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Contacting the Presenter: Dr. Ally Dering-Anderson University of Nebraska College of Pharmacy Medical Center Omaha, NE
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TeensPrescription Drugs &AlcoholDr. Ally [email protected] November 2015
Disclosures and ConflictsI am employed by the University of Nebraska College of Pharmacy and I receive a salary from them. I do research as a part of my job and this research is funded through a variety of sources. Current research is funded by the National Association of Chain Drug Stores’ Foundation, Quidel, Ferris State University College of Pharmacy.I am employed by Walgreens. I participate in the Walgreens retirement funding program which includes the provision of Walgreens stock. I own <0.1% of the available single stock in this company.I am a mentor in the on-line PharmD program for Creighton University School of Pharmacy & Health Professions and I am paid a consulting fee approximating an hourly wage for this service.I am a partner in BBfN, LLC; A Health and Safety Consulting CompanyI am a consultant for the Lincoln Southwest Surgical Center. The surgery center pays a discounted hourly wage directly to an account in the Department of Pharmacy Practice at the University of Nebraska College of Pharmacy for this service and the Surgery Center allows PharmD students to accompany me on consulting visits.I serve on the Nebraska Medicaid Pharmacy and Therapeutics Committee. I am paid mileage to attend these meetings.I do not accept speaker’s funding directly from any member of the drug manufacturing or distribution industry. My programs may be indirectly funded by these entities, but I do not solicit such funding on behalf of anyone. Furthermore, it would be impossible to buy my opinions, you will recognize that as fact before the completion of this program.My spouse, my parents and my adult children all participate in the stock market and own individual stocks. I do not know which stocks they own at any given time. I can assure this audience that no member of my family nor combination of members of my family own 1% or more of any publicly traded company.Several members of my family belong to professions credentialed by the Nebraska Department of Health & Human Services or the corresponding Departments in other states including: Missouri, Kansas, Iowa, Oklahoma, and Colorado. My husband is a hydro-geologist, my father is a pharmacist, our daughter is a pharmacist, our son is a fitness trainer, my brother is an athletic trainer. Additionally I have a maternal uncle who is a pharmacist and we have a daughter-in-law who is a nurse. At present the only member of my family other than me, who holds a health credential and lives in my home is my husband.I have filed the necessary paperwork with the University of Nebraska and the State of Nebraska to meet the Sunshine Law. You are welcome to access my information on their respective web-sites. My full and legal name is: Allison Mari Dering-Anderson
Contacting the Presenter:Dr. Ally Dering-AndersonUniversity of Nebraska College of Pharmacy986045 Medical CenterOmaha, NE 68198-6045
Prescription Drugs are the leading cause of accidental deathPrescription drugs have outpaced car accidents as the reason for accidental death!!
Nearly all are related to an opiate or an opiate in combination with other central nervous system depressants.
Where do they get Rx drugs?
Most are NOT from the internetMost are from classmates & family members
AWARxEMore than 50% of people who abused prescription drugs in 2009 & 2010 got them from friends or family for free
Prescription drugs are the most commonly abused drugs among 12-13 year olds
AWARErx.org
From “friends”Approaching Classmates
From “friends”Selling or giving away a drug prescribed for you hurts 2 people
The patient isn’t getting the drug
The buyer could be seriously harmed
Is your child taking any of these?
Stimulants – Ritalin, Adderall, Vyvanse, etc
Pain Relievers – hydrocodone, oxycodone, diazepam, tramadol
Anti-anxiety – Xanax, Ativan, Valium
Do you lock up your alcohol?Do you lock up your drugs?You are asking about access to alcohol before allowing your child to visit someone’s home, are you asking about the prescriptions too?
Messages:These are programs that will not accept you with a drug conviction:
MedicinePharmacy
LawDentistry
Physical therapyThe FBINASA
EtcPharmacists sell drugs, but not in the school parking lot
From familyDo not save old drugs for any reason. When the need is gone the drugs must leave your home.
Here, try this, it worked for me….
Pain patients should not be responsible for their own drugs Pain meds are to be dosed by someone else
This isn’t a trust issueThis isn’t a “learning to be an adult” issue
This is a crisis.
Even adults shouldn’t dose their own pain meds
ProblemsThese are prescribed, they must be safe
Heck there are commercials on tv for most of this stuff
It’s just a tablet – what’s the big deal?
Prescriptions are dangerous by definitionIf they weren’t dangerous you could buy them without a prescription
Addressing the advertising
Medicines are always a big deal
AlcoholEthanol is clearly the most abused & misused over-the-counter drug in the United States today
The problem we’re discussing isn’t alcoholism, it’s a drug interaction & a lifestyle problem
“Don’t die until I can yell at you”
No Tylenol (acetaminophen) with alcohol
No Tylenol with a hangover – your liver is still “drunk” if you’re hung-over
Don’t send Tylenol off to College with them, send ibuprofen instead
Hung Over = Brain DamageIt’s not a warning, it’s a sign that the damage has been done.
Our Agreement:I do not approve of breaking the law
I really do not approve of drunk drivers
You have to kiss my cheek when you get home
Call me, I will come get you* I won’t yell, I probably won’t talk to you* You will live so I can yell at you, tomorrow* Tonight, I’m glad you’re alive and you didn’t kill
anyone else being a selfish drunk.
I will not give you the “silent treatment”, but I may need a cooling off time – so I don’t say things I don’t mean.
Our “secret” agreementI will take any of your friends home too
If you don’t want to go or if you want to come home, blame me. I’m the grown-up. I’ll try to act as if I am.
If you ask, “Mom, do you think ….” I know that means you really want me to say no.
What would a good mom do?
Great ideas & suggestionsTalkAboutAlcohol.org
They have many resources:
Authoritative parenting• Express warmth and nurturance• Encourage independence• Set limits, consequences and expectations• Encourage frequent two-way communication• Administer fair and consistent discipline• Allow children to express opinions
It takes all of us – every day – it’s not easy
Thank YouThank you to all of the people and companies who donated graphics to make this presentation easier to watch
Thank you to the University of Nebraska College of Pharmacy & Dean Courtney Fletcher, PharmD, for allowing me to be here
Thank you to Teri Lindstrom Vosicky; the Coordinator of the Lancaster Prevention Coalition
The fine folks at Lincoln SouthEast High School and Lincoln East High School who invited me to talk with you.
My children, who let me use their lives as stories for my programs
The World’s Worst Mom