Overview
Citizens Petition
Sponsors
- Sustaining Partners
June 2010-
Payer Issues Related to Prescription Opioid Monitoring and Abuse
March 2010-
The role of Dentists in Preventing Opioid Abuse
July 2009-
Risk Evaluation and Mitigation Strategy for Prescription Opioids
April 2009-
Prescription Monitoring Research Update
November 2008-
Co-ingestion of Alcohol with Prescription Opioids
June 2008-
The Role of Urine Drug Monitoring in Pain Management
March 2008-
Sources of Diverted Prescription Opioids
September 2007-
Understanding the Types of Opioid Abusers
March 2007-
Responding to Signals of Opioid Abuse
November 2006-
Development of Abuse Deterrent Formulations
September 2006-
Best Practices in Opioid Risk Management
October 2005-
Opioid Abuse Resistance
March 2005-
Opioid Risk Management


Tufts Health Care Institute Program on
Opioid Risk Management

The mission of the Tufts Health Care Institute Program on Opioid Risk Management is to address challenges in the development and utilization of opioid analgesics, by engaging a multidisciplinary group of stakeholders focused on optimizing the benefits of opioid for pain management, and minimizing their risks, including abuse and diversion.

Sponsors
Sustaining Partners

Endo Pharmaceuticals    

Endo Pharmaceuticals is a specialty pharmaceutical company with an established leadership in pain management. Endo researches, develops, produces and markets prescription pharmaceuticals used primarily to treat and manage pain, and is expanding its presence in complementary therapeutic areas. Endo is committed to advancing the care of patients with acute and chronic pain through focused research and development programs, innovative technology and delivery systems, and educational initiatives that advocate the responsible use of pain medications.

 

Grunenthal GmbH/Grunenthal USA, Inc.

Founded in 1946 in Germany, Grunenthal GmbH is a family-owned, research-based, global manufacturing pharmaceutical company. The first German company to manufacture and market penicillin in 1948, Grunenthal now focuses primarily on analgesics and contraceptives. We specialize not only in the research and development of novel compounds, but also in the development and marketing of innovative formulations for established active substances.

Analgesic Research and Development
In recent years, Grunenthal has invested considerably in research and development, evolving into one of today’s leaders in the field of pain therapy. We are intensively searching for new analgesics with novel mechanisms of action that will improve upon pain therapy yet offer favorable side effect profiles in comparison to currently marketed products. Grunenthal is also commited to the development of less-abusable, tamper-resistant formulations for existing opioid analgesics and to the continued development of novel drug delivery systems.

Center of Excellence for Abuse Liability
In recognition of the rising problem of prescription opioid abuse, particularly in the United States, Grunenthal USA, Inc. has created a Center of Excellence for Abuse Liability (CEAL). With the support of an external Expert Advisory Panel and an internal Abuse Liability Working Group, CEAL strives to ensure that the ideas and concerns of all major stakeholders (i.e., regulatory authorities, academia, patients and industry) are understood and properly communicated internally. Through research collaborations, CEAL also supports academic research in substance abuse and is able to provide funding to various non-profit organizations committed to finding solutions to reduce prescription opioid abuse without having a negative impact on appropriate product availability for legitimate pain patients.

Cooperation
International cooperation with other companies and institutions enhances Grünenthal's continuous success. Together with highly specialized partners, we are moving forward with the development, production and marketing of our products. We in-license products in traditional indications and
out-license our own successful developments.

Growth
Grunenthal has companies in 29 countries and is seeking to expand its presence in Europe by means of further internationalization. Including production sites in seven countries to supply the world market, Grünenthal employs more than 1,900 people in Germany and more than 4,800 people world-wide. Our products are available in more than 100 countries.

King Pharmaceuticals

King Pharmaceuticals® began operations in January 1994, after purchasing the company’s Bristol Tennessee facility and assuming contracts to manufacture prescription pharmaceutical products for such prominent companies as SmithKline Beecham Corporation, predecessor to GlaxoSmithKline, and Novartis.

