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In Northern Ireland, prescription drugs account for | 1:36:44 | 1:36:47 | |
the majority of drug-related deaths. | 1:36:47 | 1:36:49 | |
The biggest killer in Great Britain is heroin. | 1:36:49 | 1:36:51 | |
The biggest killer in Northern Ireland is tramadol. | 1:36:51 | 1:36:54 | |
Tonight on Spotlight, | 1:36:54 | 1:36:56 | |
we ask why our deadliest drugs come in blister packs | 1:36:56 | 1:36:59 | |
and over the counter, and witness the impact of their misuse. | 1:36:59 | 1:37:03 | |
"Please don't tell me my child is dead." | 1:37:03 | 1:37:05 | |
Begging the ambulance men, "Please, try. Help, please." | 1:37:05 | 1:37:09 | |
Spotlight has exclusively analysed | 1:37:09 | 1:37:12 | |
more than 20 million prescription records across Northern Ireland. | 1:37:12 | 1:37:16 | |
Deaths don't come as a surprise to me. | 1:37:17 | 1:37:19 | |
It's surprising we probably don't have more deaths. | 1:37:19 | 1:37:22 | |
We reveal how the number of prescriptions of a drug | 1:37:22 | 1:37:26 | |
commonly used here has risen by nearly 50% in the last four years. | 1:37:26 | 1:37:31 | |
It's a very addictive drug, very open to abuse. | 1:37:31 | 1:37:34 | |
We investigate the different sources of these drugs and ask, | 1:37:34 | 1:37:38 | |
is your GP your first dealer? | 1:37:38 | 1:37:40 | |
I can't, you know, say that we wouldn't fall into that category. | 1:37:40 | 1:37:45 | |
We certainly write the prescriptions for many of these drugs. | 1:37:45 | 1:37:48 | |
And we obtain a secret dossier that claims to lay bare | 1:37:48 | 1:37:53 | |
the extent of street dealing. | 1:37:53 | 1:37:54 | |
You hear the word drug dealer and you think cocaine, heroin. | 1:37:54 | 1:37:57 | |
It's stark to think that there's prescription drugs in their hands. | 1:37:57 | 1:38:02 | |
You can never have the happiness back in your life again, can you, like? | 1:38:22 | 1:38:26 | |
There they go. | 1:38:29 | 1:38:30 | |
And there's his white coffin as well. | 1:38:30 | 1:38:33 | |
A white coffin, he had. | 1:38:33 | 1:38:34 | |
Everything was purple, purple, purple. | 1:38:34 | 1:38:36 | |
Everybody wore purple. | 1:38:38 | 1:38:39 | |
SHE SIGHS | 1:38:43 | 1:38:45 | |
It is so sad, isn't it, to think you have to bury your child? | 1:38:45 | 1:38:48 | |
Breaks my heart, so it does. | 1:38:48 | 1:38:50 | |
Patricia Browne lost her 26-year-old son, Christopher, | 1:38:53 | 1:38:57 | |
to prescription drugs. | 1:38:57 | 1:38:59 | |
-This is a cute wee one, this wee one of him when he was small. -Yeah. | 1:39:00 | 1:39:03 | |
-VOICE BREAKS: -Christopher was a Man United supporter. | 1:39:03 | 1:39:06 | |
You know, as well as the boxing - he loved the boxing. | 1:39:06 | 1:39:09 | |
Patricia believes his problems started | 1:39:09 | 1:39:11 | |
when his young girlfriend killed herself. | 1:39:11 | 1:39:14 | |
Problems for Christopher just developed after that. | 1:39:14 | 1:39:16 | |
You know, mental health issues. | 1:39:16 | 1:39:17 | |
So when did he start taking prescription drugs? | 1:39:19 | 1:39:22 | |
I would say maybe at the age of 19-20. | 1:39:22 | 1:39:26 | |
But when he wanted more than his GP would give him, | 1:39:26 | 1:39:29 | |
he turned to dealers online. | 1:39:29 | 1:39:31 | |
It was very easy to access the diazepam on the internet. | 1:39:32 | 1:39:36 | |
One day you ordered them, the next day you put the money | 1:39:36 | 1:39:38 | |
in their bank account, and they would deliver it the next day. | 1:39:38 | 1:39:41 | |
You know, I think it was something like 1,000 of them for £250. | 1:39:41 | 1:39:45 | |
As well as diazepam, Christopher's mum says | 1:39:45 | 1:39:48 | |
he was prescribed by his GP Lyrica, a common brand of pregabalin. | 1:39:48 | 1:39:52 | |
It was when he started abusing Lyrica | 1:39:52 | 1:39:55 | |
that Patricia saw a sharp decline. | 1:39:55 | 1:39:58 | |
He didn't even know who he was, with the head down, | 1:39:58 | 1:40:01 | |
dribbling his food - couldn't eat his food at the table, | 1:40:01 | 1:40:03 | |
dribbling down his mouth. | 1:40:03 | 1:40:05 | |
When he wasn't on drugs, he was a good kid. | 1:40:05 | 1:40:07 | |
You know, he was a real lovable kid. He would give you his last. | 1:40:07 | 1:40:10 | |
Mother's Day, birthdays, | 1:40:10 | 1:40:11 | |
-Christmas - he just loved Christmas, so he did. -Yeah. | 1:40:11 | 1:40:14 | |
He was the first one always out doing his shopping. | 1:40:14 | 1:40:17 | |
Christopher's was one of five drug deaths | 1:40:17 | 1:40:20 | |
in Belfast that weekend in April. | 1:40:20 | 1:40:22 | |
As they await the results of postmortem examinations, | 1:40:22 | 1:40:25 | |
at this stage the police don't think any single drug | 1:40:25 | 1:40:28 | |
was responsible for the deaths. | 1:40:28 | 1:40:30 | |
By the end of September, the city's drug death toll had reached 37. | 1:40:30 | 1:40:35 | |
While it's still unknown how many of those deaths | 1:40:35 | 1:40:39 | |
involved prescription drugs, | 1:40:39 | 1:40:40 | |
latest trends indicate they will form the majority. | 1:40:40 | 1:40:43 | |
What is for sure is that, of those 37 Belfast deaths, | 1:40:43 | 1:40:46 | |
