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Some formulations are supposed to prevent crushing so someone can’t snort the medication, others are insoluble in water to prevent someone from trying to inject it like heroin. The real issue, however, is that ADFs give the average doctor (who is likely uneducated about the risks and realities of addiction) a false sense of security and the ability to think “I’m fine…as long as I’m writing prescriptions for these new, more expensive medications, I’m not creating an addict.”ĪDFs do not prevent a person from becoming addicted, they only prevent them from abusing a given medication in specific ways. The biggest piece is education – as long as doctors are prescribing these medications in mass quantities and with complete disregard for the consequences, populations of addicts are going to continue to grow.ĪDFs are great in theory, but as alluded to above, no doctor can ever really prescribe them because they are so expensive to the patient. More importantly, these ADFs are only one small part of the puzzle. Įach day, 7000 people are treated in Emergency Rooms across the United States for overdose or complications related to prescription drugs.Ībuse Deterrent Formulations (ADF) are a good attempt to help curb the epidemic, but since insurance companies charge patients an arm and a leg for them over generics, addicts have a valid reason to ask for something that’s cheaper and abusable. We spend $300,000,000,000 (that’s billion) on pain-related medical costs each year, much of that is on medications.Īccording to the CDC, in 2013, nearly 2 million Americans abused prescription drugs. The United States consumes 99% of the world’s Vicodin. The United States comprises only 4.6% of the world’s population but we consume 80% of the world’s opioids. The opioid epidemic is just that…an epidemic – it’s widespread and affects everyone. Genicular Neurotomy (aka Genicular Nerve Ablation).Endoscopic Discectomy and Microdiscectomy.