For the next ten years, King principally focused on the manufacture, acquisition, and marketing of previously approved products. Under new leadership, the company shifted its strategy to position itself to become a leading developer and acquirer of novel branded pharmaceutical products in later stages of development, focusing on three main therapeutic areas, cardiovascular/metabolics, neuroscience and hospital/acute care.

King’s labor force has grown from an initial 145 to approximately 2700 employees involved in every discipline of a major pharmaceutical company, including sales and marketing, research and development, regulatory affairs, quality management, and manufacturing.

Purdue Pharma                     

Purdue Pharma L.P., a privately held pharmaceutical company founded by physicians, is focused on the needs of patients. Together with its independent associated companies, Purdue is dedicated to finding, developing, and bringing to market new medicines and related products that promote health and healing. The company has long been known for its pioneering research on persistent pain, a principal cause of human suffering. Purdue has also applied its expertise to other therapeutic areas such as respiratory diseases, oncology, and bacterial infections, and to a growing line of non-prescription products including laxatives, microbicides, and nutraceuticals. The company is dedicated to serving the evolving needs of healthcare providers, patients, and caregivers with innovative prescription and non-prescription medicines. A commitment to innovation and caring spans every aspect of the organization, from discovering and introducing new medicines to demonstrating their medical value.

Purdue has led the battle against inadequate treatment of pain by developing sustained-release medications to manage pain and provide meaningful benefits for patients. Its sales, marketing, and medical education professionals provide the healthcare community with comprehensive educational materials and programs relating to pain management.

In 1993, to raise awareness of the importance of pain management, Purdue established Partners Against Pain®. This alliance of patients, caregivers, and healthcare providers seeks to alleviate unnecessary suffering by advancing standards of pain care through education and advocacy. Purdue has also assumed a leading role in addressing the serious public health problem of prescription drug abuse. The company has implemented a comprehensive program designed to assist in detection of the illegal trafficking and abuse of prescription drugs without compromising patient access to proper pain control.

At its research facilities in Cranbury, New Jersey, Purdue scientists are discovering new weapons against pain and developing innovative formulations and delivery systems to improve patient compliance and safety while at the same time reduce the risk of unwarranted product tampering. Hundreds of millions of dollars have been committed to the development of new forms of analgesics designed to be resistant to tampering while still providing safe and effective pain control for patients.

 

Contributing Partners

Dominion Diagnostics

Dominion Diagnostics, LLC is a national medical laboratory that provides complete clinical testing, toxicological analytical testing, clinical services and data systems management, for health care centers dedicated to wellness. We specialize in comprehensive urine drug testing through the use of innovative technologies and are dedicated to the highest standards in diagnostic laboratory technology. Our clients represent addiction medicine clinics, pain management clinics, psychiatric practices, primary care physicians, hospitals and other medical specialties.
Our professional staff consists of highly educated personnel including PhD level Pharmacologists, Toxicologists, Pharmacists, Clinical Laboratory Scientists and Technicians with extensive experience and training making Dominion a unique specialty laboratory. Our professionals are also engaged in clinical research and development with an interest in pharmacogenomic testing as a standard of medical treatment.
We also provide training for all types of healthcare providers where they earn continuing education credits. We employ state-of-the-art data management and laboratory information systems that can assist you with program development, result reporting, records management, patient histories, data storage, training and research.
History and Philosophy
Dominion Diagnostics, LLC was founded in 1997 and is directed by experienced research scientists pursuing advances in the fields of pharmacology, molecular diagnostics and neuroscience, specializing in addiction medicine. We provide comprehensive urine drug testing services.
Dominion Diagnostics markets services to Treatment Facilities, Mental Health Clinics, Physicians, Hospitals, Pain Management Clinics, Skilled Living Facilities, Home Health Organizations and state and county agencies nationwide.


© 2010 Tufts Health Care Institute •   Boston, MA 02111 •   (617) 636-1000
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