more than half took place in the north of the city. | 1:40:46 | 1:40:50 | |
DUP councillor Guy Spence represents North Belfast. | 1:40:52 | 1:40:56 | |
We first met him at a community meeting, where many people were | 1:40:56 | 1:41:00 | |
angry, saying the authorities were failing to tackle the drugs crisis. | 1:41:00 | 1:41:05 | |
That meeting in North Belfast was called | 1:41:05 | 1:41:07 | |
by the Policing and Community Safety Partnership | 1:41:07 | 1:41:10 | |
on the information that drugs, | 1:41:10 | 1:41:12 | |
particularly prescription drugs, | 1:41:12 | 1:41:15 | |
was an increasing issue within our district, North Belfast. | 1:41:15 | 1:41:19 | |
It was an opportunity for the public and members of the community, | 1:41:19 | 1:41:24 | |
community leaders, to come together and to find out more. | 1:41:24 | 1:41:28 | |
Feeling abandoned, the community appealed for more resources. | 1:41:29 | 1:41:34 | |
I don't think there's enough outcry. | 1:41:34 | 1:41:35 | |
I'm getting phone calls every day from parents begging for help. | 1:41:35 | 1:41:38 | |
Drugs are very accessible. | 1:41:38 | 1:41:41 | |
People can log on to the internet as if they're doing their shopping | 1:41:41 | 1:41:44 | |
and get drugs delivered to your house in the post. | 1:41:44 | 1:41:46 | |
We agree not to film the meeting | 1:41:46 | 1:41:48 | |
as a member of the Public Prosecution Service | 1:41:48 | 1:41:50 | |
wished to talk candidly off-camera. | 1:41:50 | 1:41:53 | |
Afterwards, we spoke to Billy Burns, who was at the same meeting. | 1:41:53 | 1:41:57 | |
A lot of people, a lot of angry people, in that room tonight. | 1:41:57 | 1:42:00 | |
Basically, all we heard was | 1:42:00 | 1:42:03 | |
how this is going to happen | 1:42:03 | 1:42:06 | |
and this is going to happen. | 1:42:06 | 1:42:08 | |
But the kids are down on the streets now. It needs to happen now. | 1:42:09 | 1:42:13 | |
Billy, who lost his son to drugs, | 1:42:13 | 1:42:15 | |
asked the police at the meeting about a group active on social media | 1:42:15 | 1:42:20 | |
called Communities Against Death Dealers, or CADD. | 1:42:20 | 1:42:23 | |
The group had compiled a dossier of allegations | 1:42:23 | 1:42:26 | |
against drug dealers, submitted, it says, | 1:42:26 | 1:42:29 | |
anonymously by those among its 17,000 Facebook followers. | 1:42:29 | 1:42:34 | |
You raised the issue of a Facebook group | 1:42:34 | 1:42:37 | |
-called Communities Against Death Dealers. -Yes. | 1:42:37 | 1:42:40 | |
They have compiled a dossier of allegations | 1:42:40 | 1:42:43 | |
naming suspected, alleged drug dealers. | 1:42:43 | 1:42:46 | |
It's got to the point, Lyndsey, where the community now | 1:42:46 | 1:42:50 | |
have had that much anger in the community | 1:42:50 | 1:42:52 | |
that they have resulted in Facebook pages coming up | 1:42:52 | 1:42:57 | |
showing drug dealers, | 1:42:57 | 1:42:58 | |
telling them that they are death dealers. | 1:42:58 | 1:43:01 | |
CADD may have just appeared on social media, | 1:43:04 | 1:43:07 | |
but Billy believes it represents the desperation | 1:43:07 | 1:43:11 | |
of a community pushed to its limit by dealers. | 1:43:11 | 1:43:14 | |
It's the people crying out for some help. | 1:43:15 | 1:43:18 | |
They're not getting it from the PSNI or the other agencies, | 1:43:18 | 1:43:22 | |
so they're hitting out themselves. | 1:43:22 | 1:43:24 | |
As the CADD dossier is said to contain more than 250 allegations | 1:43:24 | 1:43:29 | |
against dealers selling across the internet | 1:43:29 | 1:43:32 | |
and up and down the streets of Northern Ireland, | 1:43:32 | 1:43:35 | |
we want to see it for ourselves. | 1:43:35 | 1:43:37 | |
At the meeting, it emerged the drug death toll of 37 | 1:43:37 | 1:43:40 | |
may have risen by two. | 1:43:40 | 1:43:42 | |
The revelation came from coroner Joe McCrisken. | 1:43:42 | 1:43:46 | |
You have ordered two investigations in the last week. | 1:43:46 | 1:43:50 | |
The deaths have occurred as a result of what we think | 1:43:50 | 1:43:52 | |
are prescription drug use, | 1:43:52 | 1:43:53 | |
but we'll need to wait on the forensic analysis | 1:43:53 | 1:43:56 | |
to be carried out to be sure. | 1:43:56 | 1:43:58 | |
The deadliest of prescription drugs in Northern Ireland is tramadol, | 1:43:58 | 1:44:03 | |
which kills more than Class A drugs like heroin and cocaine. | 1:44:03 | 1:44:07 | |
The tramadol death rate in Great Britain has been decreasing | 1:44:07 | 1:44:10 | |
over the last three years. | 1:44:10 | 1:44:12 | |
In Northern Ireland, it has been increasing. | 1:44:12 | 1:44:14 | |
The biggest killer in Great Britain is heroin. | 1:44:14 | 1:44:18 | |
The biggest killer per drug in Northern Ireland is tramadol. | 1:44:18 | 1:44:21 | |
The dangers of tramadol misuse are well known. | 1:44:23 | 1:44:26 | |
But there now worry about another prescription drug, pregabalin, | 1:44:26 | 1:44:30 | |
marketed as Lyrica, according to Dr Yasir Abbasi. | 1:44:30 | 1:44:34 | |
Today, the Home Office launched | 1:44:34 | 1:44:36 | |
a formal consultation on its classification. | 1:44:36 | 1:44:39 | |
