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Think about small town America.
Think about one town in particular.
Let’s say its population is close to
17,000 people. Now imagine that
over the course of 12 months, every
single one of those people was
killed. And now imagine that the
exact same thing is going to happen
next year in another small town. And
another town the year after that.
Every day in America, something
is killing 46 people.1 They are our
neighbors, our friends, our family. 46
people a day, spread out over 365
days a year. The size of a small town.
A small town in America. Simply
wiped off the face of the Earth.
We think it’s about time someone did
something about it.
THE MONSTER
IS ACCIDENTAL
OPIOID ADDICTION.
There is a
Monster.
The Monster
is real.
A Monster that can take from you
what you most prize. A Monster that
can kill. The Monster doesn’t care
if you’re rich or you’re poor. The
Monster doesn’t distinguish between
college-educated and high school
drop-out. The size of your home, the
color of your skin, the strength of
your moral fiber — none of it makes
a bit of difference to the Monster.
LOVING PARENT.
TEACHER.
BROTHER.
ADDICTED.
In 2011, over 200 million opioid
prescriptions were written for
pain management.2 Prescription
opioids are a type of narcotic pain
medication, prescribed to treat
moderate or severe pain.
Opioid drugs work by binding to
opioid receptors in the brain, spinal
cord, and other areas of the body
thereby reducing the intensity of pain
signals that reach the brain.3
However, frequent opioid use
can physically change the brain
to the point where it needs
opioids just to function normally.4
It is estimated that about 5% of
people who have been prescribed
opioids by their doctor will
develop an addiction.5
Right now in America, more than
four and a half million people
are at risk of succumbing to the
Monster because
THEY ARE
MISUSING
PRESCRIPTION
OPIOIDS.
6
Misusing opioids doesn’t mean these
men and women are bad people.
They're not lacking in moral fiber.
They were prescribed opioids by
their doctors for genuine reasons.
Post-childbirth pain. An injury
suffered at work. Lingering pain from
surgery. Managing the chronic pain
associated with rheumatoid arthritis.
But long term use of opioids can lead
to addiction.5 And like other chronic
diseases, such as diabetes or high
blood pressure, the likelihood of
developing addiction is influenced
by a combination of genetic and
environmental factors.4,7 So through
possibly no desire or fault of their
own, these men and women find
themselves in the grasp of the
Monster. We call this Monster
“Accidental Opioid Addiction.”
Although it is accidental, opioid
addiction can have deadly
consequences. Over 16,000 people a
year die in the U.S. from an overdose
of prescription pain relievers.1 This
Monster doesn’t just wound. It kills.
Drug overdoses are the number one
accidental killer in this country.8,9 It’s
not car crashes, it’s not workplace
accidents. And it’s not complications
from surgery. It’s drug overdoses,
driven by opioid use.8
The Monster that is accidental opioid
addiction contributes to over 16,000
deaths a year.8,9
And yet, the Monster remains in
the shadows, where it does its best
work. Where it can isolate its victims
and convince them they're alone in
this struggle.
The Monster seeks out people who
are in legitimate pain and then
promises to help. But in addition
to pain relief, the Monster can
also deliver suffering, regret and
degradation. Our society has been
conditioned to view addiction as
a weakness, an inability to control
ones self. That is what the Monster
wants. To shame you, to isolate you.
And to then manipulate you into
actions you never once would have
thought possible.
Marginalize me.
Generalize me.
Mislabel me.
Ignore me.
SO LONG
AS YOU…
FEED ME.
Our communities and even our
economy have been ravaged by the
Monster. A rise in crime and disease
— that’s the Monster’s doing. Fraying
and fracturing relationships with
friends, family, co-workers, classmates
— that’s what the Monster does.
Leading men and women towards
heroin — a cheaper substitute for
prescription pain relievers10 — that’s
the work of the Monster.
Our hospitals are overrun with 1.4
million emergency room visits a year
from people misusing prescription
medicines including opioids.8 In
2007, the last comprehensive survey
totaled the cost of battling the
Monster at $56 billion per year.8 That
is on par with the cost of treating
more recognized diseases including
stroke and asthma.11,12
The Monster is a thief. Stealing the
dignity of those in pain and driving
many to indescribable lengths as it
seeks to maintain the relationship.
The Monster occupies the body and
hijacks the mind.
The effect of
opioid addiction
on our lives, our
families, and
our loved ones
IS MONSTROUS.
Those under the spell of
the Monster will often go
to great lengths to
CONCEAL
ITS EXISTENCE.
This can be due to shame,
embarrassment or the seductive
grip of the Monster. Regardless,
these following behaviors
and emotions may be signs of
opioid addiction:13
_Mood
_
swings, depression, anger
and irritability
_Marital
_
or relationship problems
_Social
_
isolation, loss of friendships
_Poor
_
performance at school or work
resulting in financial problems
_Borrowing
_
or owing money, selling
of personal or family possessions
_Arrests
_
for driving under the
influence, stealing, drug dealing
People with opioid addiction will
experience withdrawal symptoms
when they stop taking opioids,
even for a short time. These
symptoms may include:4,14,15
_Tearing
_
_Runny
_
or stuffy nose
_Yawning
_
_Sweating
_
_Chills
_
_Muscle
_
pain
_Nausea
_
_Vomiting
_
_Cramps
_
_Diarrhea
_
_Anxiety
_
_Cravings
_
_Trouble
_
sleeping
If you fear that you
or someone you know
is battling the Monster,
know that
OPIOID
ADDICTION
However, for any treatment to be
effective, the person living with
the Monster must first assume
personal responsibility for their
actions. Opioid addiction is a chronic
condition in need of long-term
management, but there is no single
treatment that is right for everyone.4
Research has shown that when
treating substance use disorders,
such as opioid addiction, responsible
Medication Assisted Treatment,
or MAT, in combination with
counseling is the best choice.4
There are specially trained doctors
who can treat addiction and
are certified to prescribe MAT.
