Posts Tagged ‘polypharmacy’

Long Awaited Army Report on Suicides Ignores Role of Suicide-Causing Drugs such as Antidepressants/Antipsychotics

Monday, August 2nd, 2010

OpEdNews
By Martha Rosenberg
August 1, 2010

Why are troops killing themselves?

The long awaited Army report, “Health Promotion, Risk Reduction, Suicide Prevention” considers the economy, the stress of nine years of war, family dislocations, repeated moves, repeated deployments, troops’ risk-taking personalities, waived entrance standards and many aspects of Army culture.

What it barely considers is the suicide-inked antidepressants, antipsychotics and antiseizure drugs whose use exactly parallels the increase in US troop suicides since 2005.

In the report Chief of Staff General Peter W. Chiarelli acknowledges antidepressant risks, saying there’s “fair quality evidence that second generation antidepressants (mostly SSRI) increase suicidal behavior in adults aged 18 to 29 years” but adds that “other research evidence shows the benefit of antidepressant use”.

And nowhere does he acknowledge the suicide potential of antiseizure drugs so widely used for pain and as “mood stabilizers” by troops even though the FDA mandated suicide warnings on Lyrica, Topamaz, Depakote, Lamictal, Tegretol, Depakene, Klonopin and 16 others in 2008.

(Lamictal also has the distinction of wasting more taxpayer money than any other drug according to a July American Enterprise Institute report. Medicaid spent an unnecessary $51 million on Lamictal instead of buying a generic last year, thanks to GSK salesmen. You go, guys,)

When asked by NPR’s Robert Siegel if the high number of medicated troops contributed to suicide, Gen. Chiarelli said, “The good thing about those numbers is…the prescriptions were all made by a doctor.” Asked why troops who had not even deployed were among the suicides, Chiarelli said there were other stressors involved.

In June Marine Times reported 32 deaths on prescription drugs in Warrior Transition Units (WTUs) since 2007 and said an internal review “found the biggest risk factor may be putting a soldier on numerous drugs simultaneously, a practice known as polypharmacy.”

But instead of citing dangerous drugs and drug cocktails for turning troops suicidal (and accident prone and at risk of death from unsafe combinations) the Army report cites troops’ illicit use of them along with street drugs. (The word “illicit” appears 150 times in the Army report and “psychiatrist” appears twice.)

No, it’s not the 8,000 urine samples in 2009 which showed prescription drug traces according to the Army report — it’s the fact that 21 percent of the drugs were “illicit.”

No wonder the revised suicide report form suggested by the Army report doesn’t even have a box to enter “adverse reactions to drug or drug combinations.” Instead, it has a box that asks how long before a suicide a patient was “compliant” with the prescription. Was the medication “taken as prescribed? Skipped?” Taken “In excess of prescription? In different manner (e.g., crushed instead of in capsule)?”

Read entire article here:  http://www.opednews.com/articles/Army-Suicide-Report-Ignore-by-Martha-Rosenberg-100801-596.html?show=votes

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Freedom of Information Act request made to Pentagon officials regarding alarming drug overdoses in our armed forces

Monday, June 7th, 2010

Air Force Times
By Andrew Tilghman and Brendan McGarry
June 6, 2010

Prescription drug cocktails have lead to at least 32 accidental overdoses among Marines and soldiers since 2007, bringing military medical practices for treating physical and psychiatric problems under scrutiny.

At least 30 soldiers and two Marines overdosed while under the care of Army Warrior Transition Units or the Marine Corps Wounded Warrior Regiment, created three years ago to tightly focus care and attention on troops suffering from injuries as a result of combat.

Most of the troops had been prescribed “drug cocktails,” combinations of drugs including painkillers, sleeping pills, antidepressants and anti-anxiety drugs, interviews and records show. In all cases, suicide was ruled out.

Army officials say the deaths are often complicated by troops mixing medications with alcohol, taking their own medications incorrectly or without a prescription.

It is unclear how many troops across the entire military have died from drug toxicity. Pentagon officials have not provided information about accidental drug deaths across the military despite a Military Times Freedom of Information Act request submitted nearly two months ago. Data on military deaths is compiled by the Armed Forces Institute of Pathology and maintained at the Pentagon’s Defense Manpower Data Center.

The Army deaths have shocked that service’s medical community and prompted an internal review. But despite a “safety stand down” in January 2009, the number of fatalities continued to rise last year — to 15 in 2009, up from 11 the year before. Meanwhile the total number of soldiers assigned to the 29 WTUs nationwide dropped from about 12,000 to about 9,000.

The internal review found the biggest risk factor may be putting a soldier on numerous drugs simultaneously, a practice known as polypharmacy. According to an Army analysis from June 2009, about 9 percent of WTU patients — 800 soldiers — were prescribed a combination of drugs that included pain, psychiatric and sleep medications.

As a result, the Army medical community has begun to question the widespread practice of polypharmacy and has quietly overhauled the way it prescribes, distributes and monitors the riskiest drugs.

Read entire article:  http://www.airforcetimes.com/news/2010/06/military_drug_deaths_060710w/

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Psychiatry’s Growing Practice of Multiple Prescriptions: 60% of patients drugged were given multiple prescriptions

Tuesday, January 5th, 2010

John Gever
MedPage Today
January 4, 2010

Psychiatrists who prescribe drugs for their patients today usually give more than one at a time, often with little scientific basis, researchers said.

About 60% of patients with psychiatrist office visits leading to a drug prescription received at least two medications in 2005-2006, according to government survey data analyzed by Ramin Mojtabai, MD, PhD, MPH, of Johns Hopkins University, and Mark Olfson, MD, MPH, of Columbia University.

That was up from about 43% in 1996-1997 (P<0.001), the researchers reported in the January Archives of General Psychiatry.

They also found that 33% of prescription-associated visits led to three or more medications in the latter period, compared with 17% nine years earlier (P<0.001).

These multiple combinations sometimes involved drugs within the same class — two or more antidepressants for depressed patients, for example — but more often drugs of different classes.

Gaining in popularity during the study period were combinations of antidepressants and antipsychotic drugs, with an adjusted odds ratio of 1.96 (P<0.001) for each year during the study period.

Read entire article: http://www.medpagetoday.com/Psychiatry/GeneralPsychiatry/17785

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