Wednesday, February 13, 2013

Accidental Poisonings from Prescription Drugs on the Rise in Pets

A growing number of pets are being accidentally poisoned, and prescription medicines are largely to blame, The Wall Street Journal reports.
The American Society for the Prevention of Cruelty to Animals (ASPCA) reports it received more than 180,000 calls about poisonous substances last year, up 7 percent from 2011. Since many pet owners rush poisoned pets to their veterinarian instead of calling a hotline, the number of accidental poisonings may be higher, the article notes.
Prescription medications for humans have accounted for the majority of calls about accidental poisonings for the past five years, increasing 2 percent last year to more than 25,200 calls. Pet owners made almost 18,500 calls about over-the-counter medications and supplements, up 2.8 percent from the previous year.
While insecticides and rodenticides are the most deadly household items for pets, common human medicines can also be fatal, depending on the pet’s weight, how much the pet consumes, and the strength of the medicine. “One acetaminophen will kill a cat,” Kevin T. Fitzgerald, a veterinarian with VCA Alameda East Veterinary Hospital in Denver, told the newspaper.
Last year, calls about prescription painkillers increased 63 percent, while calls about antidepressants rose 47.5 percent. “More and more people are on these drugs, and dogs find them on the nightstand,” Dr. Fitzgerald said.
The fatality rate among pets from accidental poisoning appears to be low, at 0.2 percent of cases, according to Tina Wismer, Director of the ASPCA’s Animal Poison Control Center. She notes the center does not know the outcome of each call, so the rate might be higher. Dogs are more likely than cats to be accidentally poisoned. Labrador Retrievers accounted for almost 14,000 calls to the center.
To limit pets’ access to dangerous substances, keep medications in a secure location such as a medicine cabinet, and take the medication when the pet isn’t nearby.

For Problem Drinkers, Depression Often the Result of Heavy Drinking

Depressive symptoms in problem drinkers often are the result of heavy alcohol intake, a new study suggests.
The 30-year study included nearly 400 men, about half of whom were at increased risk for drinking problems because their fathers were alcoholics, MedicalXpress reports. Over the course of the study, about 41 percent of the men with alcoholic fathers developed alcohol abuse or dependence. Almost 20 percent suffered at least one bout of major depression, the article notes.
Among men with alcohol problems, almost one-third of major depressive episodes appeared only when the men were drinking heavily. The study appears in the Journal of Studies on Alcohol and Drugs.
“I don’t know that the average person realizes that heavy drinking can induce mood problems,” lead researcher Marc A. Schuckit, MD, of the University of California, San Diego School of Medicine, said in a news release.
Dr. Schuckit noted that depression caused by heavy drinking is treated differently from major depressive episodes with other causes. He said the symptoms of depression caused by heavy drinking can be the same as those seen in people who are not heavy drinkers. However, if the symptoms develop in the context of heavy drinking, they are likely to disappear within several weeks to a month after the person stops drinking, and rarely requires antidepressants.
Doctors should consider alcohol use disorders as a potential cause of depression, Dr. Schuckit said. He found no evidence that people with a history of major depression were at increased risk for developing alcohol problems. “If you’re an alcoholic, you’re going to have a lot of mood problems,” he said. “And you may be tempted to say, ‘Well, I drink a lot because I’m depressed.’ You may be right, but it’s even more likely that you’re depressed because you drink heavily.”

Teens with ADHD More Likely to Have Substance Abuse Issues

Teenagers with attention deficit hyperactivity disorder (ADHD) are significantly more likely to have substance abuse issues and to smoke cigarettes, compared with their peers without a history of the disorder, according to a nationwide study.
The study found when teens were an average of 15 years old, 35 percent of those with ADHD said they used one or more substances, compared with 20 percent of teens without a history of the disorder, Science Daily reports. Ten percent of teens with ADHD experienced significant problems from their substance abuse, compared with 3 percent of those without ADHD.
The researchers found by age 17, about 13 percent of those with ADHD experienced marijuana abuse or dependence, compared with 7 percent of those without the disorder. Daily cigarette smoking was also higher among teens with the disorder in this age group—17 percent, compared with 8 percent among teens without ADHD.
Both teens with and without ADHD had high rates of alcohol use, the study found. Teens who were treated with ADHD medication had similar substance abuse rates, compared with those who were not being treated for the disorder.
“This study underscores the significance of the substance abuse risk for both boys and girls with childhood ADHD,” lead author Brooke Molina, PhD, of the University of Pittsburgh School of Medicine, said in a news release. “These findings also are the strongest test to date of the association between medication for ADHD and teenage substance abuse.”
Molina added, “We are working hard to understand the reasons why children with ADHD have increased risk of drug abuse. Our hypotheses, partly supported by our research and that of others, is that impulsive decision making, poor school performance, and difficulty making healthy friendships all contribute.”