If you or someone you know is
struggling with the Monster, speak
with a certified doctor about a
personalized treatment plan.
CAN BE
SUCCESSFULLY
TREATED.
IN ORDER TO BEAT
THE MONSTER,
WE MUST FIRST
BE ABLE TO SEE
THE MONSTER.
For what it is and what it isn’t.
Exposing the Monster to the world
and providing a clear path forward
to defeating it, is at the heart of
everything we do. Every day the
Monster grows, capturing more
of our mothers, fathers, brothers,
sisters and friends. At OREXO,
we won’t stop until everyone
understands what the Monster
is and how best to fight it.
The Monster cannot be defeated
alone. It is going to take all
our efforts. And it begins by
acknowledging that the Monster
is real. Please spread the word
about this plague that’s laying waste
to our families, our communities
and our lives. Monsters prefer to
live in the shadows. The more light
we can shine, the less places the
Monster can hide.
THE
MONSTER
HAS BEEN
LOOSE FOR
FAR TOO
LONG.
Terrorizing our homes, our offices,
our communities, our lives. For far
too long, the healthcare industry
has tried unsuccessfully to tame the
Monster. The Monster cannot be
tamed. It must be fought.
Responsible Medication Assisted
Treatment (MAT) can take the fight
to the Monster. OREXO is committed
to destroying the Monster once and
for all. And in the process, helping
millions of people reclaim their lives.
For more information and
additional resources devoted
to battling the Monster, visit:
OutTheMonster.com
1 "Opioid Painkiller Prescribing."
Centers for Disease Control and
Prevention. Centers for Disease
Control and Prevention, 01 July 2014.
http://www.cdc.gov/vitalsigns/opioidprescribing/ Accessed February
18, 2015.
2 Volkow, Nora. “Prescription Drug
Abuse: It’s Not what the doctor
ordered.” National Prescription Drug
Abuse Summit. Orlando, FL.
April 2012.
3 "Prescription Drug Abuse."
National Institute on Drug Abuse. N.p.,
Nov. 2014. http://www.drugabuse.
gov/publications/research-reports/
prescription-drugs/opioids/how-doopioids-affect-brain-body. Accessed
February 18, 2015.
4 Medication-Assisted Treatment
for Opioid Addiction: Facts for
Families and Friends. N.p.: n.p., n.d.
U.S. Department of Health and Human
Services Substance Abuse and Mental
Health Services Administration. 2011.
http://store.samhsa.gov/shin/content/
SMA09-4443/SMA09-4443.pdf.
Accessed February 18, 2015.
6 Substance Abuse and Mental
Health Services Administration.
Results from the 2013 National Survey
on Drug Use and Health: Summary
of National Findings, NSDUH Series
H-48, HHS Publication No. (SMA)
14-4863. Rockville, MD: Substance
Abuse and Mental Health Services
Administration, 2014.
5 "Opioids and Chronic Pain | NIH
MedlinePlus the Magazine." U.S
National Library of Medicine. U.S.
National Library of Medicine, n.d.
http://www.nlm.nih.gov/medlineplus/
magazine/issues/spring11/articles/
spring11pg9.html Accessed February
18, 2015.
7 Sehgal N, Manchikanti L, Smith
HS. Prescription opioid abuse in
chronic pain: a review of opioid
abuse predictors and strategies to
curb opioid abuse. Pain Physician.
2012;15:ES67-ES92.
8 "Prescription Drug Overdose
in the United States: Fact Sheet."
Centers for Disease Control and
Prevention. http://www.cdc.gov/
homeandrecreationalsafety/overdose/
facts.html. Accessed February
18, 2015.
11 Heart Disease and Stroke
Prevention Addressing the Nation’s
Leading Killers. http://www.cdc.gov/
chronicdisease/resources/publications/
aag/pdf/2011/heart-disease-andstroke-aag-2011.pdf. Accessed
February 18, 2015.
9 Policy Impact: Prescription Painkiller
Overdoses. N.p.: National Center for
Injury Prevention and Control, 2011.
12 Asthma's Impact on the Nation:
Data from the CDC National Asthma
Control Program. Centers for Disease
Control and Prevention. http://www.
cdc.gov/asthma/impacts_nation/
asthmafactsheet.pdf. Accessed
February 18, 2015.
10 “Every ‘Never’ I Ever Said Came
True”: Transitions from opioid pills to
heroin injecting. Mars, Sarah G. et al.
International Journal of Drug Policy,
Volume 25, Issue 2, 257 - 266
14 Kahan, Meldon et al. “Misuse of
and Dependence on Opioids: Study
of Chronic Pain Patients.” Canadian
Family Physician 52.9 (2006):
1081. Print.
15 "Opiate Withdrawal: MedlinePlus
Medical Encyclopedia." MedlinePlus.
U.S. National Library of Medicine.
http://www.nlm.nih.gov/medlineplus/
ency/article/000949.htm. Accessed
February 18, 2015.
13 "Buprenorphine: An Office-Based
Treatment for Opioid Dependence."
City Health Information 27.4 (2008):
25-36. http://www.nyc.gov/html/
doh/downloads/pdf/chi/chi27-4.pdf.
Accessed March 12, 2015.
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