{"id":1066,"date":"2014-10-13T11:06:15","date_gmt":"2014-10-13T18:06:15","guid":{"rendered":"https:\/\/phcprimarycare.org\/?p=1066"},"modified":"2014-10-13T11:06:50","modified_gmt":"2014-10-13T18:06:50","slug":"the-dose-makes-the-poison-paracelsus","status":"publish","type":"post","link":"https:\/\/phcprimarycare.org\/?p=1066","title":{"rendered":"The dose makes the poison &#8211; Paracelsus"},"content":{"rendered":"<p>The <a href=\"http:\/\/www.cdc.gov\/mmwr\/pdf\/wk\/mm6340.pdf\">MMWR<\/a> recently reported that in the current problem with the abuse of prescription drugs, alcohol plays a significant role in ED department visits, including opioid pain reliever (OPR) and benzodiazepine (BZP) drug-related deaths. Using the <!--more-->SAMHSA Drug Abuse Warning Network, data was analyzed from 237 hospitals on ED visits as well as other data on drug-related deaths in 13 states.<\/p>\n<p>It was estimated that in the U.S. in 2010 there were 438,718 ED visits related to OPRs and 408,021 related to BZP use. Among those visits, an estimated 18.5% and 27.2% also involved alcohol, respectively. Of the total ED visits, concomitant alcohol-OPR use was highest in the 30-54 year-old age group. Concomitant alcohol-BZP use was highest among the 45-54 year-old age group and was more common among men than among women.<\/p>\n<p>Of the 3,883 OPR deaths in the 13-state survey in 2010, 22.1% involved alcohol and for BZP related deaths 21.4% involved alcohol. Among the OPR deaths, persons aged 40-59 had the highest percentage and for BZP deaths the highest percentage was among persons &gt; 60 years of age.<\/p>\n<p>Alcohol use and risk for abuse should be a part of the screening process when considering prescribing opioids or benzodiazepines to patients.<\/p>\n<p>The use of <a href=\"http:\/\/www.integration.samhsa.gov\/clinical-practice\/SBIRT\">SBIRT<\/a>, Screening, Brief Intervention and Referral for Treatment, provides a tool for alcohol risk screening and is a benefit of Medi-Cal and PHC that is reimbursed outside of capitation.<\/p>\n<p>Marshall Kubota, MD<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The MMWR recently reported that in the current problem with the abuse of prescription drugs, alcohol plays a significant role in ED department visits, including opioid pain reliever (OPR) and benzodiazepine (BZP) drug-related deaths. Using the<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[19,15,9],"tags":[],"class_list":["post-1066","post","type-post","status-publish","format-standard","hentry","category-drug-and-substance-abuse","category-medical-practice","category-phc-services"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The dose makes the poison - Paracelsus  - PHC Primary Care Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/phcprimarycare.org\/?p=1066\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The dose makes the poison - Paracelsus  - PHC Primary Care Blog\" \/>\n<meta property=\"og:description\" content=\"The MMWR recently reported that in the current problem with the abuse of prescription drugs, alcohol plays a significant role in ED department visits, including opioid pain reliever (OPR) and benzodiazepine (BZP) drug-related deaths. 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