," she says. "I figured I had a prescription for what I was doing, which made it OK." " ((Meadows, 2001) This is a form of rationalization that addicts who abuse prescription drugs may use when they first start taking them. Since they know what their taking, and how much of it they are taking, they feel that they don't have anything to worry about since their doctors know they are taking it. "As Ray's life unraveled, she found out the harm can be great, whether you're using heroin or sleeping pills. She lost her job as a computer programmer after repeatedly showing up late for work and falling asleep at her desk. Her son, a preteen at the time, couldn't understand her erratic behavior and didn't want anything to do with her. Then in 1995, she crashed her car three times in one month while under the influence of tranquilizers and painkillers, seriously injuring others each time. Her driver's license was revoked, and she served a one-year jail sentence in 1998. "I will always know in my heart that I could have killed those people," she says. "It doesn't matter that I didn't kill them; it matters that I could have." "(Meadows, 2001) Lynn Ray is a perfect example of how addiction can take a hold of someone. The most scary part about the whole thing is that she was addicted to something that doctors had prescribed her to. Although I am not blaming them for her getting addicted, I just think that it's ironic that the people who are trying to help her, are at the same time hurting her. It's probably a bad way to look at it, but if you really think about it, that's how I'm seeing this scenario. "About 130 million Americans swallow, inject, inhale, infuse, spray, and pat on prescribed medication every month, the U.S. Centers for Disease Control and Prevention indicates. Americans buy much more medicine per person than any other country." (Americans are overmedicating, say experts, 2003) "Most patients take medicine responsibly, but approximately 9 million Americans used prescription drugs for non-medical purposes in 1999, according to the National Institute on Drug Abuse (NIDA). Non-medical purposes include misusing prescription drugs for recreation and for psychic effects--to get high, to have fun, to get a lift, or to calm down."((Meadows, 2001) "One of the most abused painkillers, OxyContin, which is a pain-killer used to treat back-pain, has received a lot of attention because of the amount of people who have taken it that have become addicted, or even died from it. Abusers often find ways to speed up the high, and make it more intense by chewing it, crushing it, snorting it, and disolving in water and injecting it. This has gotten so much attention that the FDA has strengthened the warning on Oxycontin. Changes include a "black box warning," the strongest type of warning for an FDA-approved drug. The new warnings are intended to lessen the chance that OxyContin will be prescribed inappropriately for pain of lesser severity than the approved use or for other disorders or conditions inappropriate for a Schedule II narcotic."(Meadows, 2001) Although prescription drugs can be easy to get addicted to, they are actually very helpful if you take them the right way. Here are some things to take into consideration when using prescription drugs. Always follow the directions on the labels of the prescription bottles carefully. Don't increase or decrease the doses without talking to your doctor first. Usually if the medication doesn't feel like it's working, or something is going wrong, the doctor will usually have an explanation and talking to a doctor can help clear things up. Don't stop taking the medication on your own. Sometimes you need to be weened off of it gradually in order to get away from it without experiencing withdrawal symptoms. Don't crush or break the pills. This can usually lead to the medicine hitting you faster and harder, which is usually not what you want when taking medication the right way. Be sure that if you are going to drive or operate machinery, that you aren't going to be drowsy when taking it. And the last thing to be conscious about is not to ever share or take someone else's prescription medicine. As you can see, medication has been prescribed more and more, and to obtain prescription medication has become easier than ever. The question that I ask is how do we prevent this from becoming a further problem? How is a doctor supposed to know whether a child should or shouldn't be prescribed to something? And how does he know that a patient isn't doctor shopping to get a prescription that they don't even need? I don't think that eliminating prescription medicine as a whole would do any good either, because it's not fair to someone that needs these medicines, but at the same time, it's not fair when someone is abusing them for their own needs. This situation is a hard one to make a decision on just like that, but I think as time goes on, we will see more adjustments being made to see who needs them and who doesn't.
Americans are overmedicating, say experts. (2003). Retrieved Nov. 29, 2005, from CTV.ca Web site: http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/20050418/americans_overmedicating_050418?s_name=&no_ads=.
Iannelli, V. (n.d.). Are we overmedicating our kids?. Retrieved Oct. 05, 2005, from Generation Rx Web site: http://pediatrics.about.com/cs/mentalhealth/a/generation_rx.htm.
McManamy, J. (n.d.). Are we over-medicating our kids?. Retrieved Oct. 05, 2005, from McMan's Depression and Bipolar Web Web site: http://www.mcmanweb.com/article-103.htm.
Meadows, M. (2001). Prescription drug use and abuse. Retrieved Oct. 06, 2005, from U.S. Food and Drug Administration Web site: http://www.fda.gov/fdac/features/2001/501_drug.html.
Overmedicating kids?. (2003). Retrieved Oct. 06, 2005, from The Early Show Health News Web site: http://www.cbsnews.com/stories/2003/10/27/earlyshow/health/health_news/main580149.shtml.
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