Opioid Facts
From 2018-2020, nearly nine out of ten (87%) drug overdose
deaths were unintentional and 8% were due to suicide.
EVERY 11 MINUTES SOMEONE DIES FROM AN OPIOID OVERDOSE.
Unintentional Opioid Overdose Death Rates
by county of residence in Oklahoma | 2016 - 2020
12 OKLAHOMANS
DIE EVERY WEEK
FROM UNINTENTIONAL PRESCRIPTION OVERDOSE
unintentional prescription drug overdose deaths in Oklahoma involve at least ONE PRESCRIPTION OPIOID.
3,300+
OKLAHOMANS DIED of unintentional prescription opioid overdose from the years 2014-2018
DEATHS FROM UNINTENTIONAL OVERDOSES
SEQUOYAH COUNTY - 2014 TO 2018
ALL UNINTENTIONAL OVERDOSES
46
METHAMPHETAMINE OVERDOSES
32
OPIOID OVERDOSES
18
BENZODIAZEPINES OVERDOSES
5
COCAINE OVERDOSES
<5
Opioid Overdose Fast Facts
Sequoyah County Data from 2016 to 2020
- There were 46 unintentional drug overdose deaths in
Sequoyah County. - Sequoyah County had the 20th highest death rate in the state.
- Males were 2.6 times more likely to die than females.
- Adults aged 35-54 had the highest rate of death.
- More than one out of five (22%) people who died had a history of mental health problems.
- More than four out of five (83%) people who died had a history of substance abuse.
- Learn the warning signs of an overdose — 74% of deaths occurred at a home or apartment.
Non-Opioid Treatments
for chronic pain.
Principles of Chronic Pain Treatment
- Use non-opioid therapies to the extent possible.
- Identify and address co-existing mental health conditions.
- Focus on functional goals and improvement, engaging patients actively in their pain management.
- Use disease-specific treatments when available.
- Use first-line medication options preferentially
- Consider interventional therapies in patients who fail standard non-invasive therapies
- Use multi-modal approaches, including interdisciplinary rehabilitation for patients who have failed standard treatments, have severe functional deficits, or psychosocial risk factors.
Non-Opioid Medications
| Medication | Magnitude of Benefits | Harms | Comments |
|---|---|---|---|
|
Acetaminophen |
Small |
Hepatotoxic, particularly at higher doses |
First-line analgesic, probably less effective than NSAIDs |
|
NSAIDs |
Small-moderate |
Cardiac, GI, renal |
First line analgesic, COX-2 selective NSAIDs less GI toxicity |
|
Gabapentin/Pregabalin |
Small-moderate |
Sedation, dizziness, alaxia |
First-line agent for neuropathic pain; pregabalin approved for fibromyalgia |
|
Tricyclic antidepressants (TCA) and serotonin/ norepinephrine reuptake inhibitors (SNRIs) |
Small-moderate |
TCAs have anticholinergic and cardiac toxicities; SNRIs safer and better tolerated |
First-line for neuropathic pain; TCAs and SNRIs for fibromyalgia, TCAs for headaches |
|
Topical agents (lidocaine, capsaicin, NSAIDs) |
Small-moderate |
Capsaicin initial flare/burning, irritation of mucus membranes |
Consider as alternative first-line, thought to be safer than systemic medications. Lidocaine for neuropathic pain, topical NSAIDs for localized osteoarthritis, topical capsaicin for musculoskeletal and neuropathic pain |
