Hooked on oxy: How pilfered Canadian pills are fuelling a U.S. health crisis

July 14, 2014 – Anna Mehler Paperny, Global News

Nineteen thousand, two hundred and thirty-seven tablets.

That’s how many pills an Ontario pharmacy employee was able to steal before being caught in February – by far the biggest oxycodone theft reported from a Canadian hospital or pharmacy since January 2012, according to numbers Health Canada gave Global News.

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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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Ontario slow to act on prescription-drug reforms, doctors charge

"I would characterize it as the most important drug safety problem we face today," says Dave Juurlink, a doctor at Toronto's Sunnybrook Health Sciences Centre and a member of the province's Committee to Evaluate Drugs. "I don't know what it is about this particular problem that has allowed it to escape the scrutiny that so many other drug-related problems have attracted."
Photo by Michelle Siu for the Globe and Mail

Wednesday, July 13, 2011 – Globe and Mail
ANNA MEHLER PAPERNY

The Ontario government and the College of Physicians and Surgeons have nothing against four dozen recommendations resulting from an inquest into a pair of overdose deaths – but they have no intention of acting on them any time soon.

The suggestions from a five-member jury came out last week following more than a month of testimony into the 2008 deaths of Dustin King and Donna Bertrand. The two died within days of each other in Ms. Bertrand’s Brockville, Ont., apartment. Each had ingested fatal amounts of prescription drugs.

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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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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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Canada, you need an intervention

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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