Click to compare Canada’s hydromorph contin consumption with the rest of the world.
Used to be that America could easily claim the title of world opioid capital. But when it comes to the most powerful prescription drugs, Canada is now ahead – in part because of higher hydromorphone use.
Photo by Michelle Siu for the Globe and Mail
Anna Mehler Paperny, Global News
A year after provincial governments clamped down on the most notorious name in prescription-drug abuse, other, more powerful, less regulated opioids are filling the void – with sometimes fatal results.
OxyContin’s off the market, its tamper-resistant replacement tougher to get. But Canadians are popping more pills than ever: In 2010, for the first time, Canada edged past the United States to become the highest opioid-consuming country, per capita, in the world.
And more Canadians are dying from it: In 2011, twice as many Ontarians were killed by opioid overdoses as drivers killed in car accidents, according to coroner’s statistics given to Global News. That toll has more than tripled since 2002.
Michelle Siu for the Globe and Mail
Saturday, July 7, 2012 – Globe and Mail
ANNA MEHLER PAPERNY
Ontario is “strongly urging” the federal government not to let generic brands of the popular painkiller OxyContin into Canada once Purdue Pharmaceuticals’ patent runs out this fall.
The expiration of Purdue’s OxyContin patent on Nov. 25 opens the door for other companies to manufacture cheaper generic versions of the controlled-release oxycodone. Purdue will continue to make a new, tamper-resistant patented drug – OxyNEO – introduced to replace OxyContin earlier this year.
Photo by Moe Doiron/The Globe and Mail
Ontario Health Minister Deb Matthews says the province has no immediate plans to put Suboxone on the Ontario Drug Benefit, which would make it more readily available to treat addicts who can’t get methadone, a more common treatment for opioid addiction. Health-care practitioners, especially in remote areas, want to use Suboxone more in cases where there are simply no licensed methadone doctors around, or no spaces available. Buprenorphine, the active ingredient in Suboxone, is supposed to be safer and easier for others (nurses, for example) to give out. It’s also really expensive.
Photo by Michelle Siu for the Globe and Mail
Tuesday, March 6, 2012 – Globe and Mail
ANNA MEHLER PAPERNY
A Northern Ontario coroner says the province’s doctors and pharmacists need to take extra care in switching patients from OxyContin to other opioids, following the death of a man whose doctor changed his prescription and gave him an incorrect dose.
Photo by Michelle Siu for the Globe and Mail
Tuesday, February 21, 2012 – Globe and Mail
ANNA MEHLER PAPERNY
Nova Scotia has become the latest province to clamp down on OxyContin prescriptions, with Health Minister Maureen MacDonald announcing the province will only pay for the potent painkiller’s replacement in extenuating circumstances – for cancer-related pain or palliative care.
Nova Scotia’s move comes days after Ontario, with the highest rates of prescription-opioid addiction in the country, announced it is tightening rules for the painkiller.
Physicians called the move a step forward, but warned that changing publicly funded drug plans won’t be nearly enough to stem abuse from the prescription drug.
“There is a lot more that needs to be done,” said David Juurlink, a drug-safety specialist at Sunnybrook Hospital in Toronto. “These drugs should be harder to obtain, harder to prescribe – and certainly at high doses.”
Photo by Michelle Siu for the Globe and Mail
Saturday, February 18, 2012 – Globe and Mail
ANNA MEHLER PAPERNY
The epicentres of Canada’s prescription pill problem have said they’ll only pay for the leading brand of potent painkillers under special circumstances – one of the most dramatic steps taken in years to tackle the country’s fastest-growing addiction.
Purdue Pharmaceuticals, which manufactures OxyContin, is replacing it with a drug that’s supposed to be less prone to abuse. But some provinces have decided that’s not good enough.
Tuesday, December 8, 2009 – Globe and Mail
ANNA MEHLER PAPERNY
Painkillers are causing twice the number of overdose deaths they were two decades ago, a new study has revealed. And most of those who died obtained the medications through a doctor’s prescription and had seen a physician within the last month of their life.
The increase mirrors a dramatic rise in prescriptions for oxycodone. The potent opiate, found in OxyContin and Percocet, has proliferated in an epidemic of chronic pain turning Canadians into a nation of pill-poppers – using more prescription opioids per capita than any country but the United States and Belgium.
It’s an indication that many doctors have underestimated the power and complexity of prescription opioids, and their ability to harm as well as help, said Irfan Dhalla, a doctor at St. Michael’s Hospital in Toronto and the report’s primary author.
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In the face of Canada’s growing pill problem, Ontario is moving to change the way opioids are prescribed and monitored.
New regulations to be put in place in the coming months would crack down on prescription abuse and set new benchmarks for how these pills should be doled out in an attempt to deal with the growing numbers of people getting hooked on painkillers across the country.
Addiction experts say the changes are badly needed and should have come a decade ago.
Saturday, November 14, 2009 – Globe and Mail
ANNA MEHLER PAPERNY
Janey Nagle wasn’t looking for kicks when she began courting a drug habit. The Percocets her doctor prescribed were the only thing that could take away the excruciating pain that lingered a decade after a car accident threw her into a windshield with such force that her face left an imprint in the glass.
For the first two years, the painkillers did the trick. The Perth, Ont., mother of four was able to work and look after her family. But after a while she couldn’t get through the day without the pills’ euphoric effect, and that demanded higher and higher doses.
Fearful her doctor would cut her off, Ms. Nagle looked elsewhere. She spent hundreds of dollars a day on prescription drugs bought off the street, primarily from friends and acquaintances. She photocopied her prescriptions and filled each one repeatedly at pharmacies around Perth, Kingston and Smiths Falls.
“It was a horrible, panicked feeling every morning when I woke up,” says Ms. Nagle, now 43. She remembers the daily dilemma: “How am I going to get them? Where am I going to get the money?”
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