Dialogue Volume 13 Issue 1 2017 - Page 24

In 2014/15, 1.96 million Ontarians were dispensed an opioid, accounting for a total of 9 million dispense events. Fifty-six percent of opioid recipients had a single dispense event in the fiscal year. Opioid sub-category Dispense events Recipients Prescribers Oxycodone and oxycodone compounds 2,602,923 521,478 29,006 Codeine and codeine compounds 2,387,957 944,048 35,545 Hydromorphone 1,744,326 229,122 23,106 Nearly 42,000 Ontarians received Methadone Maintenance Treatment, and 11,000 were dispensed Suboxone and generics. Males under 45 years accounted for 45% of all recipients of MMT, and 46% of all recipients of Suboxone and generics. Morphine 642,941 99,961 17,166 Fentanyl patches 363,422 32,182 10,318 Fentanyl tablets 890 213 137 Oxycodone-naloxone compounds 12,969 1,989 1,070 Meperidine 28,210 8,047 3,929 Buprenorphine 37,486 7,391 2,671 Tapentadol 42,455 8,206 2,232 Methadone for pain 46,127 2,846 604 Tramadol 467,363 173,952 17,722 Other 584,860 391,176 16,127 Total 8,961,929 1,956,004 43,572 Number of opioid recipients, by sex and age group, fiscal year 2014/15 # of recipients 0 200,000 400,000 600,000 800,000 1,000,000 55% of opioid recipients were female, nearly 40% were between the ages of 45 and 64, and 41% had coverage under the Ontario Drug Benefit program. 1.08M 0-18 19-44 45-64 65+ 0-18 19-44 45-64 65+ 0.88M 64% of opioid recipients had at least one chronic condition, with cancer, mental health issues and osteoarthritis among the top diagnoses. % of total opioid dispenses 29% Oxycodone and oxycodone compounds 27% Codeine and codeine compounds 20% Hydromorphone 7% Morphine 4% Fentanyl patches icons: flaticon.com 24 Dialogue Issue 1, 2017