Provinces clamp down on OxyContin abuse

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.

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Treating the tiny victims of Canada’s fastest-growing addiction

Laura holds Carter at their home in Hamilton, ON. He was born with the shakes, the sweats, stiff limbs and sneezing fits, hospitalized and on morphine for three weeks. He's now home, and healthy.
Photo by Glenn Lowson for the Globe and Mail

Saturday, January 7, 2012 – Globe and Mail
ANNA MEHLER PAPERNY

HAMILTON — Hours after his birth, stiff-limbed and trembling, Carter was whisked away to a bassinet in a neonatal intensive care unit and fed morphine through a dropper.

He broke out in sweats, a fine sheen clinging to his neck and scalp, when, weeks later, nurses started to wean him off. His mother, Laura, who asked to be identified by her first name only, knew exactly what he was going through: She’d experienced withdrawal before.

“That was the worst part. Knowing what it feels like, and knowing a little baby … it’s the worst feeling in the world, you know? You don’t want your child to go through that.”

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Database will allow Ontario to clamp down on over-prescribing doctors

Toby Talbot/The Associated Press

Friday, August 12, 2011 – Globe and Mail

ANNA MEHLER PAPERNY

Starting in November, the Ontario government will have the ability to collect information on who’s prescribing how many pills to whom, and where those prescriptions are getting filled.

Regulations attached to the province’s planned prescription database, which has been in the works for months, passed cabinet Wednesday. That means that this fall in theory – and this winter in practice, because that’s when the database will be fully functional – the province can start tracking prescriptions and, eventually, clamp down on what Health Minister Deb Matthews calls an urgent problem with over-prescribed narcotics.

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Brockville inquest urges overhaul of opioid prescribing

Photo by Michelle Siu for the Globe and Mail

KIM MACKRAEL AND ANNA MEHLER PAPERNY
Tuesday, July 05, 2011 – Globe and Mail

Ontario should overhaul its system for prescribing, monitoring and treating patients using prescription opioids, an inquest into two fatal drug overdoses in Brockville has recommended.

The inquest into the 2008 deaths of 41-year-old Donna Bertrand and 19-year-old Dustin King delivered 48 wide-ranging recommendations Tuesday, including mandatory education and auditing of doctors and better systems for monitoring who can access pills.

Mr. King and Ms. Bertrand were found dead in the same apartment within days of each other. He died Nov. 21, 2008, of an OxyContin overdose, passed out on Ms. Bertrand’s couch, where he lay for hours before people in the downtown Brockville apartment noticed something was wrong.

She died 11 days later after ingesting a fatal mix of sedatives and antidepressants.

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Inquest into Brockville’s fatal overdoses lays bare the toll of prescription-drug addiction

Hilda Bertrand stands outside the Brockville train station on Monday, June 27, 2011. Her daughter, Donna Bertrand, died of an overdose Dec. 2, 2008 -- days after 19-year-old Dustin King died of an OxyContin overdose in her apartment. An inquest into their deaths was ongoing June 2011 and heard closing arguments Wednesday, June 29, 2011.
(Photo by Anna Mehler Paperny/The Globe and Mail)

Saturday, July 2, 2011 – Globe and Mail
ANNA MEHLER PAPERNY

BROCKVILLE, ONT. — Day after day for weeks on end, Hilda Bertrand and Brenda Toupin-Wiles sat in a Brockville, Ont., courtroom and listened to strangers dissect their children’s deaths.

The inquest into the fatal 2008 overdoses of Ms. Bertrand’s 41-year-old daughter and Ms. Toupin-Wiles’s 19-year-old son has given both families a crash course in pharmacology and prescription-drug abuse.

“It’s been educational. And disturbing,” Ms. Toupin-Wiles said. “I’ve been educated on how to crush, smoke, snort, inject every kind of drug you can imagine.”

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Overdose inquest: Brockville deaths put focus on prescription-drug abuse

Dustin King was 19 when he died after snorting half an 80-milligram OxyContin tablet in Donna Bertrand's apartment. Ms. Bertrand, 41, died of an overdose in the same apartment days later.

Tuesday, May 31, 2011 – Globe and Mail
ANNA MEHLER PAPERNY

She was a 48-year-old mother and former nurse, receiving disability payments for back pain.

He was a fearless 19-year-old known for befriending everyone, who bounced from high school to temp jobs, from one couch to another when he and his dad argued.

They died days apart, in the same apartment, overdosed on drugs.

She had prescriptions – for the OxyContin toxicologists say caused his death, and the cocktail of antidepressants and sedatives they say precipitated hers.

He did not.

An inquest starting in Brockville this week into the 2008 deaths of Donna Bertrand and Dustin King will try to piece together not how they died so much as how to prevent deaths like theirs.

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Painkiller deaths double in Ontario

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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Ontario cracking down on prescription pill abuse

Friday, November 20, 2009 – Globe and Mail

ANNA MEHLER PAPERNY

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.

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