Welcome to the iPill Dispenser a solution for opioids public policy
A digital health - Hardware Innovation to improve prescription adherence and safety by reducing opioid diversion and abuse
Supporters
Ricky Russert has graciously allowed his short film SLLiP about opioid addiction to be placed here. He hopes that we can all gather together as friends to support prevention of opioid addiction.
Additional Supporters
Steve Melen " I’d say that if I had a device like the ipill dispenser, I would have completely avoided the downward spiral that took place after leaving the hospital. Giving most people opiates for many days, then sending them free allowing to open a bottle of pills at their will is a recipe for a high probability for abuse. Innocent and well intentioned people who’ve never had a problem with pills before can easily fall to this. I would have saved a lot of heartache and pain having this device."
My website has the book that can be ordered along with a gallery of photos that some make enjoy. Also attached amazon link.
https://www.healthcentral.com/article/fighting-opioid-dependency-stomach-cancer
Alex Penrod, LCDC Licensed Controlled Dependency Counselor
"This is long overdue and I fully support it. I have many friends who died from addictions that started with pills in their parent's bathrooms. This will save lives."
Cindy Rae Mogil-Cooley
Certified Medication Addiction and Family Recovery Coaching Services
Prescriptions (Rx) Anonymous (est 1998)
Author: "Swallowing a Bitter Pill, How Prescription and Over-The-Counter Drug Abuse is Ruining Lives -My Story" (2019 second edition)
Amazon Author Page: https//www.amazon.com/author/cindymogilcooley
"Recovery is not something you find, It's something you create"
Security - Treat Underlying Causes
Security - Treat Underlying Causes
Security - Treat Underlying Causes
- Secure storage of opioids
- Active control dispensing to only the person prescribed the opioids
- Active control dispensing so opioids can be accessed only as prescribed
- Destruction of unused pills upon tampering and prescription end
- To reduce diversion
Safety - Harm Reduction
Security - Treat Underlying Causes
Security - Treat Underlying Causes
- Patient prescribed cannot take more than prescribed
- Only registered user can access pills from the iPill Dispenser, at the prescribed dose.
- Destroys unused opioids to reduce to other patients, family, or friends
- To reduce the 3.3 Billion unused opioids entering our communities every year
Serenity - Safely Treat Pain
Security - Treat Underlying Causes
Serenity - Safely Treat Pain
- Knowledge you can take opioids safely and securely
- A wellness app to offer alternatives to opioids
- An anitanxity and anti-depression app support mental health
My Blog
The Opioid Crisis
190 people die each day from an opioid overdose (2021 CDC)
190 people die each day from an opioid overdose (2021 CDC)
190 people die each day from an opioid overdose (2021 CDC)
- 1 in 5 people know someone who abuse drugs.
- 1 in 4 opioid over now involves children and teens
- 770,000 people have died of an opioid overdose since 1999
- There are more donor hearts available because of opioid overdoses
- The impact to the US economy is $696 Billion dollars per year in healthcare costs and loss of workers productivity (Council of Economic Advisors 2018)
90% of opioid drugs are orally abused
190 people die each day from an opioid overdose (2021 CDC)
190 people die each day from an opioid overdose (2021 CDC)
- Getting a bottle of pills is like getting a handful of pills. Nothing prevents 1 pill or 10 pills from being taken
- The Child-resistant cap was invented for child in 1967 by Dr. Herni Breault
- Pain management, not elimination of opioids, will save lives
- Passive Control like REMS, PMDP monitor pills don't work
- Limit opioids and abusers will mov
- Getting a bottle of pills is like getting a handful of pills. Nothing prevents 1 pill or 10 pills from being taken
- The Child-resistant cap was invented for child in 1967 by Dr. Herni Breault
- Pain management, not elimination of opioids, will save lives
- Passive Control like REMS, PMDP monitor pills don't work
- Limit opioids and abusers will move onto the next drug. 67% of opioid overdoses involve a "cocktail" of drugs
The iPill App + iPill Dispenser
190 people die each day from an opioid overdose (2021 CDC)
The iPill App + iPill Dispenser
What it does:
- Promotes safe pain management
- Enforces prescription adherence
- Clinician portal to monitor medication adherence
- Prevents diversion
- Safely stores unused opioids
- Detects opioid induced respiratory depression (and alerts emergency services)
Features:
- 2 point Biometric Authentication
(Class II Product)
- BlockChain transaction records
- EMR capable
- Remote physician control
Problem
The DEA and FDA consider the end user of opioids to be the pharmacy. So opioids are triple locked in a in hospitals and pharmacies but are sent home with patients only to be stored on the kitchen table or medicine cabinet. Not very secure. The result is 1 in 4 opioid overdoses now involves children and teens. 73% of teens cite ease of access in family medicine cabinets as their reason for abusing prescription drugs. https://drugfree.org/wp-content/uploads/2014/07/PATS-2013-FULL-REPORT.pdf
The opioid crisis is 23 years old. Why isn't it getting better?
