opioid addiction

Florida service providers are wasting no time taking advantage of nearly $30 million in federal money for addressing the opioid epidemic.

Nearly 1.5 million Americans were treated for addiction to prescription opioids or heroin in 2015, according to federal estimates, and when those people get seriously hurt or need surgery, it's often not clear, even to many doctors, how to safely manage their pain. For some former addicts, what begins as pain relief ends in tragedy.

As the toll of the opioid epidemic grows, scores of doctors have lost their licenses and some have gone to prison. Pharmacies are being sued and shuttered. Pharmaceutical manufacturers are under investigation and face new rules from regulators.

But penalties against companies that serve as middlemen between drug companies and pharmacies have been relatively scarce — until recently.

President Barack Obama is proclaiming it’s “Prescription Opioid and Heroin-Epidemic Awareness Week.”

As more people become addicted, he’s also asking Congress to pass $1.1 billion in new treatment funding.

But getting connected to treatment can be as difficult for struggling addicts as deciding to seek help in the first place.

Once people realized that opioid drugs could cause addiction and deadly overdoses, they tried to use newer forms of opioids to treat the addiction to its parent. Morphine, about 10 times the strength of opium, was used to curb opium cravings in the early 19th century. Codeine, too, was touted as a nonaddictive drug for pain relief, as was heroin.

Those attempts were doomed to failure because all opioid drugs interact with the brain in the same way. They dock to a specific neural receptor, the mu-opioid receptor, which controls the effects of pleasure, pain relief and need.

Zac Talbott sees the irony of running an opioid treatment program from a former doctor's office.

"The funny thing is, a lot of patients are like, 'This is where I first started getting prescribed pain pills,' " Talbott says.

Now, the Tennessee native says those same patients are coming to his clinic in Chatsworth, Ga., a small city about a half-hour south of the Tennessee border, to fight their addiction to those very pills.