The Government recently suggested that pregabalin should be | 1:44:39 | 1:44:42 | |
classed as a Class C substance, | 1:44:42 | 1:44:45 | |
which was on the recommendation of the British Medical Association. | 1:44:45 | 1:44:49 | |
I think Northern Ireland needs to be more quick | 1:44:49 | 1:44:52 | |
in responding to these recommendations. | 1:44:52 | 1:44:55 | |
Christopher was prescribed pregabalin in the brand form Lyrica, | 1:44:55 | 1:45:00 | |
which he misused. | 1:45:00 | 1:45:02 | |
Dr Abbasi was one of the first to raise concerns about pregabalin. | 1:45:02 | 1:45:06 | |
If pregabalin is prescribed appropriately, | 1:45:07 | 1:45:10 | |
and monitored regularly, | 1:45:10 | 1:45:12 | |
then there is nothing to say that it's a dangerous drug. | 1:45:12 | 1:45:17 | |
The issue that you might have with pregabalin over-prescription | 1:45:17 | 1:45:21 | |
is that people, or individuals who are using it, | 1:45:21 | 1:45:25 | |
being dependant or addicted to it. | 1:45:25 | 1:45:27 | |
Alex Bunting from Addiction NI is equally concerned. | 1:45:27 | 1:45:33 | |
We are quite clearly seeing now that it's a very addictive drug, | 1:45:33 | 1:45:36 | |
very open to abuse, | 1:45:36 | 1:45:37 | |
and it is being abused right across communities. | 1:45:37 | 1:45:39 | |
With growing criticism around pregabalin, | 1:45:39 | 1:45:42 | |
Spotlight commissioned a special piece of research. | 1:45:42 | 1:45:46 | |
We have obtained a huge database of 20 million prescription records | 1:45:49 | 1:45:54 | |
written by GPs across Northern Ireland over the last four years. | 1:45:54 | 1:45:57 | |
We've had them analysed and can exclusively reveal a 46% rise | 1:45:57 | 1:46:03 | |
in prescriptions of the drug | 1:46:03 | 1:46:05 | |
that's implicated in more and more overdose deaths - | 1:46:05 | 1:46:08 | |
pregabalin, or as we know, most commonly referred to as Lyrica. | 1:46:08 | 1:46:13 | |
A 46% increase in pregabalin prescription | 1:46:13 | 1:46:17 | |
over the past four years is quite dramatic. | 1:46:17 | 1:46:20 | |
Um... Gosh. | 1:46:20 | 1:46:24 | |
There's definitely overprescribing there. | 1:46:24 | 1:46:26 | |
I guess it very much raises the question | 1:46:26 | 1:46:28 | |
of the addictive potential of pregabalin, | 1:46:28 | 1:46:31 | |
and the fact that this needs some urgent attention | 1:46:31 | 1:46:34 | |
by the medical community. | 1:46:34 | 1:46:35 | |
On the morning we interviewed Alex Bunting, | 1:46:37 | 1:46:40 | |
US President Donald Trump made this announcement... | 1:46:40 | 1:46:43 | |
The federal government is aggressively fighting | 1:46:44 | 1:46:47 | |
the opioid epidemic on all fronts. | 1:46:47 | 1:46:51 | |
Alex blames America's crisis, and our increasing problems | 1:46:51 | 1:46:55 | |
with prescription drugs, on overprescribing. | 1:46:55 | 1:46:58 | |
If you look at Middle America, they have a significant problem | 1:46:58 | 1:47:01 | |
with heroin and injecting drug populations | 1:47:01 | 1:47:04 | |
that's all been developed from the overuse | 1:47:04 | 1:47:06 | |
and overprescribing of very potent, powerful pain medication. | 1:47:06 | 1:47:10 | |
If we are slightly behind that curve, | 1:47:10 | 1:47:12 | |
then we are walking into the same problem. | 1:47:12 | 1:47:14 | |
The SDLP's Nichola Mallon hears first hand the effects | 1:47:16 | 1:47:19 | |
of addiction to prescription drugs from sufferers, | 1:47:19 | 1:47:22 | |
some of whom started taking them legitimately. | 1:47:22 | 1:47:25 | |
What we see coming into my office | 1:47:25 | 1:47:28 | |
is people of all ages who are addicted to prescription drugs. | 1:47:28 | 1:47:31 | |
Some are addicted because they are waiting on operations | 1:47:31 | 1:47:33 | |
and they're living in severe pain. | 1:47:33 | 1:47:35 | |
She believes Northern Ireland's problem with prescription drugs | 1:47:37 | 1:47:40 | |
stems from a pill-sharing past in the Troubles. | 1:47:40 | 1:47:43 | |
During the conflict, and as a consequence of it, | 1:47:43 | 1:47:46 | |
we in Northern Ireland have an unhealthy relationship | 1:47:46 | 1:47:49 | |
with prescription drugs. Throughout the Troubles, | 1:47:49 | 1:47:52 | |
it wasn't unusual for neighbours to share prescription drugs. | 1:47:52 | 1:47:56 | |
It is referred to locally as nerve tablets to try to deal with anxiety. | 1:47:56 | 1:48:00 | |
EXPLOSION RUMBLES | 1:48:03 | 1:48:04 | |
-REPORTER: -What happened just then? | 1:48:06 | 1:48:08 | |
-WOMAN: -That explosion there, just behind College Street. | 1:48:08 | 1:48:11 | |
Does this sort of thing happen often? | 1:48:11 | 1:48:13 | |
Very often. It does, indeed. | 1:48:13 | 1:48:14 | |
And how do you feel when you hear and see | 1:48:14 | 1:48:16 | |
-these explosions all around you? -It frightens you. | 1:48:16 | 1:48:18 | |
Benzodiazepines, under the brand name Valium, | 1:48:18 | 1:48:22 | |
first came to Northern Ireland 50 years ago. | 1:48:22 | 1:48:24 | |
EXPLOSION | 1:48:24 | 1:48:26 | |
CHILD CRIES | 1:48:26 | 1:48:28 | |
SHE SHUSHES | 1:48:28 | 1:48:30 | |
-REPORTER: -The doctors I met in Belfast gave me the impression | 1:48:30 | 1:48:33 | |
