Reduce Non-Medical Access to Prescription Drugs

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Background

Safe storage of prescription drugs within the home has been identified as key priority strategy by many organizations and coalitions.[1][2]Even if a community does an excellent job of reducing prescriptions and taking back or disposing of unused opioids, there will still be a lot of opioids in communities. Researchers estimated that in 2005, 3-4% of people were being prescribed opioids for chronic pain[3] and many others are legitimately being prescribed opioids for short-term pain management, and many others who are prescribed other drugs that can be misused, stolen or accidentally consumed by children.

Failure to securely store prescription drugs contributes to the opioid epidemic and other health hazards in several ways.

  1. Easy access to prescription drugs can lead to initial experimentation, especially by teens.[4]
  2. Stealing prescription drugs, which is much easier when they are commonly available in unlocked medicine cabinets, is often a step toward more destructive misuse.
  3. Easy access to unsecured opioids or other prescription drugs contributes to theft by people who sell them or give them away.
  4. Children who access unsecured drugs sometimes take them, thinking they are candy.

Staggering Statistics

  • Only 2 in 10 who have dangerous medications—such as opioid pain pills, stimulants used to treat ADHD, and sedatives—lock them up
  • Nearly 70% of prescription opioid medications kept in homes with children are not stored safely[5]
  • A recent study of adults living in households with children, prescription opioids were stored in a locked or latched place in only 32.6% of households with young children and 11.7% with older children.
  • More than 1,600 teens begin abusing prescription drugs each day.[6]
  • Almost 1 in every 4 teens in America say they have misused or abused a prescription drug.[7]
  • 60,000 kids under the age of 5 accidentally ingest these dangerous drugs every year and wind up in emergency rooms, according to data from the CDC[8]
  • 12-17 year olds abuse prescription drugs more than ecstasy, heroin, crack/cocaine and methamphetamines combined.[9]
  • For every 100,000 kids, there are more than 14 who are accidentally exposed to opiates, and the most common place it happens is in your own home[10]
  • In one study, respondents reported storing their opioid medication in a locked (8.6%) or latched (20.9%) location.[11]
  • San Diego's SafeHomes Coalition reports that more than 70% of misused prescription drugs come from someone's medicine cabinet, not from a dealer on the street.[12]
  • The National Drug Intelligence Center reported that $184 million in prescription drug thefts occurred in 2010—a 350 percent increase since 2007. [13] They note that older people are especially vulnerable to theft of prescription drugs.
  • Over half of teens, ages 12 and up, obtained prescription drugs from a friend or family member "for free"

Promising Strategies

Programs to Encourage Safe Storage and Reduce the Theft of Prescription Drugs

Safe Homes Coalition
SafeHomes Coalition helps communities start programs to raise awareness of the proper use, storage and disposal of prescription drugs. (They can help your community start a chapter.) This SafeHomes PSA provides more information.

Up and Away Campaign
This campaign is designed to remind families about the importance of safe medicine storage. See Tools & Resources for resources to distribute in your community.
 

Launching Community-wide Collaborative Campaigns

Drug Disposal and Safe Storage Campaign

Many communities have done some education and awareness efforts to increase prescription drug disposal and safe storage, but there is potential to reach significantly more people by engaging a diverse group of cross-sector partners in a campaign.

See Details:  Collaborative campaign to increase safe storage and prescription drug disposal.
 

Self-Funding Program for Safe Storage Caps (TimerCaps)

A local coalition, hospital, insurance company or non-profit can sponsor a program to distribute TimerCaps to people using prescription drugs. Sponsors have their logo imprinted on the cap and the label and can give them away at community events or via partners like pharmacists, community groups for seniors, or the prescribing doctors.

See Details: Self-Funding Safe Storage campaign.
 

Case Study of Successful Coalition Campaign with TimerCaps

South Kingston Program for Prevention and Rebels Inspiring Positive Lifestyles joined forces to raise funds to send youth leaders to CADCA training. The coalition held community awareness events and garnered local news publicity for their cause. For further details, see
[File:http://www.wikispaces.com/i/mime/32/empty.png Coalition Case Study.key]
 

Products

Below are list of products that can either be distributed within your community or advertised by community coalitions for families to purchase.
 

TimerCaps

Orange-TimerCap.jpg
TimerCap has a built-in LCD stopwatch timer. Like a stopwatch, the display on the cap counts-up, first the seconds, then minutes and hours since the cap was replaced.
Timer caps come in different sizes, and they can replace an existing medicine bottle cap (or you can get a cap and bottle combination). Using a TimerCap helps accomplish all six principles of prescription abuse prevention. TimerCaps are easy to use and don't require a change in patient behavior.

