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Chafin Backing Down on Proposed Drug Ban
Pubdate: Thu, 21 Feb 2002
Source: Charleston Daily Mail (WV)
Copyright: 2002 Charleston Daily Mail
Contact: http://www.dailymail.com/
Details: http://www.mapinc.org/media/76
Author: Therese Smith Cox, Daily Mail Health Reporter
Bookmark: http://www.mapinc.org/find?186 (Oxycontin)
CHAFIN BACKING DOWN ON PROPOSED DRUG BAN
As the maker of the painkiller Oxycontin kicks off a national advertising
campaign today, the state senator who this week introduced a bill to ban
the drug's main ingredient says he may either schedule a public hearing or
make his bill a study resolution instead.
Senate Majority Leader Truman Chafin said he now believes there is some
benefit to the use of oxycodone in certain clinical, in-hospital situations.
"In a proper setting such as CAMC or Ruby (Memorial Hospital in Morgantown)
when a person is dying or in the last stages of life, I understand this
drug is the drug of choice, that it serves a lot of benefit," Chafin said
today. "But the long lines of patients who go to Acosta's for the drug is
not proper."
Dr. Armando Acosta of Williamson pleaded guilty earlier this month to
prescribing Oxycontin to a woman who didn't need it.
Chafin's bill would make oxycodone a Schedule I drug under the Uniform
Controlled Substances Act. That includes drugs with a high potential for
abuse and no currently accepted medical use. It then would not be available
in any form to West Virginia patients.
He had said the drug is costing the state millions of dollars and is
destroying lives.
OxyContin is the nation's top-selling narcotic painkiller. It generates
more than $1 billion in annual sales. One time-release pill is designed to
last 12 hours.
But those who abuse the drug crush it, then snort or inject it, producing a
quick, heroin-like high. Federal officials blame OxyContin and similar
drugs for hundreds of deaths nationwide over the past two years.
That's why the pharmaceutical company Purdue Pharma kicked off an effort
today to highlight its efforts to combat abuse of OxyContin. The ads, in
both the Daily Mail and the Gazette, highlight Purdue's effort to develop
new abuse-resistant medicines, distribute free tamper-resistant
prescription pads and educate teens on the dangers of prescription drug abuse.
Dr. Justin Cohen, a Charleston cancer doctor, said oxycodone is a great
drug that is very valuable in treating cancer pain.
"For many patients, oxycodone is less sedating than other drugs," Cohen
said. "For some, it is less constipating. That's important for an immobile
patient in pain and prone to discomfort."
Further, the painkiller's dose can be increased when needed, without
serious side effects.
"There is a certain degree of security in knowing you eventually find a
dose that works for them," he said. "It fills a niche. If we got rid of it,
you'd be stuck. A lot of patients would suffer."
Dr. Paula Taylor agrees.
Both a pharmacist and a physician who works with dying patients, Taylor
said many don't do well with other opiates.
"If Truman Chafin is successful, it could be a huge loss," she said.
Oxycodone is used in several drugs critical in treating pain after back
surgery, with cancer patients and with women after they give birth via
Caesarean section. Some of the other preparations with the ingredient are
Tylox, Percocet and Percodan.
The executive director of the West Virginia Board of Pharmacy also said
that banning oxycodone is not the answer to an epidemic of abuse.
"No one can deny that abuse and illegitimate use of narcotic medications is
a serious problem that needs an appropriate solution," William Douglass
Jr., also legal counsel for the pharmacy board, said in a prepared statement.
"To prevent terminally ill patients who are in need of legitimate pain
management from obtaining a drug that effectively relieves their pain is
not the answer."
Instead, Douglass said House Bill 4419 sponsored by two pharmacist
legislators would establish a controlled substance monitoring program and
make doctor shopping a criminal offense. The measure would help reduce the
abuse of oxycodone products but would allow the legitimate use for
debilitating pain, Douglass said.
The new Purdue Pharma ads never mention OxyContin. Instead, they say 4
million Americans each month abuse a variety of prescription drugs,
including pain medications, weight-loss pills and antidepressants.
"And Purdue Pharma is doing something about it," the ad says.
The ads build on another radio campaign begun in November in West Virginia,
Florida, Cincinnati and Philadelphia, discouraging illegal use of
prescription drugs.
Taylor, who also is a pediatrician, said the state would benefit far more
if the Legislature banned tobacco. And Cohen said banning a useful drug
should come from lawmakers.
"We have a state legislature with very little understanding of medical
issues and have intervened," Cohen said.
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