of standing watch over a psychiatric volcano. | 1:48:33 | 1:48:36 | |
Decades later, | 1:48:36 | 1:48:38 | |
and the demand for what is now known as diazepam has stabilised. | 1:48:38 | 1:48:41 | |
But our research suggests it's just being substituted | 1:48:41 | 1:48:45 | |
with something else. | 1:48:45 | 1:48:46 | |
This new drug that came in, by the name of pregabalin, | 1:48:46 | 1:48:50 | |
was considered to be a safer option. | 1:48:50 | 1:48:53 | |
And they started prescribing this more, in effect, | 1:48:53 | 1:48:56 | |
and so they were replacing one chemical with the other. | 1:48:56 | 1:48:59 | |
And Dr Abbasi believes more research is needed to see | 1:48:59 | 1:49:02 | |
if pregabalin has the same potential for addiction that diazepam has. | 1:49:02 | 1:49:07 | |
I do not question its safety profile, | 1:49:07 | 1:49:09 | |
I do question as to its potential for addiction. | 1:49:09 | 1:49:15 | |
We are seeing a drug which is marketed as a very safe drug - | 1:49:15 | 1:49:17 | |
and, again, I do not question the safety there - | 1:49:17 | 1:49:20 | |
but what is very important is we have not established | 1:49:20 | 1:49:23 | |
its links to addiction. | 1:49:23 | 1:49:25 | |
And I think, in my clinical practice, | 1:49:25 | 1:49:27 | |
that there are links there. | 1:49:27 | 1:49:29 | |
Other front-line professionals are increasingly sharing this view. | 1:49:29 | 1:49:34 | |
One of Dr Michael McKenna's patients is among the 37 dead. | 1:49:34 | 1:49:38 | |
And while it's still unknown if Lyrica was involved in that case, | 1:49:38 | 1:49:42 | |
he's very worried about its impact. | 1:49:42 | 1:49:44 | |
I am becoming increasingly sceptical about its use in pain, | 1:49:44 | 1:49:48 | |
and I'm trying not to prescribe it. | 1:49:48 | 1:49:50 | |
This was heralded as a very safe drug, | 1:49:50 | 1:49:52 | |
and not addictive in any way. | 1:49:52 | 1:49:55 | |
And yet, as time goes on, | 1:49:56 | 1:50:00 | |
we see the increasing problems that it's causing. | 1:50:00 | 1:50:03 | |
We also see a drug which, | 1:50:03 | 1:50:06 | |
when used inappropriately and abused, | 1:50:06 | 1:50:10 | |
is...is extremely dangerous. | 1:50:10 | 1:50:13 | |
You know, we have seen a lot of drug-related deaths now, recently, | 1:50:13 | 1:50:17 | |
where Lyrica is showing up in the toxicology screening. | 1:50:17 | 1:50:20 | |
The day after the North Belfast meeting, | 1:50:21 | 1:50:24 | |
the Falls Community Council gives us an idea of just how many drugs, | 1:50:24 | 1:50:28 | |
including illegally-obtained prescriptions, are on the streets. | 1:50:28 | 1:50:32 | |
This is a drugs bin. | 1:50:32 | 1:50:34 | |
So what people do is, they can come in, | 1:50:34 | 1:50:37 | |
dispose of drugs in here in a safe way. | 1:50:37 | 1:50:40 | |
The PSNI then come, and they empty the bin. | 1:50:40 | 1:50:43 | |
With waiting times for addiction treatment of 6-9 months, | 1:50:43 | 1:50:47 | |
this place offers practical support to addicts and their families. | 1:50:47 | 1:50:51 | |
The PSNI weren't due to come out | 1:50:51 | 1:50:53 | |
for about another two weeks. | 1:50:53 | 1:50:55 | |
We had to phone them to come out and empty it | 1:50:55 | 1:50:58 | |
because it was actually full. | 1:50:58 | 1:50:59 | |
We literally couldn't get anything more into it. | 1:50:59 | 1:51:02 | |
So that is the amount of drugs | 1:51:02 | 1:51:03 | |
that this is helping to take off the streets. | 1:51:03 | 1:51:06 | |
But funding for the service ended last month. | 1:51:06 | 1:51:10 | |
We are in actual real danger of having to close the service here. | 1:51:10 | 1:51:13 | |
We are still waiting on word | 1:51:13 | 1:51:15 | |
to see whether we will get the funding renewed for this service. | 1:51:15 | 1:51:18 | |
And so, are you literally waiting to find out if you are getting | 1:51:18 | 1:51:22 | |
-this much-needed money? -Yes, that is actually the point that we're at. | 1:51:22 | 1:51:26 | |
Gerry believes places like his can be the difference | 1:51:26 | 1:51:29 | |
between life and death for addicts, | 1:51:29 | 1:51:31 | |
and fears the drug death toll will only rise if they shut. | 1:51:31 | 1:51:34 | |
The number of recorded deaths through drugs | 1:51:35 | 1:51:38 | |
will be higher this year, so we actually do have a crisis. | 1:51:38 | 1:51:41 | |
With some patients becoming addicted | 1:51:41 | 1:51:44 | |
after being legally prescribed drugs as medication, | 1:51:44 | 1:51:47 | |
your GP is effectively your first dealer. | 1:51:47 | 1:51:49 | |
We put this to Dr McKenna. | 1:51:49 | 1:51:52 | |
I can't, you know, say that we wouldn't fall into that category. | 1:51:52 | 1:51:56 | |
We certainly write the prescriptions | 1:51:56 | 1:51:58 | |
for many of these drugs. | 1:51:58 | 1:52:00 | |
But with that comes a responsibility. | 1:52:00 | 1:52:04 | |
One, to be aware of what we are prescribing. | 1:52:04 | 1:52:09 | |
Two, to make our patients aware of the potential for addiction. | 1:52:09 | 1:52:13 | |
And then, three, to monitor it to ensure that | 1:52:13 | 1:52:16 | |
we can get them off the medications at an appropriate time. | 1:52:16 | 1:52:20 | |
