Why do drug overdose rates vary by state?

By 2010, enough prescription painkillers were sold to medicate every American adult with a typical dose of 5 mg of hydrocodone every 4 hours for 1 month. Increased use of these drugs has contributed to the overall increases in rates of drug overdose death and nonmedical use, and variation among states in painkiller sales probably contributes to state variation in these outcomes. Given that 3% of physicians accounted for 62% of painkillers prescribed in one study, the proliferation of high-volume prescribers can have a large impact on state use of these drugs and overdose death rates.

Large increases in overdoses involving the types of drugs sold by illegitimate pain clinics (i.e., "pill mills") have been reported in Florida and Texas. Such clinics provide painkillers to large volumes of patients without adequate evaluation or follow-up. Another possible contributor to state disparities is poverty, which was associated with greater increases in state overdose death rates during 1999-2008.

Continue Learning about Medication Overdose and Poisoning

Can I overdose on antidiarrheal medications?
Stacy Wiegman, PharmDStacy Wiegman, PharmD
It is possible to overdose on antidiarrheal medications. An overdose may include a variety of di...
More Answers
What should I do if I overdose on allergy or sinus medications?
Stacy Wiegman, PharmDStacy Wiegman, PharmD
Call 911 or your Poison Control Center 800-222-1222 begin_of_the_skype_highlighting            800...
More Answers
Is Serotonin syndrome a life-threatening drug interaction?
Serotonin syndrome is a condition in where something, usually a medication or combination of medicat...
More Answers
How can I make sure my teen stays safe when taking his or her own medicine?
When teens start taking their medicines on their own it is up to parents to make sure they do it saf...
More Answers

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.