Wednesday September 19, 2018

EDM party-goers at high opioid dependence risk

Opioid use has grown to epidemic proportions in the US and has been the main contributor to a resurgence of heroin use as well as the spread of HIV and Hepatitis C

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EDM party-goers are more likely to use drugs. IANS
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  • EDM party goers are known to use many drugs
  • They also misuse opioids like heroin
  • The dance party goers are always at a higher risk of using drugs

Not just common party drugs like ecstasy, more and more electronic dance music (EDM) party attendees are misusing opioids like heroin, researchers claim.

Opioid use has grown to epidemic proportions in the US and has been the main contributor to a resurgence of heroin use as well as the spread of HIV and Hepatitis C, the team from New York University said.

Drugs, Rehabilitation centre
Party goers are misusing opioids like heroin. Pixabay

“We’ve always known that electronic dance music party attendees are at high risk for use of club drugs such as ecstasy or Molly, but we wanted to know the extent of opioid use in this population,” said Joseph Palamar, Associate Professor at New York University.

“This population of experienced drug users needs to be reached to prevent initiation and continued use, which can lead to riskier and more frequent use, dependence, and deleterious outcomes such as overdose – particularly if opioids are combined with other drugs,” Palamar added.

Also Read: Indonesia’s War on Drugs Follows Philippines’ Infamous Crusade to Curb Drug Use

To reach this conclusion, the researchers surveyed 954 individuals (ages 18 to 40) about to enter EDM parties at nightclubs and dance festivals in New York City. Attendees were asked about the use of 18 different opioids — including OxyContin, Percocet, Vicodin, codeine, fentanyl and heroin.

Cocaine
these drugs are causing health issues like HIV and hepatitis C. Wikimedia Commons

The researchers found that almost a quarter (23.9 per cent) of EDM party attendees have used opioids non-medically in their lifetime and one out of 10 (9.8 per cent) did so in the past year. IANS

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Low Quality Drugs, Medicine Costs More Than Just Money

Even in high-income countries, purchasing cheaper medicines from illegitimate sources online could result in obtaining substandard or falsified medicines.

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Medicines
A seized counterfeit hydrocodone tablets in the investigation of a rash of fentanyl overdoses in northern California is shown in this Drug Enforcement Administration (DEA). VOA

About one in eight essential medicines in low- and middle-income countries may be fake or contain dangerous mixes of ingredients that put patients’ lives at risk, a research review suggests.

Researchers examined data from more 350 previous studies that tested more 400,000 drug samples in low- and middle-income countries. Overall, roughly 14 percent of medicines were counterfeit, expired or otherwise low quality and unlikely to be as safe or effective as patients might expect.

“Low-quality medicines can have no or little active pharmaceutical ingredient [and] can prolong illness, lead to treatment failure and contribute to drug resistance,” said lead study author Sachiko Ozawa of the University of North Carolina at Chapel Hill.

“Or it may have a too much active ingredient and cause a drug overdose,” Ozawa said by email. “If it is contaminated or has other active ingredients, then the medication could cause poisoning, adverse drug interactions or avertable deaths.”

Much of the research to date on counterfeit or otherwise unsafe medicines has focused on Africa, and about half of the studies in the current analysis were done there.

 

medicines
One in five medications tested in Africa were fake. Pixabay

 

Almost one in five medications tested in Africa were fake or otherwise potentially unsafe, researchers report in JAMA Network Open.

 

Another third of the studies were done in Asia, where about 14 percent of medicines tested were found to be counterfeit or otherwise unsafe.

Antibiotics and antimalarials were the most tested drugs in the analysis. Overall, about 19 percent of antimalarials and 12 percent of antibiotics were falsified or otherwise unsafe.

While fake or improperly made medicines undoubtedly harm patients, the current analysis couldn’t tell how many people suffered serious side effects or died as a result of falsified drugs.

Researchers did try to assess the economic impact of counterfeit or improperly made medicines and found the annual cost might run anywhere from $10 billion to $200 billion.

While the study didn’t examine high-income countries, drug quality concerns are by no means limited to less affluent nations, Ozawa said.

Medicines
Different vaccines. Pixabay

“Even in high-income countries, purchasing cheaper medicines from illegitimate sources online could result in obtaining substandard or falsified medicines,” Ozawa said. “Verify the source before you buy medications, and make policymakers aware of the problem so they can work to improve the global supply chain of medicines.”

The study wasn’t a controlled experiment designed to prove whether or how counterfeit or poorly made medicines directly harm patients, however. And the economic impact was difficult to assess from smaller studies that often didn’t include a detailed methodology for calculating the financial toll.

Also Read: Eating in 10-hour Window May Boost Health

The report “provides important validation of what is largely already known,” Tim Mackey of the Global Health Policy Institute in La Jolla, California, writes in an accompanying editorial.

“It is important to note that although the study is comprehensive, its narrow scope means it only provides a snapshot of the entire problem, as it is limited to studies conducted in low- and middle-income countries and to those
medicines classified as essential by the World Health Organization.” (VOA)