Dr McKenna admits this approach doesn't always work. | 1:52:20 | 1:52:23 | |
He says that, on some occasions, | 1:52:23 | 1:52:25 | |
the drugs he prescribes make it to the street. | 1:52:25 | 1:52:28 | |
We know that Belfast is awash with prescription drugs. | 1:52:28 | 1:52:32 | |
With those illegally-bought prescription drugs, | 1:52:32 | 1:52:35 | |
where are they coming from? | 1:52:35 | 1:52:37 | |
There are two sources. | 1:52:37 | 1:52:39 | |
One, the internet is a big source. | 1:52:39 | 1:52:42 | |
And then, we have the prescriptions | 1:52:42 | 1:52:44 | |
that I prescribe and my colleagues prescribe, | 1:52:44 | 1:52:47 | |
which are sold on by our patients. | 1:52:47 | 1:52:48 | |
And there is an element of that that happens. | 1:52:48 | 1:52:51 | |
So you suspect that you have patients who come in here | 1:52:51 | 1:52:54 | |
and you are prescribing them drugs, | 1:52:54 | 1:52:56 | |
they are going out onto the street and selling them? | 1:52:56 | 1:52:59 | |
They are not using them themselves, they are selling them on? | 1:52:59 | 1:53:02 | |
In some instance, yes, that is happening. | 1:53:02 | 1:53:06 | |
Or they will take half for themselves | 1:53:06 | 1:53:08 | |
and sell the other half on. | 1:53:08 | 1:53:09 | |
It's a form of income for them. | 1:53:09 | 1:53:11 | |
And how many patients have you seen where you suspect them | 1:53:11 | 1:53:15 | |
to be not really using the drugs, and selling on? | 1:53:15 | 1:53:19 | |
I've certainly had one person removed from the list | 1:53:19 | 1:53:22 | |
for fraudulent misuse of medication. | 1:53:22 | 1:53:26 | |
And when did you first notice this as a phenomenon? | 1:53:26 | 1:53:30 | |
It's really only something that's been happening | 1:53:30 | 1:53:33 | |
in the last four or five years. | 1:53:33 | 1:53:35 | |
Christopher's mum, Patricia, says it's common for people | 1:53:35 | 1:53:39 | |
to stage symptoms to obtain and sell on their prescriptions. | 1:53:39 | 1:53:43 | |
It was a whole craze here as well that kids had to Google the six symptoms | 1:53:43 | 1:53:46 | |
what they needed to get Lyrica, and they got them, | 1:53:46 | 1:53:48 | |
and then they were selling them. | 1:53:48 | 1:53:50 | |
-They got them so easy off them. -Just checking off this list? | 1:53:50 | 1:53:53 | |
Checking online what they needed, | 1:53:53 | 1:53:55 | |
and then they would have sold the tablets. | 1:53:55 | 1:53:56 | |
Some addicts deal to fund their habit, | 1:53:56 | 1:53:59 | |
but there are also dealers selling prescription drugs | 1:53:59 | 1:54:02 | |
alongside hard drugs on a bigger scale. | 1:54:02 | 1:54:05 | |
It's anger with what is seen as a failure to tackle dealers | 1:54:05 | 1:54:09 | |
that CADD uses to justify its dossier. | 1:54:09 | 1:54:12 | |
What it appears to show is the sheer scale of dealing taking place. | 1:54:14 | 1:54:18 | |
Revealed within its pages are names, | 1:54:18 | 1:54:20 | |
addresses, pictures and text exchanges | 1:54:20 | 1:54:23 | |
that can be traced to all corners of Northern Ireland. | 1:54:23 | 1:54:26 | |
It also shows that there are | 1:54:26 | 1:54:28 | |
over 30 alleged dealers seemingly pushing Lyrica. | 1:54:28 | 1:54:31 | |
But it is when it is taken with | 1:54:34 | 1:54:36 | |
a cocktail of drugs that it can be particularly dangerous. | 1:54:36 | 1:54:41 | |
Michael Hall was prescribed Lyrica | 1:54:41 | 1:54:43 | |
and began misusing it in his early 20s. | 1:54:43 | 1:54:46 | |
His parents felt helpless watching him fall deeper into his addiction. | 1:54:46 | 1:54:50 | |
His father, Robert, is haunted by one exchange. | 1:54:50 | 1:54:54 | |
And I says, "Look at the state of you - you're black." | 1:54:55 | 1:54:58 | |
And he was, like, all waxy. | 1:54:58 | 1:55:00 | |
He was just like a dead body in a coffin. | 1:55:00 | 1:55:03 | |
He says, "Daddy, I'll not do it no more, that's it finished." | 1:55:04 | 1:55:07 | |
But it wasn't. | 1:55:07 | 1:55:09 | |
His dependence got so bad, | 1:55:09 | 1:55:11 | |
his mother, Josephine, even drove him to his dealers. | 1:55:11 | 1:55:14 | |
Because, without the drugs, Michael was worse. | 1:55:14 | 1:55:17 | |
You would have taken him to get drugs because, | 1:55:17 | 1:55:20 | |
when he was on the drugs, the drugs helped him? | 1:55:20 | 1:55:23 | |
-Yes. -When he came off them, he would have been in a bad way? | 1:55:23 | 1:55:27 | |
He would have been in a very, very bad way, shaking, | 1:55:27 | 1:55:30 | |
and, like, foaming at the mouth. | 1:55:30 | 1:55:32 | |
And what would he have been taking? | 1:55:32 | 1:55:35 | |
Um...Lyrica...and blues. | 1:55:35 | 1:55:39 | |
What, you took him out to get stuff like that? | 1:55:39 | 1:55:42 | |
I thought you told me it was only blue you were getting him. | 1:55:42 | 1:55:45 | |
I didn't know what he was getting. | 1:55:45 | 1:55:46 | |
But in April, aged 25, | 1:55:48 | 1:55:51 | |
Michael took a cocktail of drugs including Lyrica and diazepam. | 1:55:51 | 1:55:55 | |
He just kept on collapsing, | 1:55:55 | 1:55:57 | |
and he collapsed three times. | 1:55:57 | 1:55:59 | |
But I got him into bed, got his clothes off, | 1:55:59 | 1:56:01 | |
