Drug diversion

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Drug transfers are medical and legal concepts that involve transfer of legally controlled substances prescribed from individuals prescribed to others for any illegal use. This definition differs slightly between different jurisdictions, but the transfer of controlled substances is not usually a diversion, since certain controlled substances prescribed for a child are intended to be managed by an adult, as directed by a medical professional. This term comes from the "transfer" of drugs from their original legitimate medical purpose. In some jurisdictions, drug transfer programs are available for first-time offenders of drug law, which "transfers" offenders from the criminal justice system to education and rehabilitation programs.

Video Drug diversion

Drugged drugs

The class of prescribed controlled drugs usually transferred includes:

• Benzodiazepines - including diazepam, temazepam, clonazepam, and alprazolam - anxiolytics prescription and sedative
• Opioids - including morphine, hydrocodone, oxycodone and codeine - prescription pain medication
• Stimulants - amphetamine, methylphenidate, and modafinilÃ, - are prescribed to treat ADHD and narcolepsy
• Z-drugsÃ, - including zolpidem (Ambien), Eszopiclone (Lunesta) Ã, - prescription sleeping pills

According to the US Department of Justice, "Most of the abused drugs in the United States are diverted by physicians' spending, fake recipes, theft and, increasingly, over the Internet." To reduce the occurrence of pharmaceutical diversion by physician spending and prescription fraud, almost all countries have established prescription monitoring programs (PMPs) that facilitate the collection, analysis and reporting of information on pharmaceutical prescription drugs.

Maps Drug diversion

Registration of drug suppliers

21 U.S.C. Ã, §823 of the Controlled Substance Act provides registration of manufacturers and distributors of controlled substances. The criteria for registering drug manufacturers Schedule I and II are very strict and call for "restrict the import and manufacture of bulk of the controlled substances to a number of companies that can produce sufficient and uninterrupted supply of this substance under conditions of adequate competition for legitimate medical, scientific, research, and industry. "The Attorney General should make a positive determination that the registration will be" consistent with the public interest. "

For other drug manufacturers, and for drug distributors, the rules are substantially less stringent: "The Attorney General's Office will register the applicant... unless he determines that the issuance of the registration is inconsistent with the public interest." Criteria for manufacture and distribution are rather biased in favor of established industries, support "past experience" and compliance records of drug laws The Controlled Substance Act also provides registration of medical practitioners (ie, doctors, dentists, veterinarians, etc.), pharmacies and hospitals that prescribe, administer, or issue controlled substances directly to patients, as well as individuals conducting approved research involving controlled substances. This category also includes a narcotic treatment program that regulates and excludes Methadone primarily for the treatment of narcotics addiction.

Example

This activity can occur in many places;

occurs in various ways, by all segments of our population, in all environments, and across all workplaces. His violence is often ignored by the thought that if a doctor prescribes drugs, and a pharmacist handing out drugs, it can not be misused. Understanding that prescription drugs are at least as addictive, abused, and valuable as a drug, is sometimes difficult to grasp.

The Cincinnati Post has reported the frequency. John Burke, a prominent expert on the subject, was quoted as saying, "Pharmaceutical diversion is rather funny because it happens in every community, but it does not seem to exist unless you chase it,"

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DEA investigation into oxycodone switching

According to the US Department of Justice, in 2011 CVS pharmacies in Sanford, Florida, ordered enough painkillers to supply the population eight times its size. Sanford has a population of 53,000 but supplies will support 400,000. According to the Drug Enforcement Administration (DEA), in 2010, a CVS pharmacy in Sanford ordered 1.8 million oxycodone pills, averaging 137,994 tablets per month. Other pharmaceutical customers in Florida averaged 5,364 oxycodone pills per month. DEA researchers serving orders to CVS pharmacies at Sanford on October 18, 2011 noted that "approximately every third car coming through the drive-thru line has a prescription for oxycodone or hydrocodone."

According to the DEA, a pharmacist at the site told researchers that "customers often request certain oxycodone brands using street slang," an indicator that the drugs are diverted and not used for legitimate pain management. In response, CVS in a statement released Feb. 17 in response to an opioid trade question from USA Today said that the company is committed to working with the DEA and has taken "significant action to ensure proper expenditure of pain relief in Florida. ". "

In February 2012, Joseph Rannazzisi, head of the Drug Control Drug Control Office, issued a direct suspension order against the oxycodone Cardinal Health supplies to suspected pill factories. Deputy Attorney General James M. Cole then summoned Rannazzisi to attend a meeting at the Justice Department headquarters where Cole warned him "it makes sense to listen to what the Cardinal says". Rannazzisi was fired from the drug transfer office in August 2015. The cardinal was never fined.

The cardinal, with McKesson Corporation and AmerisourceBergen, spent $ 13 million lobbying Congress to pass the Congress of Tom Marino "Ensuring Patient Access and Effective Drug Enforcement Act". The bill, which raises the burden of proof of evidence needs to show against drug distributors, was signed into law by President Barack Obama in April 2016.

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See also

• Redirection (disambiguation)
• Unused medication
• Oxycodone
• Pharmacy in India
• Steroids

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References

src: www.ajhp.org

External links

• Controlled Substance Act - U.S. Drug Enforcement Administration

Source of the article : Wikipedia