Fewer prescriptions are written but the overdose death rate continues to rise. People are moving to illicit opioids with reduced opioid access. 2/3 of opioid overdoses are now from illicit opioids. We must not forget that 1/3 are still from prescription opioids and that is 39 people a day dying. 86% of Heroin addicted report first abusing prescription opioids as teens. Prescription opioid abuse is a gateway to illicit drugs. We need to change what has been done because it is not working. We don't need to follow what has been done because it has failed. We need a new mindset - an innovation. The iPill is ready to change the future.
In 4 years, we've had traction:
*The iPill was one of eight company chosen by the FDA in the FDA Innovation Challenge: Devices to Prevent and Treat Opioid Use Disorder
* The FDA is focused on secure storage and safe disposal solutions
https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm582954.htm
https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm632067.htm
* The iPill was a winner of the 2018 FDA Innovation Challenge: Devices to Prevent and Treat Opioid Use Disorder
* We won the 2018 UCLA Opioid Hack-A-Thon
https://predictiontechnology.ucla.edu/events/the-opioid-hackathon-2018/
* The FDA designated iPill as a “breakthrough” medical device for a Class II submission.
* 3 granted patent. USPTO no. 10,426,707, 10588824, 10709643
* November 21, 2019
We were chosen as a winner of the 2019 Hartford Insurtech Hub competition where we will build a financial reimbursement model and apply for a HHS HCPCS/CPT code to make the iPill a reimbursable medical device.
https://www.insurancejournal.com/news/east/2019/11/15/548572.htm
* June 16, 2020
iPill named a winner of the 2020 American College of Cardiology Digital Health Innovation Award in association with AngelMD
* June 25, 2020
iPill receives its first purchase order from a Connecticut Addiction Rehab Treatment center pill dispensers opioids public policy automatic pill dispenser
* September 9, 2020
iPill receives a second purchase order from a behavioral treatment center with locations in 4 states.
*April 12, 2021
The West Coast Consortium for Technology & Innovation in Pediatrics 2021 FlexGrants
Solution
In the hospital, opioids are stored under lock and key and dispensed by trained healthcare providers. Patients who receive opioids at the hospital are closely monitored for side effects. There is no similar regulation or monitoring at a patient's home. Patient safety should be equal from the hospital to the home. The relapse rate has been reported to be 91% in transition from inpatient to outpatient therapy. The study also found that at least 59% of those who had an opiate relapse would do so within the first week of sobriety, and 80% would relapse within a month after discharging from a detox program/
2. Smyth, B. P., Barry, J., Keenan, E. & Ducray, K. (2010). Lapse and relapse following inpatient treatment of opiate dependence. Irish Medical Journal. 103(6),176–179.
