Canada’s next painkiller crackdown won’t come from Ontario.
Its removal of OxyNEO from the Ontario Drug Benefit successfully sidelined Purdue’s replacement for what was once the most notoriously addictive opioid – OxyContin.
And the province now collects data on all prescriptions filled, not just those the government pays for.
But tackling Canada’s fastest-growing addiction is turning into a game of whack-a-mole: Prescriptions for just about every other potent painkiller are up – way up – in the past two years.
INTERACTIVE: Ontario’s opioid prescriptions
The province may now also be the best place in Canada to collect data on these drugs: In many regions it remains fearsomely tricky to get both prescriptions and causes of death broken down by type of opioid; provinces tend to track prescriptions differently (trust us, we’ve checked).
And the federal government has no plans to collect this data itself: That’s the provinces’ domain, a Health Canada spokesperson confirmed to Global News in an email this week.
Meanwhile, Ontario’s newly minted Health Minister Eric Hoskins is looking to Ottawa: Health Minister Rona Ambrose is exploring the possibility of making more drugs “tamper-resistant” – tougher to crush and snort or inject, which become a hardcore addict’s modes of choice because they provide a better high.
“It needs to be a national priority,” Hoskins said in a scrum following Question Period Tuesday.
“[The federal government is] going to look at more than just OxyContin, for example, in terms of the protections that are required, the patent safety mechanisms that need to be in place.”
An emailed statement from Ambrose’s office called requiring tamper-resistant drugs “one piece of the puzzle.
“Curbing prescription drug abuse is also about education – it’s about working with the prescribers around challenging issues like ‘doctor shopping’ and over prescribing,” the statement reads.
“We all have a role to play, and the Minister made it clear that she is committed to continue to work withaddiction experts, the medical community and law enforcement.”
But even if that standard applied to all potent painkillers, it’d be at best a moderate deterrent – “the idea that this is going to solve the problem is specious,” saysSunnybrook Health Sciences Centre’s David Juurlink.:It remains possible to crush the pills if you really want to, and they’d be just as addictive as before – that wouldn’t address the issue of over-prescription that appears to have transferred from one drug to equally powerful alternatives.
INTERACTIVE: Ontario opioid deaths
While Ontario’s “always looking to improve” its narcotics strategy, there’s no immediate plan to put other swiftly growing painkillers – fentanyl, for example, which according to preliminary coroner’s statistics killed about 116 people in 2012; or Hydromorph Contin, responsible for about 64 deaths – on its Exceptional Access Program, which makes doctors fill out a special form before prescribing the drug. This way it’s still there if you need it, but doctors must think twice before prescribing.
“It is important to recognize, as well, that there is a balance to be struck,” Hoskins said.
“There are many individuals in society that have a legitimate reason to be taking these drugs.”