Improve Patient Safety

  • Provide the PEACE OF MIND of knowing they did or did not take their medication.
  • Help seniors avoid accidental overdoses and emergency room visits due to accidentally taking medications multiple times.
  • Easily know how long it has been since taking medication (to check before driving)
  • Tracker form to help monitor their intake and pain levels or other information


Deter Theft of Pills

  • Easily detect unwanted openings to the exact minute it happened
  • Deters kids or neighbors from sneaking a few pills--as they would be caught by the new time
  • Solution to measure, monitor, manage, detect,and deter opioids abuse.

Economical Enough to Give Away at Events or by Partners
TimerCaps are a low-cost option for improving safe storage (as low as $2.49 each), so they are economical as a give-away at educational events, or they can be given to people by community partners. Since the TimerCap lids and labels can be customized with a logo or other branding information, sponsors who make donations to fund the program receive valuable recognition for their support. See coalition testimonials:
[File:http://www.wikispaces.com/i/mime/32/empty.png Testimonials.pages]


Visit www.timercap.com or Contact: 800-557-4072 ext. 106
 

Locking Storage Devices

Ikeyp
Ikeyp Product.png
The world's first smart storage device for personal items that need to be securely stored yet regularly accessed. See website for a comprehensive list of uses and products.
Introductory video from a tech review: [1]
Gadgetgram Review including a video created by the manufacture of the product for CES 2018: [2]
Retail price is $149.00 but a coordinated community-wide effort to promote safe storage of prescription drugs, bulk purchase discounts may be available.
Contact for bulk purchasing: 1-800-485-8904

Lockable Caps
Safer Lock
Safer Lock Product.png
Safer Lock is a patented 4-digit combination locking cap. This could be purchased by communities at wholesale prices and distributed to community members at lower prices.

Products:

  1. Safer Lock
  2. Safer Lock Box
  3. Safer Lock Multi-Packs & Cases
  4. Book Safe


Contact for wholesale pricing: (844) 209-5044
 

Pill Locker

A promising new technology, Pill Locker, uses advanced, but affordable, technology to package pills in a re-usable "locker" that dispenses pills one at a time, when they should be taken.
 

 

Changing Drug Packaging

  • Packaging opioid drugs in blister packs , or in single-dose packages, instead of having an entire bottle filled with prescription pills have been shown to help prevent accident poisonings in children[14]
  • One vendor of Single-dose packets is Pack4U. They provide a sophisticated, personalized option that allows pharmacies to deliver higher value to patients needing any prescriptions, including opioids.

Education Topics

Educate Parents on Key Points

  • The most secure way to keep prescription medications is in a locked storage box up and away
  • If locking them is not an option keep them stored in a secured place in your home that is up and away from children.
  • Keep a medication log so you know what medications you have and how many you have of each medication.
    • You should try to do an inventory of all the medicines you have at least once a year, preferably every six months.[15]
  • Medications whose labels specify that refrigeration is necessary should always be kept in the refrigerator.
  • The medicine cabinet in a bathroom is often not the best place to store prescriptions. They should be stored in a cool dry place. Humidity, heat, and the change in temperatures in the bathroom can alter the potency of some medications.[16] Some storage devices, such as iKeyp, can help protect medications from humidity, even if stored in bathrooms.

Tools & Resources

TR - Increase Safe Storage of Prescription Drugs

Scorecard Building

Potential Objective Details
Potential Measures and Data Sources
Potential Actions and Partners

Resources to Investigate

More RTI on Safe Storage of Prescription Drugs

PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]

Reviewer Date Comments
     

Sources

  1. https://www.end-opioid-epidemic.org/storage-and-disposal/ [3]
  2. [4]
  3. [5] See citation 15 A newer statistic would be good to have.
  4. [6] (Try to find the direct research)
  5. https://www.jhsph.edu/news/news-releases/2017/majority-of-opioid-medications-not-safely-stored-in-home-with-children-survey-finds.html
  6. [8]
  7. [11]
  8. [10]
  9. [9]
  10. [12]
  11. Kennedy-Hendricks A, et al. “Medication sharing, storage and disposal practices for opioid medications among US adults.” JAMA Intern Med 2016; 176:1027-29.
  12. [13] (This statistic is cited elsewhere as being from from SAMHSA’s 2009 National Survey on Drug Use and Health)
  13. [14]
  14. [15]
  15. [16]
  16. [17]
  1. ↑ https://www.end-opioid-epidemic.org/storage-and-disposal/
  2. ↑ http://www.rxsafetymatters.org/families-and-communities/safe-storage-and-disposal/
  3. ↑ https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm
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