The iPill App and iPill Dispenser provides a solution:
- To monitor medication adherence to enable clinician to guide personal therapy
- To enforce prescription adherence to prevent overconsumption
- To reduce diversion of by using fast 2-point biometric authentication
- To provide a safe tamper-resistant storage solution
- To provide safe disposal of unused pills
If you are interested, please contact us.
iPill Highlights
Resources
Addiction Resources for Parents
3.9% of adolescents between the ages of 12 and 17 have tried illicit drugs, and 86% of them know someone who smokes, drinks or uses drugs. With such high numbers it's important to make sure, as parents, we are educating children about the dangers of alcoholism and drug addiction.
https://granitehouserecovery.com/resources/resources-for-parents/
If you or someone you know needs help, please contact the Substance Abuse and Mental Health Services Administration at 1-800-662-HELP or findtreatment.samhsa.gov
If you or someone you know is considering suicide, please contact the National Suicide Prevention Lifeline at 1-800-273-TALK (8255), text "STRENGTH" to the Crisis Text Line at 741-741 or go to suicidepreventionlifeline.org
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Contact Us
iPill Dispenser
john@ipilldispenser.com
Fact Check
People need access to treatment
- Only 1/3 of patients with opioid dependence at these programs actually receive it.
- The proportion of opioid treatment admissions with treatment plans that included receiving medications fell from 35 percent in 2002 to 28 percent in 2012.9
- Nearly all U.S. states do not have sufficient treatment capacity to provide MAT to all patients with an opioid use disorder
https://www.drugabuse.gov/publications/effective-treatments-opioid-addiction
Attitudes on youth addiction
Household opioid security
1 in 4 Opioid ODs Involves Kids and Teens
https://www.emoryhealthsciblog.com/powerful-opioids-kids-bad-combo/
Opioid Overdose deaths by type of opioid
We must treat pain
One study of millions of medical records, which compared the timing of state opioid regulations and reductions and could therefore suggest causality, found that opioid reductions actually led directly to increased disability, decreased productivity, rising medical costs and more pain. https://dspace.mit.edu/handle/1721.1/107321. Another study found that among veterans who had their opioids stopped involuntarily, 9 percent became suicidal and 2 percent actually tried to take their own lives. Even worse, other research shows that rather than minimizing overdose risk, cutting access to medical opioids nearly triples the odds of overdose death among people in pain. https://link.springer.com/article/10.1007/s11606-019-05301-2
The death rate may actually be underestimated because as people overdose they aspirated on their own vomit. County coroners did not have the right CPT codes to classify death due to aspiration pneumonia secondary to opioids.
Cauley CE1, Anderson G, Haynes AB, Menendez M, Bateman BT, Ladha K.
Pitt study_ 70K opioid overdose deaths went unreported on death certificates _ TribLIVE.pdf
https://www.upmc.com/media/news/062718-buchanich-death-certs
The Effect of Incomplete Death Certificates on Estimates of Unintentional Opioid-Related Overdose Deaths in the United States, 1999-2015 - Jeanine M. Buchanich, Lauren C. Balmert, Karl E. Williams, Donald S. Burke, 2018.pdf
https://journals.sagepub.com/doi/10.1177/0033354918774330
The Number of Opioid Overdose Deaths May Be Underestimated
Most people use a cocktail of drugs
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5769014/
https://www.doh.wa.gov/Portals/1/Documents/2300/2017/AnnalsInternalMed.pdf
https://www.newsweek.com/study-finds-less-2-percent-overdose-victims-prescriptions-opioids-1467035
Prescription drug use is a risk factor for Heroin use
90% with a substance abuse problem began as youth with prescription opioids
3.3 Billion unused pills enter our communities every year
https://www.pacira.com/sites/default/files/inline-files/USND_Stats_FINAL.pdf
42%-71% of postop opioids go unused
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5701659/
40% of doctors refuse new Chronic pain patients using opioids
268.2% rise in pediatric deaths from prescription and illicit opioids
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324338/
9 million stolen units of opioids
A study reported only 1.3% of patients who overdosed on prescription had an active opioid prescription.
https://www.ncbi.nlm.nih.gov/pubmed/31577519
More references upon request
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