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DEA releases alert due to spike in Fentanyl releated deaths

DEA releases alert due to spike in Fentanyl releated deaths

Every so often a drug unexpectedly breaks of from the pack and begins to take a larger than usual toll on users. While some of these drug break outs can be attributed to larger social trends like the popularity of Molly (MDMA)  in association with electronic music or “rave” dance parties some drug break outs are a bit more mysterious. Such is the latest outbreak of the use of Fentanyl, a legally prescribed super potent synthetic opioid pain-killer. The recent increase of use of Fentanyl is detectable by the number of bodies it leaves behind. On March 18th, the DEA released a nationwide alert to highlight the current trend.

Fentanyl is a legally prescribed drug and is 50 to 100 times more potent than morphine and 30 to 50 times more potent than heroin. Ingestion of small doses as small as 0.25 mg can be fatal. It can be easily absorbed through the skin often via transdermal patch

fentanyl packagingSupervisors managing employees who perform safety sensitive duties in the workplace should be aware of this current trend.  

Some alarming statistics release by the DEA on March 18th:

  • “In the last two years, DEA has seen a significant resurgence in fentanyl-related seizures. According to the National Forensic Laboratory Information System (NFLIS), state and local labs reported 3,344 Fentanyl submissions in 2014, up from 942 in 2013.”
  • Between 2005 and 2007, over 1,000 U.S. deaths were attributed to Fentanyl – many of which occurred in Chicago, Detroit, and Philadelphia.
  • New Jersey saw a huge spike in Fentanyl deaths in 2014, reporting as many as 80 in the first six months of the fiscal year.
  • Rhode Island and Pennsylvania have also seen huge increases since 2013. In a 15-month period, about 200 deaths were reported in Pennsylvania related to Fentanyl.

Opioids in the workplace

Although the above statistics are worrying, what’s unknown and probably more concerning in regards to workplace safety, are the unknown number of people who would presumably be taking Fentanyl on the job. All the ingredients that would make Fentanyl ideal for workplace abuse are there – legally obtainable via prescription, highly addictive, undetectable use (patch under clothing).

Supervisors operating within federally regulated drug testing programs and even those operating within drug free workplace programs who have the ability to order reasonable suspicion drug tests should be aware of the signs and symptoms of opioid abuse. In the workplace, it’s not important that supervisors identify the specific substance an employee might be abusing rather it’s important to immediately remove employees from performing safety sensitive duties who are exhibiting the signs and symptoms of potential drug use or abuse.

What to look for (common signs and symptoms of opioid use):

  • fentanyl transdermal patch

    Fentanyl transdermal patch

    Drowsiness or nodding

  • Constricted or pinpoint pupils
  • Slurred speech
  • Impaired attention or memory
  • Depressed respiration
  • Euphoria

 

Opioid withdrawal symptoms: Dilated pupils, anxiety, irritability, anger, agitation, nausea, vomiting, diarrhea, sweats and chills.
Supervisors working within industries regulated by the Department of Transportation (FMCSA, FAA, FTA, PHMSA and FRA) are required to take 60 minutes training on signs and symptoms of drug use and 60 minutes of alcohol signs and symptoms of alcohol abuse at least once. (FRA requires 3 hours and FAA requires 12-18 months recurring training).

3 reasons to dispose of your unused prescription pills

3 reasons to dispose of your unused prescription pills

Reason 1 – One  in five teens deliberately abuse prescription drug s each year.

Remember the painkiller prescription your doctor provided a few years ago when you pinched that nerve in your neck? Yeah, those pills are probably still hanging around in the back of your medicine cabinet…or are they?  The answer to that question might depend on whether or not you have a teen at home. National statistics show that 1 in 5 teens deliberately abuse prescription drugs each year. One in five. Let that sink in for a moment.  Here’s another surprising statistic – of Americans are taking at least one prescription medication, and over half are taking more than one. Undoubtedly there are a lot of drugs sitting around in medicine cabinets.

It’s no wonder why teens are prone to raiding the medicine cabinet. They won’t get busted buying illegal drugs. Most people wouldn’t recognize the pills even if they saw them so they’re not likely to get busted that way. Parents most likely have long forgotten about the pills and wouldn’t notice them missing..or they can sneak one or two from your active prescription. And, they are right there, instantly within reach.

Reason 2 – Potential for use of an invalid prescription

But it’s not just teens that are at risk. Consider this scenario (see similar real example here)…

A year ago you hurt your back and your doctor prescribed Vicodin for the pain. You took a few but soon found the pain was minimal and bearable and stopped taking the pills. Do you throw away the rest? Nope, that prescription cost you $50 and you don’t want to have to pay that again, so you set them in the back of the medicine cabinet just in case. Months go by, maybe a year or so and you reinjure your back while doing yard work. This time it’s not bad enough to see a doctor again (don’t want to pay that co-pay again), but the pain is there and you suddenly remember you had a prescription you didn’t finish out. You find you old pills, see that the prescription has expired but think you’ll only need one, maybe two to get through the next day or so. No big deal. So you take one. The next week, you’re selected for a drug test because your name was selected in your company’s random selection program. Time to freak out. Your job may be at risk. You’re prescription is no longer valid and you’re likely to test positive for opiates.

Why do so many people keep unused pills in their cabinet?

Up until 2014, people could only surrender their unused prescription pills (Vicodin, Hydrocodone, Codeine, Morphine and OxyContin, etc.) to local law enforcement or dispose of them their selves. Returning them to the pharmacy which dispensed them or any pharmacy for that matter was not allowed. For most people, making a special trip to the local police department isn’t exactly how they’d like to a weeknight. Furthermore, it can be risky to hand over the drug to someone else who it’s not prescribed to. Showing up at a local police station with a controlled substance in hand that wasn’t prescribed to you might come with some . So back in the cabinet it goes.

Reason 3 – Flushing them into the water supply has significant negative environmental impact.

drug fishThe simplest method of disposing of unused pills is to simply crush or flush them – both harmful to the environment. Flushed pills dissolve and find their way into our streams and rivers and can even show up in drinking water for those downstream. A 2002 U.S. Geological study studied 130 rivers and found 80% contain pharmaceuticals – antibiotics, antidepressants, tranquilizers, hormones, pain killers and so on. Can’t flush it downstream? Back in the cabinet it goes.

DEA makes changes in 2014

Happily, in late 2014, the Drug Enforcement Agency (DEA) announced that it would permit consumers to return unused prescription medications like opioid painkillers to pharmacies or mail them in to authorized collectors. Unfortunately news like this doesn’t generally make  front page news so odds are most people are entirely unaware.

Take action

Not all pharmacies are participating in the take back program. There are logistics to work out and potential liabilities they have to consider but there is a fantastic resource available on the web wherer you can simply enter your zip code a find participating locations here:

 

AtHandTraining.com provides awesome online drug and alcohol awareness courses.

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