Office of National Drug Control Policy

Prescription Drug Abuse

Prescription drug abuse is the Nation's fastest-growing drug problem, and the Centers for Disease Control and Prevention has classified prescription drug abuse as an epidemic. While there has been a marked decrease in the use of some illegal drugs like cocaine, data from the National Survey on Drug Use and Health (NSDUH) show that nearly one-third of people aged 12 and over who used drugs for the first time in 2009 began by using a prescription drug non medically.

Some individuals who misuse prescription drugs, particularly teens, believe these substances are safer than illicit drugs because they are prescribed by a healthcare professional and dispensed by a pharmacist. Addressing the prescription drug abuse epidemic is not only a top priority for public health, it will also help build stronger communities and allow those with substance abuse disorders lead healthier, more productive lives.

[Insert photo of Director Kerlikowske and Congressman Chandler meet with Kentucky law enforcement professionals during a discussion on prescription drug abuse. February 23, 2011.]

ONDCP's Prescription Drug Abuse Prevention Plan

The 2011 Prescription Drug Abuse Prevention Plan expands upon the Obama Administration's National Drug Control Strategy and includes action in four major areas to reduce prescription drug abuse:

  • Education.A crucial first step in tackling the problem of prescription drug abuse is to educate parents, youth, and patients about the dangers of abusing prescription drugs, while requiring prescribers to receive education on the appropriate and safe use, and proper storage and disposal of prescription drugs.
  • Monitoring. Implement prescription drug monitoring programs (PDMPs) in every state, to reduce “doctor shopping” and diversion and enhance PDMPs to make sure they can share data across states and are used by healthcare providers.
  • Proper Medication Disposal. Develop convenient and environmentally responsible prescription drug disposal programs to help decrease the supply of unused prescription drugs in the home.
  • Enforcement. Provide law enforcement with the tools necessary to eliminate improper prescribing practices and stop pill mills.

Read the full plan: Epidemic: Responding to America’s Prescription Drug Abuse Crisis and the accompanying list of action items

Watch a replay of the Prescription Drug Abuse Prevention Plan release event at the National Press Club.


According to the recent Monitoring the Future study – the Nation's largest survey of drug use among young people – showed that prescription drugs are the second-most abused category of drugs after marijuana. In addition, the latest National Survey on Drug Use and Health shows that over 70 percent of people who abused prescription pain relievers got them from friends or relatives, while approximately 5 percent got them from a drug dealer or from the Internet. Further, opiate overdoses, once almost always due to heroin use, are now increasingly due to abuse of prescription painkillers. In our military, illicit drug use increased from 5% to 12% among active duty service members over a three-year period from 2005 to 2008, primarily attributed to non-medical use of prescription drugs.

The number of prescriptions filled for opioid pain relievers – some of the most powerful medications available – has increased dramatically in recent years. From 1997 to 2007, the milligram-per-person use of prescription opioids in the U.S. increased from 74 milligrams to 369 milligrams, an increase of 402%. In addition, in 2000, retail pharmacies dispensed 174 million prescriptions for opioids; by 2009, 257 million prescriptions were dispensed, an increase of 48%. As the chart below demonstrates, these increases mirror increases in prescription drug abuse.

[INSERT chart “Drug-Induced Deaths Second Only to Motor Vehicle Fatalities, 1999-2007]

[INSERT chart “Unintentional Overdose Deaths Involving Opioid Analgesics, Cocaine, and Heroin United States, 1999-2007”]


[INSERT chart ”Unintentional Drug Overdose Deaths United States, 1970-2007]

For more research and data, visit: Centers for Disease Control and Prevention presentation on Prescription Drug Overdoses: An American Epidemic(Video) What You Can Do

Because prescription drugs are legal, they are easily accessible. Parents, law enforcement, the medical community, and all levels of government have a role to play in reducing prescription drug abuse. Here are some things you can do to reduce the abuse of prescription drugs:

  • Follow disposal guidelines: No matter who you are, you can help address this issue in your home. By following the guidelines, you reduce the risk of unintentional diversion or harm. Read about how to dispose of unused medicines and drug poisoning.
  • Talk to your kids: It's important that our children learn about the use and abuse of prescription drugs. For tips on having conversations with kids, read Time to Talk for tools to talk to preschoolers and grade-schoolers, Teen Culture for tips with teens, and view sample conversation starters.
  • Take advantage of community take-back programs: Call your city or county government's household trash and recycling service or your local police or sheriff's department to see if a take-back program is available in your community.
  • Seek treatment and support individuals in recovery: If you or a loved one needs help with substance abuse, find a treatment center near you today. Thousands of individuals who have struggled with addition have now living healthy and happy lives with the help of treatment and recovery services.

[INSERT photo of “A woman and her daughter are residents at Chrysalis House, a family-based treatment facility. (photo courtesy of Chrysalis House)]

I never thought I would be on drugs, pregnant, and homeless at 22. In high school I played basketball and even made honor roll once. After high school I started community college. Before I knew what had happened, I got mixed up with the wrong crowd, the really wrong crowd. I found myself getting drunk every day and abusing prescription pain medication. I lost my part-time job at a department store. I didn't want to use drugs and alcohol, but I was addicted—I had lost complete control.

Then, I found Chrysalis House.  I came to Chrysalis House 5 months pregnant.  Chrysalis House took me in:  homeless, an addict, pregnant—a woman who on the outside had no chance. Hand in hand they taught me how to live, and I began to learn recovery can be a reality. Eventually this little caterpillar took flight as a butterfly. Today, I have an associate degree, my own apartment, a job, and most importantly, I am a mother to my healthy little boy, Jay.

—Evelyn M.

Partner Programs

Successful substance-abuse prevention programs, combined with public education and penalties for those who fail to comply with the law, will continue to receive support in the effort to reduce prescription drug abuse. Here are some programs:

  • The Anti-Drug–Includes a full set of parent resources about teen prescription drug abuse, including signs and symptoms of use, tips for parents, and more. 
  • Drug-Free Communities Support Program (DFC)–Funding hundreds of communities around the country, the DFC program helps communities identify and respond to local substance abuse issues.
  • National Youth Anti-Drug Media Campaign–A campaign aimed at preventing and reducing youth drug use across the country by increasing teen exposure to anti-drug messages with a highly visible national media presence and on-the-ground activities, including a number of free online resources to help prevent teen prescription and over-the-counter (OTC) drug abuse.



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