left his T-shirt and his boxers on, and put him into bed. | 1:56:01 | 1:56:05 | |
Michael had a seven-year-old son | 1:56:05 | 1:56:07 | |
and planned to see him the following day. | 1:56:07 | 1:56:09 | |
But he never woke up from his latest drug binge. | 1:56:09 | 1:56:13 | |
Michael was still warm when I found him. | 1:56:13 | 1:56:15 | |
He had fallen out of the bed | 1:56:15 | 1:56:17 | |
and looked as if he was trying to crawl to the door. | 1:56:17 | 1:56:21 | |
That's the shape he was in on the ground. | 1:56:22 | 1:56:25 | |
-As though he had been on all fours, almost? -On all fours, | 1:56:25 | 1:56:27 | |
and his mouth was sort of stuck to the ground. | 1:56:27 | 1:56:30 | |
When you come out and you look up, do you...? | 1:56:43 | 1:56:45 | |
-Think of Michael? -You think of him? | 1:56:45 | 1:56:47 | |
How have you been getting on? | 1:56:48 | 1:56:50 | |
Terrible. | 1:56:50 | 1:56:51 | |
I've never felt as lonely in my life. | 1:56:51 | 1:56:54 | |
I can't stick it. | 1:56:57 | 1:56:59 | |
When families lose a loved one in Northern Ireland, | 1:57:09 | 1:57:12 | |
many can end up here. | 1:57:12 | 1:57:13 | |
You work very closely with families who have been bereaved. | 1:57:15 | 1:57:18 | |
You sit at this table with them. | 1:57:18 | 1:57:21 | |
I met a family just last Friday - in fact, in this room - | 1:57:21 | 1:57:27 | |
who had lost their son as a result of Diazepam toxicity. | 1:57:27 | 1:57:34 | |
They were talking about how they had picked their son's cot for him | 1:57:34 | 1:57:40 | |
and his first buggy and his first bike, | 1:57:40 | 1:57:43 | |
and how then they had to go along and pick his coffin. | 1:57:43 | 1:57:46 | |
He also thinks more people need to be aware of the dangers of taking | 1:57:46 | 1:57:50 | |
a cocktail of prescription drugs. | 1:57:50 | 1:57:52 | |
Ten years ago, we would have seen one drug on a death certificate, | 1:57:55 | 1:57:59 | |
perhaps heroin, cocaine, ecstasy. | 1:57:59 | 1:58:02 | |
Now, we see regularly three, four, five, six - | 1:58:02 | 1:58:06 | |
mostly prescription drugs. | 1:58:06 | 1:58:08 | |
We have people who are taking what they consider to be | 1:58:08 | 1:58:11 | |
small levels of prescription medications, | 1:58:11 | 1:58:15 | |
but all those drugs are all building up to do one thing, | 1:58:15 | 1:58:18 | |
which is cause unconsciousness and then death. | 1:58:18 | 1:58:21 | |
He warns that when a person overdoses on prescription drugs, | 1:58:21 | 1:58:25 | |
they don't look like they're dying. | 1:58:25 | 1:58:27 | |
What we hear sometimes during an inquest is that | 1:58:29 | 1:58:31 | |
a person was snoring. | 1:58:31 | 1:58:33 | |
They are kind of displaying signs of being intoxicated. | 1:58:33 | 1:58:35 | |
People think, well, someone is intoxicated with alcohol, | 1:58:35 | 1:58:39 | |
put them to bed and they will sleep it off. | 1:58:39 | 1:58:41 | |
You don't sleep off, normally, drug toxicity. | 1:58:41 | 1:58:45 | |
You die, if you don't receive treatment. | 1:58:45 | 1:58:48 | |
The effects of prescription drug misuse are not just | 1:58:50 | 1:58:52 | |
a threat to addicts, | 1:58:52 | 1:58:54 | |
but frequently a source of real danger | 1:58:54 | 1:58:56 | |
to those who stand between them and their habit. | 1:58:56 | 1:58:59 | |
Over a career, I have been held up 11 times. | 1:58:59 | 1:59:02 | |
Terry Maguire, the pharmacist of two of the 37 who died | 1:59:02 | 1:59:05 | |
from drugs overdoses, is on that front line. | 1:59:05 | 1:59:08 | |
I had the point of a knife inserted into my nostril. | 1:59:08 | 1:59:11 | |
There was a gun produced. | 1:59:11 | 1:59:13 | |
And it was the first time | 1:59:13 | 1:59:15 | |
that I really felt my life threatened, in a sense. | 1:59:15 | 1:59:17 | |
Christopher, Michael and three others died on the same weekend. | 1:59:17 | 1:59:21 | |
Also at that time, two of Terry's nearby colleagues were attacked | 1:59:21 | 1:59:25 | |
with knives, for prescription drugs. | 1:59:25 | 1:59:27 | |
-REPORTER: -The two staff who were stabbed, | 1:59:27 | 1:59:29 | |
were both pharmacists in the shop. | 1:59:29 | 1:59:31 | |
That reflects the degree of violence which we are increasingly seeing | 1:59:31 | 1:59:36 | |
from people who are robbing pharmacies. | 1:59:36 | 1:59:38 | |
Terry may be shocked by the escalating violence | 1:59:38 | 1:59:41 | |
around prescription drugs, but not by the deaths | 1:59:41 | 1:59:44 | |
of two of his patients. | 1:59:44 | 1:59:45 | |
Was death something that you genuinely anticipated? | 1:59:45 | 1:59:49 | |
Were you surprised? | 1:59:49 | 1:59:51 | |
I very much appreciate the dangers of misusing drugs | 1:59:51 | 1:59:54 | |
and therefore deaths don't come as a surprise to me, | 1:59:54 | 1:59:57 | |
they are tragic, but they aren't a surprise. | 1:59:57 | 2:00:00 | |
It is surprising we probably don't have more deaths. | 2:00:00 | 2:00:03 | |
Despite the violence and the deaths, | 2:00:07 | 2:00:09 | |
Detective Superintendent Bobby Singleton describes CADD's dossier | 2:00:09 | 2:00:12 | |
as counter-productive. | 2:00:12 | 2:00:13 | |
