Series: The Killer Cure (9 Of 11)

HEALTH PROS TO GET METHADONE BRIEFS

Pharmacists statewide will soon get information from the West
Virginia Board of Pharmacy that will help them explain to patients
the need to be careful with the pain drug methadone.

Also, the West Virginia Medical Association plans to educate doctors
about the risks involved in prescribing methadone, and the state
Division of Alcoholism and Drug Abuse is educating addiction
counselors about methadone.

A Gazette investigation published last week found that methadone is
helping to kill more people nationwide than any other prescription
narcotic, and West Virginia's methadone death rate is the nation's
highest. - advertisement -

"We're going to try to educate the pharmacists about the severity of
this issue," said William Douglass, executive director and general
counsel to the Board of Pharmacy.

Since 2003, the board has collected data on prescriptions dispensed
in West Virginia. Between 2003 and 2005, the number of prescriptions
for methadone rose 26 percent, from 22,246 prescriptions to 27,976.

Prescriptions for the strongest formulation, 40 milligrams, more than
tripled, Douglass said.

The prescription database tracks only methadone prescribed by doctors
for pain. Its figures do not include methadone that is sold by
clinics to treat drug addiction.

West Virginia's addiction counselors are seeing a flood of people
hooked on prescription narcotics that shows no sign of abating, said
Steve Mason, director of the state Division of Alcoholism and Drug Abuse.

Mason ranks prescription drugs behind only alcohol and marijuana as
the most common substances being abused in West Virginia today.

"Methadone is a good drug when it is used legitimately for pain.
Unfortunately, the addict can be very creative and will mix methadone
with other drugs to try to get high," Mason said.

The division is spending $100,000 on a prescription drug awareness
campaign, Mason said. The money comes from a settlement Attorney
General Darrell McGraw received from the makers of OxyContin, another
prescription painkiller.

The money will educate addiction counselors about methadone and other
dangerous prescription drugs, he said. Counselors will educate
addicts about how to stay safe if they choose to continue to abuse drugs.

Mason said doctors and pharmacists also need more training about the
safe prescribing of methadone.

"If we had better education of physicians in medical schools around
addiction, if they could be more aware of the dangers of what they're
prescribing, that would help," Mason said. "Doctors are trying to
relieve pain and that's their job. But there are some physicians who
prescribe too much."

The West Virginia Medical Association plans to educate doctors about
methadone's risks, said spokeswoman Helen Matheny.

The association will publish an article about methadone by West
Virginia University professor Chris Terpening in its medical journal, she said.

The Appalachian Pain Foundation has been trying to educate local
health providers for years on the proper use of painkillers, said its
director, Skip Lineburg.

The group got its start with the help of drug manufacturers, but now
relies solely upon federal grants, he said. It sponsors workshops for
medical professionals about how to diagnose and safely treat pain.

The Appalachian Pain Foundation's Web site is www.paincentral.com.