1. Ohio Opiate Trends The poison center perspective Alfred Aleguas, BS Pharm, PharmD, D.ABAT Director, Northern Ohio Poison Center Cleveland, OH

2. Ohio Poison Center Collaborative 3 Ohio poison centers serving 11.5 million –Northern Ohio Poison Center (NOPC), Cleveland –Central Ohio Poison Center (COPC), Columbus –Cincinnati Drug and Poison Information Center (DPIC) All 3 are certified by the American Association of Poison Control Centers (AAPCC); there are 57 such centers All data is transmitted into the National Poison Data System, in near real-time.

3. Stats Analyzed all opiate exposures from 2005- 2012 (extrap) for all of Ohio Looked at the numbers with an outcome of moderate, severe or death Compared the age ranges involved

4. Drugs Hydrocodone/APAP Oxycodone(+/- APAP) Methadone Morphine Tramadol Buprenorphine Oxymorphone Fentanyl