An Examination of Trends in Acetaminophen/Opioid Prescriptions:
During the summer of 2010, Roderick Clark worked with the Prescription Monitoring Program as a resident with the Drug Use Management and Policy Research Residency program, funded by Dalhousie University, to examine trends in acetaminophen/opioid prescription use in Nova Scotia. The Residency program is supported by the CHSRF, CIHR and the NSHRF. Roderick worked under the supervision of faculty advisors Drs. Grace Johnston and Judith Fisher, and preceptor Denise Pellerin.
Acetaminophen/opioid combination drugs are among the most commonly prescribed analgesics in Canada. However, acetaminophen use is associated with chronic hepatotoxicity at doses above the Health Canada recommended daily limit (4.0 grams per day). During 2009-2010, approximately 59,000 individuals in Nova Scotia filled prescriptions for acetaminophen / opioid combination tablets. Approximately six percent of these individuals filled prescriptions that exceeded this recommended daily dose. Further research is warranted to explore patterns of use in populations at greatest risk, the reasons for use above the recommended dose and the impact on patient outcomes.
THIS MEANS 3540 PEOPLE IN NOVA SCOTIA ARE BEING OVER PRESCRIBED OPIATE/ACETAMINOPHEN COMBINATION TABLETS!