If Opioid Addicts Survive OD, Other Hazards Lie Ahead: Study

If Opioid Addicts Survive OD, Other Hazards Lie Ahead: Study

Survivors of an opioid overdose may consider themselves lucky, but they remain at heightened risk of dying -- not just from drugs, but from a host of medical problems or suicide, a new study finds.

Mental Health Does Not Come With A Manual, It Comes With Friends & Family Support That Never Gives Up!
Join now

Compared with the general population, patients who lived through an opioid overdose were 130 times more likely to die of drug-use-related causes in the following year, the researchers found.

These "lucky ones" were also 45 times more likely to die of HIV, 40 times more likely to die of chronic respiratory diseases and nearly 30 times more likely to die of viral hepatitis. Risk of suicide was 25 times greater.

"These are dramatically elevated risks of mortality," said lead researcher Dr. Mark Olfson, a professor of psychiatry and epidemiology at Columbia University.

The number of Americans who overdose on narcotics has risen dramatically in recent years, as has the number whose lives are cut short by drug abuse.

In 2016, more than 64,000 Americans died from drug overdoses, many involving opioids. Many more survived an overdose, according to the U.S. Centers for Disease Control and Prevention.

Even if an overdose doesn't result in death, it's a signal that the risk of dying from another cause or an overdose is greatly increased, the study suggests.

"Adults who survive heroin or prescription opioid overdoses are a medically frail population," Olfson said.

"The study findings bring a new perspective to the health care needs of people who survive opioid overdoses," he said. "Instead of just focusing on treating their drug use problems, we also need to ensure that these patients receive necessary medical and mental health care."

Dr. Marc Larochelle, an internist and researcher at Boston Medical Center's Grayken Center for Addiction, agreed.

"By focusing only on overdose deaths, we are missing a substantial amount of the mortality burden associated with people who use opioids," said Larochelle.

For the study, Olfson and colleagues collected data on more than 76,300 Medicaid patients who survived a narcotic overdose between 2001 and 2007. Within a year of their overdose, nearly 5,200 died.

The report was published online June 20 in the journal JAMA Psychiatry.

The researchers cautioned that the study doesn't prove cause and effect.

Also, the risk of dying after an overdose may be different today. Two significant factors are the growing use of naloxone to treat overdoses and the use of prescription drugs to wean people off narcotics.

The profile of opioid users may have changed, too, with painkiller and heroin abuse prevalent throughout all sectors of society.

Larochelle's own study was published June 19 in the Annals of Internal Medicine. In it, he found that after an overdose, treating addiction with the drugs methadone or buprenorphine could substantially reduce deaths from any cause.

Only treating the substance abuse is not enough, he said. "We have to treat the whole person," he added.

Opioid users often have complex medical issues -- some are infectious diseases, some are mental health issues, Larochelle said.

But getting the comprehensive care these people need requires drug treatment programs that also provide access to the health care system in general, he said.

The Internet's Most Trusted Source For Mental Health Information
Sign up

It's important that health care reform and Medicaid expansion remain in force, Larochelle said, "because it's rare that someone only has a substance abuse disorder.

"If the model is going to be just to fund substance abuse treatment without providing health insurance for folks, we are not going to treat these other conditions," he said.

More information

For more on opioid overdose, visit the U.S. National Institute on Drug Abuse.


Related Content

Addiction To Cocaine Sees Promising Cure In Near Future In Preventing Overdose
Addiction To Cocaine Sees Promising Cure In Near Future In Preventing Overdose

A radical gene therapy for drug addiction has been shown to dampen down cravings...

Read more
New Patent By OxyContin Maker May Treat Pain But Comes With Addictive Potential
New Patent By OxyContin Maker May Treat Pain But Comes With Addictive Potential

Purdue Pharma, the maker of OxyContin, has received a patent designed to treat o...

Read more
What Research Really Tells Us About The Video Game Addiction
What Research Really Tells Us About The Video Game Addiction

That’s the dramatic headline screaming across a New York Post article, by a Dr. ...

Read more
How Psychedelics Are Becoming More Accepted When Treating Addictions
How Psychedelics Are Becoming More Accepted When Treating Addictions

Jason didn't fit the hackneyed stereotype of an alcoholic. A 39-year-old marketi...

Read more
Social Media Addiction and Its Effects on the Brain
Social Media Addiction and Its Effects on the Brain

According to a recent social report , the average internet user has 7 social med...

Read more
Is Porn Addiction Really An Addiction?
Is Porn Addiction Really An Addiction?

Though porn addiction is not diagnosable, and never has been, there is a large s...

Read more