New Study Raises Safety Concerns About Psychiatric Drug Use in the U.S.

A new report from researchers analyzing psychiatric drug use in the U.S. in 2013 has added to already existing concerns that older Americans are being overdrugged.

It also suggests that many Americans may be taking psychiatric drugs because they have become drug dependent, or are not discontinuing the drugs because of withdrawal symptoms.

One in six U.S. adults aged 18 to 85 reported taking an antidepressant, an antipsychotic, an anti-anxiety drug or sleeping pills in 2013, according to the study, published online by JAMA Internal Medicine.

“I follow this area, so I knew the numbers would be high,” said Thomas J. Moore, a researcher at the Institute for Safe Medication Practices and the lead author of the analysis.  “But in some populations, the rates are extraordinary.”

For example, among adults 60 to 85 years old, one in four was taking at least one psychiatric drug.  That rate (25.1%) is more than 2½ times higher than the rate (9%) for adults 18 to 30 years old.

These 2013 statistics cover a period of time shortly after a 2011 investigation by the Inspector General of the U.S. Department of Health and Human Services (HHS), which found that nursing homes were giving many elderly residents powerful antipsychotic drugs that put their lives at risk, just to sedate them and make them more manageable.

The new study also found that nearly 85% of those taking psychiatric drugs had been taking them long term, having filled three or more prescriptions in 2013 or having taken the drug since 2011.  This long term use also concerned researchers.

“To discover that eight in 10 adults who have taken psychiatric drugs are using them long term raises safety concerns, given that there’s reason to believe some of this continued use is due to dependence and withdrawal symptoms,” said Moore.

Warning: Anyone wishing to discontinue a psychiatric drug is cautioned to do so only under the supervision of a competent medical doctor because of potentially dangerous withdrawal symptoms.

 If you or someone you know has experienced adverse effects from a psychiatric drug, please report it to the FDA here.  And we want to talk to you about your experience.  You can contact us privately by clicking here or by calling 303-789-5225.  All information will be kept in the strictest confidence.

Government Needs To Improve Oversight of Psychiatric Drugging of Vulnerable Populations

Federal lawmakers received two major reports last week on the troubling lack of oversight at the federal level of the prescribing of psychiatric drugs to two of our nation’s most vulnerable populations:  foster children and the elderly in care facilities.

A Government Accountability Office (GAO) report on the massive psychiatric drugging of foster children recommended that federal health officials do more to monitor how state agencies oversee Medicaid doctors’ prescribing of powerful, mind-altering drugs to children who end up in the state’s care after being abused, neglected or abandoned.

Sen. Tom Carper, D-Del., requested the GAO investigation after receiving numerous complaints about the quantity of drugs being prescribed and the adverse effects of the drugs experienced by foster kids.

The GAO recommended that the US Department of Health and Human Services  come up with guidance for states on how to oversee the prescribing of psychiatric drugs for foster children.

In a separate investigation, government inspectors called on Medicare officials to do more to stop doctors from prescribing powerful psychiatric drugs for the elderly living in care facilities.

In particular, antipsychotics are given to hundreds of thousands of elderly nursing home patients to sedate them and make them more manageable.

But the drugs carry an increased risk of death for seniors, which led the FDA to issue warnings against prescribing the drugs to the elderly.

Despite repeated government warnings, the unapproved practice has continued.

The HHS Inspector General told the Senate Committee on Aging that Medicare should begin penalizing nursing homes that overdrug with antipsychotics .  Medicare could force nursing homes to pay for drugs that are prescribed wrongly and bar the facilities from the Medicare program.

If you know a foster child or nursing home patient who has been harmed by psychiatric drugs, we want to talk to you. You can contact us privately by clicking here or by calling 303-789-5225. All information will be kept in the strictest confidence. We welcome your comments on this article below.

Watch For The Overdrugging Of Nursing Home Patients

Colorado Ombudsman Warns Medicare/Medicaid Cuts Threaten Quality of Care

Cuts in federal and state payments for Medicare and Medicaid patients provide yet another reason for monitoring the drugs given to a loved one in a nursing home or convalescent facility.

Medicare will cut payments for short-term nursing home stays by 11.1% starting on October 1. The state Medicaid rate has been cut 1.5%. The likely result is staff layoffs and reduced expenditures for care at the facilities.

Shelley Hitt, the Colorado state ombudsman for nursing home residents, says: “We’re very concerned about what [the cuts] might mean for quality of care and operational impacts.”

The Citizens Commission on Human Rights of Colorado echoes her concern, particularly with regard to any use of psychiatric drugs as chemical restraints to put nursing home patients into a zombie-like condition or to put them to sleep for the convenience of the reduced number of staff.

Ask Questions About The Psychiatric Drugs Being Prescribed

Here are some questions to ask the facility’s nursing staff about the psychiatric drugs prescribed to your loved one:

• What psychiatric drugs have been prescribed and in what amounts?
• Why was each drug prescribed?
• Is there any specific, measurable positive outcome for the patient of taking each drug?
• What are the risks and side effects of each drug?

You can check for the adverse reactions to psychiatric drugs, as detailed in research studies, warnings from international regulatory authorities, and reports to the FDA, by going to CCHR International’s psychiatric drug side effects search engine.

With all this information, you can determine whether there is any benefit to your loved one from psychiatric drugs, especially in light of the many dangerous and potentially deadly side effects of these drugs for vulnerable, elderly patients.

For more information about the dangers to the elderly of psychiatric drugs, and about how psychiatric drugs are used as chemical restraints on the elderly in nursing homes, click here.

If someone you know has been wrongly drugged with psychiatric drugs in a nursing home or convalescent facility, we want to talk to you. You can contact us privately by clicking here or by calling 303-789-5225. All information will be kept in the strictest confidence. We also welcome your comments below.

Antipsychotic Drugs Dangerously Used In Nursing Homes

Risk Of Potentially Deadly Side Effects For Dementia Patients

An investigation by the Inspector General of the U.S. Department of Health and Human Services (HHS) found that nursing homes are giving many elderly residents powerful antipsychotic drugs that put their lives at risk, according to a new report.

The report was critical of the widespread use of atypical (second-generation) antipsychotics with patients with dementia.  In 2005 the Food and Drug Administration issued a public health advisory, warning that atypical antipsychotic drugs increase the risk of death in elderly patients with dementia.

Yet the recent investigation found that 88% of the Medicare claims in 2007 for atypical antipsychotics were for individuals with dementia.

In a statement accompanying the report, HHS Inspector General Daniel Levinson faulted drug companies for aggressively and illegally marketing these drugs to doctors for treatment of dementia and other off-label uses.  It also held the Center for Medicare and Medicaid Services responsible for failing to properly monitor the use of the drugs.

The Inspector General notes that the many financial payments the drug companies have made in settling lawsuits  against them for illegal marketing practices do not make up for the risks to which nursing home residents have been exposed.  “Money can’t make up for years of corporate campaigns that market drugs with questionable benefits and potentially deadly side effect for vulnerable, elderly patients,” he said.

With 210 nursing homes and convalescent facilities listed for Colorado in the www.medicare.gov database, and 38 listed for Wyoming, the number of the elderly exposed to the dangers of antipsychotics in our region is of great concern.

If someone you know has been wrongly drugged with antipsychotics or other psychiatric drugs in a nursing home, you can contact us privately by clicking here or by calling 303-789-5225.  All information will be kept in the strictest confidence.  We also welcome your comments below.

For more information about the dangers to the elderly of antipsychotics and other classes of psychiatric drugs, and about how psychiatric drugs are used as chemical restraints on the elderly in nursing homes, click here.