Their actions are entirely unhelpful. | 2:00:15 | 2:00:16 | |
They are, in many instances, I believe, | 2:00:16 | 2:00:18 | |
potentially frustrating either ongoing police investigations | 2:00:18 | 2:00:22 | |
or future police action | 2:00:22 | 2:00:23 | |
because they are alerting people to the fact | 2:00:23 | 2:00:25 | |
that there may be an awareness of their activities. | 2:00:25 | 2:00:27 | |
He says naming suspects endangers them. | 2:00:29 | 2:00:32 | |
The PSNI has a responsibility to anyone who they believe | 2:00:34 | 2:00:37 | |
is subject to a threat, to take action | 2:00:37 | 2:00:39 | |
in order, obviously, to protect them from any perceived threat. | 2:00:39 | 2:00:42 | |
So, what that does, in my view, is tie up police resources. | 2:00:42 | 2:00:45 | |
I'll, first of all, formally welcome | 2:00:47 | 2:00:49 | |
everyone here this morning. | 2:00:49 | 2:00:50 | |
Last month, Sinn Fein MLA Alex Maskey launched | 2:00:50 | 2:00:54 | |
an unofficial inquiry into the drugs epidemic in West Belfast. | 2:00:54 | 2:00:58 | |
We had what has been described as a "spike" | 2:00:58 | 2:01:00 | |
in the number of people who were losing their lives | 2:01:00 | 2:01:03 | |
to the scourge of drugs. | 2:01:03 | 2:01:04 | |
Whether that was the opioids, | 2:01:04 | 2:01:06 | |
as they call it, or the misuse of prescription drugs. | 2:01:06 | 2:01:09 | |
One of the many issues it hopes to address is repeated calls | 2:01:09 | 2:01:13 | |
from the community to see dealers jailed, not bailed. | 2:01:13 | 2:01:17 | |
There has been criticism against the PSNI, | 2:01:17 | 2:01:20 | |
and there has been criticisms against what people call | 2:01:20 | 2:01:22 | |
the revolving doors in the Magistrates' Courts and so on, | 2:01:22 | 2:01:25 | |
where people are walking away with lenient sentences and so on. | 2:01:25 | 2:01:28 | |
All of that is in the mix. | 2:01:28 | 2:01:29 | |
When at least 37 have died in just nine months, in Belfast alone, | 2:01:34 | 2:01:38 | |
some believe a key message support workers must teach | 2:01:38 | 2:01:42 | |
is simply how to take drugs safely. | 2:01:42 | 2:01:45 | |
Because what we are talking about is people taking drugs... | 2:01:45 | 2:01:49 | |
And, as you know, we live in the real world, | 2:01:49 | 2:01:52 | |
people are taking drugs. | 2:01:52 | 2:01:53 | |
So this is where we talk about making it safer. | 2:01:53 | 2:01:56 | |
This training at the Falls Community Council gives practical help to mums | 2:01:56 | 2:02:01 | |
from a community on the edge. | 2:02:01 | 2:02:03 | |
See, if you are going to use, this is what you need to know. | 2:02:03 | 2:02:05 | |
The reality is, this is what could happen. | 2:02:05 | 2:02:07 | |
We're back to hear if Sharon's boss got the funding for the centre. | 2:02:07 | 2:02:11 | |
The last time we were here, Gerry McConville | 2:02:11 | 2:02:13 | |
was sitting waiting by the phone. | 2:02:13 | 2:02:15 | |
-Has that call come through? -No, that call hasn't come through. | 2:02:15 | 2:02:18 | |
The frustrating thing for the community | 2:02:18 | 2:02:21 | |
is that the little help there is on the ground is at risk. | 2:02:21 | 2:02:23 | |
I know that some of the families that we've worked with, | 2:02:23 | 2:02:26 | |
it has saved someone's life. | 2:02:26 | 2:02:28 | |
Most people say to us, "I didn't know that this place existed." | 2:02:28 | 2:02:31 | |
And the reason, probably, for some of that is because people... | 2:02:31 | 2:02:34 | |
We see a lot of people when they're in crisis. | 2:02:34 | 2:02:36 | |
This was exactly the situation | 2:02:36 | 2:02:38 | |
that Josephine and Robert were in with Michael. | 2:02:38 | 2:02:40 | |
In crisis, but unable to find help. | 2:02:40 | 2:02:43 | |
No matter who I phoned for help, um, I never got help. | 2:02:45 | 2:02:49 | |
People give you these numbers to phone | 2:02:50 | 2:02:53 | |
and you phone and the phone rings off or they'll get back to you - | 2:02:53 | 2:02:57 | |
they never do. | 2:02:57 | 2:02:58 | |
Lyndsey, this is Michael's room. | 2:02:58 | 2:03:00 | |
And this is...down here... | 2:03:05 | 2:03:07 | |
I found Michael... | 2:03:07 | 2:03:08 | |
..dead here. | 2:03:11 | 2:03:12 | |
But it's what the dealers who sold her son prescription drugs | 2:03:12 | 2:03:16 | |
did to him to ensure payment that also haunts Josephine today. | 2:03:16 | 2:03:20 | |
The beatings Michael took, the scarring on his body, | 2:03:21 | 2:03:24 | |
was out of this world. | 2:03:24 | 2:03:25 | |
And he was at Divis flats and they got a boiling kettle | 2:03:26 | 2:03:30 | |
and poured it over him. | 2:03:30 | 2:03:31 | |
And it was that coat that saved him. | 2:03:31 | 2:03:33 | |
It was... His stomach was burnt and his arm was burnt. | 2:03:35 | 2:03:37 | |
But he told me it was this hot water bottle and that hot water bottle... | 2:03:37 | 2:03:42 | |
There's fur over that, so how could he have got burnt? | 2:03:42 | 2:03:45 | |
Like Michael, for Christopher, dealers were his downfall. | 2:03:48 | 2:03:51 | |
Can you take me back to the Sunday night...when you last saw him? | 2:03:52 | 2:03:58 | |
Me and him sat talking. | 2:03:58 | 2:03:59 | |
