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Controlled Substances Trends Analysis, 2003-2005 Kentucky All Schedule Prescription Electronic Reporting Trend Reporting Project What is KASPER? KASPER is Kentucky’s Prescription Monitoring Program (PMP). KASPER tracks Schedule II – V controlled substance prescriptions dispensed within the state as reported by pharmacies and other dispensers. KASPER is a Web accessed database that provides a tool to help address one of the largest threats to patient safety in the Commonwealth of Kentucky; the misuse, abuse and diversion of controlled pharmaceutical substances. Controlled Substance Schedules Schedule I – Illegal Drugs e.g. heroin, marijuana, etc. Schedule II – Most addictive legal drugs; high abuse potential e.g. oxycodone (Oxycontin, Percocet, Tylox). Schedule III – Less abuse potential than I or II e.g. hydrocodone combinations (Vicodin, Lortab). Schedule IV – Less abuse potential than III e.g. benzodiazepines (Xanax, Valium). Schedule V – least abuse potential e.g. codeine containing cough mixtures. The Need for KASPER Health care professionals need a tool to help identify patient prescription drug problems and when intervention may be needed. Diversion of controlled substances is reaching epidemic proportions. Diverters cover large areas to obtain drugs. Agencies need efficiency and value in their investigative tools. Misuse, Abuse, Diversion Misuse: When a schedule II – V substance is taken by an individual for a non-medical reason. Abuse: When an individual repeatedly takes a schedule II – V substance for a non-medical reason. Diversion: When a schedule II – V substance is acquired and/or taken by an individual for whom the medication was not prescribed. The Scope of the Problem Perspective From 1992 to 2003 the 15.1 million Americans abusing controlled prescription drugs exceeded the combined number abusing: Cocaine (5.9 million), Hallucinogens (4.0 million), Inhalants (2.1 million), and Heroin (.3 million). Cough Syrup “Cocktails” Mixes of codeine-co
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