The Opioid Epidemic: How to Protect Your Family

​​May 7, 2017 – — Drug overdoses are now the leading cause of accidental death in the U.S.—doubling between 1999 and 2015. More than car accidents. More than falls. More than homicide. The American Academy of Pediatrics (AAP) is dedicated to ensuring that families have access to the care that they need, in order to give children the best possible chance at a happy and healthy life. Treating and preventing opioid use disorder will help assure this outcome and—given the opioid epidemic in this country—it is a responsibility we must accept and share together.

What Can Parents Do?

  • Talk to your kids. Tell your children about how deadly opioid drugs can be. Children who learn about the risks of drugs at home are less likely to use drugs than those who don’t. Make sure they know sharing opioids is a felony crime punishable with jail time. Surveys show two-thirds of teens who misuse prescription painkillers got them from friends, family members, and acquaintances.
  • Safe storage. Keep opioids and other prescription medicine in a secure place. Count and monitor the number of pills you have and lock them up. Ask your friends, family members, and babysitters to do the same.
  • Dispose leftover prescription medication. Return leftover opioid prescriptions to a hospital, doctor’s office, or pharmacy. Many counties now offer “take-back” events to collect unused painkillers. For more information, see Promote Safe Storage and Disposal of Opioids and All Medications​.
  • Talk to your doctor. Discuss alternatives to opioids for pain relief with your doctor. Many people believe taking opioids are the best to treat pain, but recent studies show that non-addictive medicines such as ibuprofen and naproxen can be just as effective. Your doctor may also suggest trying certain complementary and alternative treatments—such as acupuncture—as a first step for treating chronic pain.
  • Ask for help. If you think you or your child may be misusing opioid drugs or developing addiction, don’t hesitate to seek help. The AAP policy statement, Medication-Assisted Treatment of Adolescents with Opioid Use Disorders, outlines how pediatricians can provide medication-assisted treatments to their teen and young adult patients with opioid use disorders or refer them to other providers who can. In another policy statement, the AAP endorses similar treatment for pregnant women addicted to opioids as part of a comprehensive public health approach to the problem.
  • Know what to do in an overdose emergency. Ask your pediatrician about Naloxone, which can prevent opioid overdose deaths. Always call 911 if you believe someone is experiencing an overdose. Know that Good Samaritan laws provide legal protection to people acting to help someone who has overdosed on illegal drugs.

Commonly Misused Prescription Opioid Drugs in the United States

  • Oxycodone – Found in brands such as OxyContin, Percocet, Oxecta, and Roxicodone. Kicker is one of the common street names for this drug.
  • Fentanyl – Including Actiq, Duragesic, Fentora, and Sublimaze. Street names for fentanyl or for fentanyl-laced heroin include Apache, China White, Dance Fever, Friend, Goodfella, Jackpot, Murder 8, TNT, Tango, and Cash.
  • Hydrocodone – Found in Vicodin, Zohydro, Hysingla Co-gesic, Liquicet, Lorcet, Dolacet, Anexsia, Zydone, and Xodol. Vic is a common street name for the pill version. Cough syrup forms have nicknames such as Robo or Tuss.
  • Codeine, like hydrocodone – Sometimes found in cough syrup form, so it may be called syrup on the street. Brands of acetaminophen, such as Tylenol, that include codeine might be called schoolboy or Cody.
  • Morphine – Including brands such as AVINza or Kadian. It may be referred to as Mister blue or dreamer.

The Opioid Epidemic’s Effect on Children & Teens     

  • Addiction doesn’t care. Opioid misuse harms children and teens in many ways. Families may be broken apart when a parent is arrested for buying illegal opioids and goes to jail. Parents who become addicted often neglect to properly care for their children; getting and taking the drug takes over their priorities. .
  • Prenatal exposure. Federal reports show a fivefold increase in the number of children born with neonatal abstinence syndrome (NAS) since 2000 after opioid exposure during their mother’s pregnancy. F
  • Poisoning and overdose. Children and teens hospitalized for opioid poisoning tripled between 1997 and 2012. While most of the overdose patients were teens, the largest overall increase in poisonings was among the youngest children—toddlers and preschoolers. A study published in Pediatrics found that children whose mothers are prescribed opioids face a much higher overdose risk compared to children whose mothers received a non-steroidal anti-inflammatory drug, such as ibuprofen, for pain.

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