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To get insights on the problem, and advice to help reduce the risk of abusing or becoming addicted to prescription drugs, we talked with Steven Capuzzi, senior pharmacist for the Highmark health plans. For more than 10 years, Capuzzi has helped people take medications safely, including educating people about the dangers of prescription drug abuse. Corey Florindi CF : What are the most commonly abused prescription drugs that people should know about? Over the past eight years, drug overdose deaths have outnumbered deaths from motor vehicle crashes in the U. People may also know opioids better by certain brand names, including Vicodin, Dilaudid, Demerol, OxyContin, and Percocet. People can become addicted to some drugs even while seeing a doctor and getting legal prescriptions. SC: Availability and overprescribing are certainly causes. Unfortunately, drugs are part of American culture. You need relief of pain or an ailment? Just take a pill. Many cultures do not turn to drugs as quickly as we do in America. All the information available online and pushed out through advertising can reinforce that mindset. That said, probably the leading cause of the epidemic is drug diversion. Broadly defined, drug diversion is when the legal supply chain of prescription analgesic drugs is broken, and drugs are transferred from a licit to an illicit channel of distribution or use. What does that mean? Redistribution of unused opioids from dental or medical procedures is also common. Another common diversion is opioids being stolen from the originally prescribed patients. So there are really multiple contributing factors to the epidemic. CF: Is part of the problem that people are misinformed or believe certain myths about drug abuse and addiction? SC: Sure, probably the biggest myth is thinking prescription drugs are safer than illegal drugs because they came from a doctor, were dispensed by a pharmacist, and were manufactured by a company regulated by Food and Drug Administration FDA standards. The truth is that prescription drugs can be just as dangerous as any illegal drugs; statistically speaking, more people die each year overdosing on prescription opioid pain relievers than any illegal drug. The truth is that people from all walks of life can end up struggling with addiction. SC: It is definitely a mistake to think of all drugs as the same. It might help to look at how the FDA categorizes drugs. Since , the FDA has assigned a schedule number from 1 to 5 designated by Roman numerals I, II, III, IV, V for all controlled substances , which includes the drugs that, by law, require special parameters to write or dispense a prescription. The lower the schedule number, the higher the potential for abuse or harm. You could think of it as a series of steps:. My best advice is talk to your doctor and pharmacist as often as necessary. Some prescribers also use pain management contracts , which can be helpful. You sign these contracts, like any other contract, and requirements may include agreeing that you will only get your pain control prescription from that specific doctor or at a specific pharmacy. CF: If someone is prescribed one of the higher-risk drugs, what warning signs should they and their families and friends watch for to help prevent abuse and addiction? Similarly, some people who are addicted or abusing prescription drugs will go to multiple pharmacies in hopes of getting more medication. Highmark has a Financial Investigation and Provider Review team that, among many other things, helps combat prescription drug addiction and abuse by investigating suspicious claims and prescription activities. You can learn more about their work on their web pages , and they also have a form you can use to report suspected fraud. CF: What about visible warning signs that someone may be abusing or addicted to drugs? SC: Physical and behavioral symptoms will differ depending on the drug. For instance, if someone is abusing ADHD medication, their anxiety level may increase, they may have flushed skin, or have an increased heart rate. Other symptoms with pain medications, as well as sedative and hypnotic drugs, would be increased drowsiness, confusion, nausea, or being constipated. Warning signs for potential drug abuse related to behavior changes include:. CF: If a problem develops, or someone is worried about a possible problem, where should they seek help? SC: First, depending on the situation, consider talking with the doctor prescribing the drug. In terms of professional help for addiction, The American Addiction Centers is one resource at the national level. There are local and regional resources as well. View transcript. Highmark Blue Shield. While street drugs like heroin are a serious problem, many drugs available by prescription can be just as dangerous. Each of the prescribed drugs below has legitimate, valuable uses for some conditions, but they are also among the most commonly abused prescription drugs. Never take any prescription drug unless it is your prescription, and always follow directions for use and dosage. Opioid pain medications include those with morphine, codeine, and oxycodone. Taking an opioid-based drug should only be done with a prescription and very careful monitoring. Commonly abused drugs used to treat anxiety and panic attacks include those in the benzodiazepine class:. While these drugs can help people with panic attacks, anxiety, seizures, and sleeping problems, proper caution must be taken. Because the drugs are meant to relax the person taking them, they can slow down your breathing. Taking too many too often can lead to respiratory failure, especially if taken with alcohol. Like the drugs used for anxiety and panic attacks, drugs used to help with sleeping can slow down your breathing, so taking too many too often can lead to respiratory failure, especially if taken with alcohol. Even with a medical need, be aware that the downsides of stimulants include being highly addictive and potentially increasing heart rates to unsafe levels. For extra support in managing health, Highmark health plan members have access to a range of health professionals through Blues on Call, including:. Highmark Health and its subsidiaries and affiliates comprise a national blended health organization that employs more than 42, people and serves millions of Americans across the country. Questions or comments? All Rights Reserved. Need to find info about providers, prescriptions, coverage, claims, ID cards, or health spending or savings accounts? If so, your Highmark member site is the place to go. Toggle navigation Digital Magazine. Understanding the Problem Corey Florindi CF : What are the most commonly abused prescription drugs that people should know about? CF: Is prescription drug abuse more common with any specific demographics? Subscribe to get new stories by email: Bot prevent:. At a Glance: Commonly Abused Prescription Drugs While street drugs like heroin are a serious problem, many drugs available by prescription can be just as dangerous. Commonly abused pain medications include opioids such as: OxyContin Percocet Percodan Roxicet Vicodin Demerol Dilaudid Opioid pain medications include those with morphine, codeine, and oxycodone. Commonly abused drugs used to treat anxiety and panic attacks include those in the benzodiazepine class: Ativan Halcion Klonopin Librium Valium Xanax While these drugs can help people with panic attacks, anxiety, seizures, and sleeping problems, proper caution must be taken. Health Support for Highmark Health Plan Members For extra support in managing health, Highmark health plan members have access to a range of health professionals through Blues on Call, including: Wellness coaches, who can help with weight loss, smoking cessation, exercise and general nutrition Behavioral health coaches, who can assist with mental health concerns and managing depression Medical health coaches, who can help manage common chronic conditions like diabetes, high blood pressure and asthma Complex case managers, who are nurses who work with Highmark Inc. Follow Highmark Health on social:. Looking for Your Health Plan Website?