He told me that day he was going to try to go off prescription drugs. | 2:03:59 | 2:04:02 | |
I know he left. He went to the Dublin Road. | 2:04:02 | 2:04:05 | |
He met his death there. | 2:04:05 | 2:04:07 | |
Patricia believes her son's final drug deal was done | 2:04:07 | 2:04:09 | |
in the centre of Belfast. | 2:04:09 | 2:04:11 | |
He went behind a wall, where he met his death, really. | 2:04:13 | 2:04:17 | |
And the deal was done in five minutes. | 2:04:17 | 2:04:19 | |
I'll never forget my sister-in-law coming here to get me | 2:04:19 | 2:04:21 | |
and I remember just squealing at her, | 2:04:21 | 2:04:23 | |
"Please, don't tell me my child is dead!" | 2:04:23 | 2:04:25 | |
And she kept saying, "They're working on him, | 2:04:25 | 2:04:28 | |
"they're working on him." | 2:04:28 | 2:04:29 | |
Begging the ambulance men, "Please, try... Help, please." | 2:04:29 | 2:04:33 | |
And they were saying, no, he was dead. | 2:04:33 | 2:04:35 | |
You hear the word "drug dealer" and you think - cocaine, heroin. | 2:04:40 | 2:04:43 | |
It's stark to think that there's prescription drugs in their hands. | 2:04:43 | 2:04:47 | |
Guy Spence is appalled by how many dealers now | 2:04:47 | 2:04:50 | |
peddle prescription drugs, but he is also shocked | 2:04:50 | 2:04:53 | |
by our figures that highlight the growing prescribing | 2:04:53 | 2:04:56 | |
of pregabalin, or Lyrica... | 2:04:56 | 2:04:58 | |
It's my generation | 2:04:58 | 2:04:59 | |
who is going to be affected by the use of these drugs, | 2:04:59 | 2:05:02 | |
moving forward. | 2:05:02 | 2:05:03 | |
..and, as a result, is calling for serious change. | 2:05:03 | 2:05:07 | |
I do think that the parameters for prescribing drugs | 2:05:07 | 2:05:10 | |
within the whole of the UK needs to be reassessed and reconsidered, | 2:05:10 | 2:05:15 | |
taking into account the effects of Lyrica. | 2:05:15 | 2:05:18 | |
Pfizer, which devised Lyrica, | 2:05:18 | 2:05:20 | |
told us the drug was found to be... | 2:05:20 | 2:05:24 | |
..for neuropathic pain, epilepsy and anxiety. | 2:05:24 | 2:05:28 | |
It said it had updated its labelling for Lyrica in 2014, | 2:05:28 | 2:05:31 | |
following a European review, and products carry warnings | 2:05:31 | 2:05:34 | |
about the risk of dependence, misuse or abuse in patients | 2:05:34 | 2:05:38 | |
with a history of substance abuse. | 2:05:38 | 2:05:40 | |
It said it would take part in the Home Office consultation | 2:05:40 | 2:05:44 | |
over plans to classify pregabalin as a Class C drug. | 2:05:44 | 2:05:47 | |
It is absolutely essential that, within Northern Ireland, | 2:05:47 | 2:05:51 | |
this review takes place because there is a quite dramatic increase | 2:05:51 | 2:05:55 | |
in the prescription of those medications. | 2:05:55 | 2:05:57 | |
In a statement, The Health and Social Care Board said it, | 2:05:57 | 2:06:00 | |
"recognises we have an issue that..." | 2:06:00 | 2:06:02 | |
It said, "There is an onus on GPs to prescribe drugs in accordance | 2:06:05 | 2:06:09 | |
"with symptoms reported by the patient. | 2:06:09 | 2:06:12 | |
"And while that relationship could be exploited, | 2:06:12 | 2:06:15 | |
"GPs are aware of the risks and exercise diligence." | 2:06:15 | 2:06:18 | |
It said it, "regularly monitors prescribing" and it has made calls | 2:06:18 | 2:06:21 | |
"for consideration to be given to more stringent controls | 2:06:21 | 2:06:24 | |
"over supply of the drug and its classification." | 2:06:24 | 2:06:28 | |
Deirdre Lennon lost her 19-year-old son | 2:06:30 | 2:06:32 | |
to a cocktail of prescription drugs two years ago. | 2:06:32 | 2:06:34 | |
Coamhan's death prompted the then coroner to say | 2:06:38 | 2:06:41 | |
he was increasingly concerned about toxic combinations | 2:06:41 | 2:06:44 | |
of prescription drugs. | 2:06:44 | 2:06:46 | |
-Can you actually see Coamhan's grave from here? -Yeah, Lyndsey. | 2:06:50 | 2:06:53 | |
Every morning, Deirdre is confronted by Coamhan's memory. | 2:06:53 | 2:06:57 | |
See, one, two, three | 2:06:58 | 2:07:00 | |
-four, five, six down? -Mm. | 2:07:00 | 2:07:02 | |
It's the middle grave, with the Bible on it and Our Lady. | 2:07:02 | 2:07:06 | |
As soon as I open my eyes in the morning... | 2:07:06 | 2:07:09 | |
Now, her only surviving son is fighting | 2:07:10 | 2:07:13 | |
his own addiction to drugs like Lyrica. | 2:07:13 | 2:07:16 | |
When we meet her, | 2:07:16 | 2:07:18 | |
she says she believes that he has not used for two weeks. | 2:07:18 | 2:07:21 | |
He's just...he's just existing. | 2:07:21 | 2:07:24 | |
I mean, um... | 2:07:24 | 2:07:27 | |
Rarely goes out. Never leaves the room. | 2:07:27 | 2:07:29 | |
It's just in my mind that I'm going to find him the same way, | 2:07:29 | 2:07:33 | |
if he doesn't stop the tablets. | 2:07:33 | 2:07:34 | |
And do you ever worry that...? | 2:07:35 | 2:07:38 | |
Yeah, every day. | 2:07:38 | 2:07:40 | |
Every day and every night. You just... | 2:07:40 | 2:07:43 | |
Cos you don't know the minute. | 2:07:43 | 2:07:44 | |
Just hoping and praying. | 2:07:44 | 2:07:46 | |
And I pray every day | 2:07:46 | 2:07:47 | |
that it doesn't happen again. | 2:07:47 | 2:07:49 |