Bipartisan Group of Senators Introduce Bill to Strengthen Mental Health Care

A bipartisan group of senators has introduced a bill that would strengthen the nation’s mental health care system, and improve access in communities, according to The Washington Post. The bill, the Excellence in Mental Health Act, would require about 2,000 federally qualified community behavioral health centers to provide substance abuse treatment and 24-hour care.
Facilities that met federal criteria could bill Medicaid for their services, which would greatly expand access to treatment, at an estimated cost of $1 billion over the next 10 years, the article notes.
According to the advocacy group National Council for Behavioral Health, the bill will allow greater access to services and treatments needed by people with mental illnesses and addictions, to keep them healthy and safe in their communities.
“Behavioral health has long been left out of the federal dictionary,” Linda Rosenberg, president and CEO of the National Council for Behavioral Health, said in a news release. “As a result, mental health and addiction providers cannot receive the critical federal funds that support other safety net providers. They share the unique responsibilities of the safety-net — but none of the supports.”
She added, “Over the 30 years I’ve worked in behavioral health, I have heard an untold number of stories about real people who need care, but go without. I’ve seen ERs so mired down by the needs of people with mental illnesses and addictions that it interferes with their ability to serve their primary function. I’ve talked with family members who have knocked on every door and still don’t know where to get help for their loved ones. The Excellence in Mental Health Act would help right this wrong.”

Tuesday, February 12, 2013

Colorado Legislature Gears Up to Debate Drugged Driving Limits

The Colorado legislature is gearing up to debate where to set the limit on how much marijuana can be in a person’s system before they are considered to be driving under the influence, according to The Denver Post.
The debate is likely to include evidence from two conflicting studies, the article notes. An analysis of nine studies, published in the British Medical Journal, found driving under the influence of marijuana is associated with an increased risk of a motor vehicle crash, especially for fatal collisions. The analysis found driving under the influence of marijuana was associated with almost twice the risk of a motor vehicle crash, compared with unimpaired driving. The studies in the analysis included nearly 50,000 people.
A second study suggests marijuana-limit laws do not impact traffic fatalities.
The debate on drugged driving laws comes in the wake of Colorado’s passage of a recreational marijuana law in November. Currently it is illegal to drive while under the influence of marijuana in Colorado, but prosecutors must prove impairment in every case, the article notes.
One bill that will be considered by the legislature sets the marijuana limit at 5 nanograms of THC—the active marijuana ingredient—per milliliter of blood. Under the bill, a person with at least 5 nanograms of THC would not automatically be convicted, and could try to argue that they were not impaired, even if they hit the 5-nanogram limit.
Recent research conducted by scientists from the National Institute on Drug Abuse (NIDA) suggests the 5-nanogram standard may be too high to capture drivers impaired by marijuana. Marilyn Huestis of NIDA, who conducted a study on marijuana use and psychomotor function, says active THC quickly falls below the 5-nanogram limit within 24 hours. “The level of 5 nanograms per mil is pretty high,” she recently told the Seattle Post-Intelligencer. “We know that people are impaired at lower levels than 5, but the balancing act is trying to find a number that can reliably separate (the impaired from the not-impaired), which is almost impossible to do.”


PRO-ACT Family Addiction Education Program helps families address drug and alcohol addiction



Next free sessions start week of March 5 at various locations in five counties



Each month PRO-ACT (Pennsylvania Recovery Organization–Achieving Community Together) hosts a free Family Addiction Education Program to help individuals and families recognize and address an addiction problem in a spouse, parent, child or other loved one. Led by trained volunteers who have been in the same situation, these information and support programs begin the first week of each month and run one evening a week for three consecutive weeks. Each session lasts two hours.



Programs are offered at several locations throughout the five-county southeast Pennsylvania region:

· Tuesdays—From 7 p.m. to 9 p.m. in Media and Northeast Philadelphia.

· Wednesdays—From 6 p.m. to 8 p.m. in Pottstown; from 6:30 p.m. to 8:30 p.m. in North Philadelphia; and from 7 p.m.to 9 p.m. in West Chester.

· Thursdays—From 6:30 p.m. to 8:30 p.m. in Northern Liberties; 7 p.m. to 9 p.m. in Bristol and Colmar



Sessions are free and confidential—first names only. Pre-registration is required. To register, call 800-221-6333, weekdays 9 a.m. through 5 p.m., or visit www.proact.org and click the Family Addiction Education Program link.