The painkiller was so widely prescribed in the Sunshine State that just two years ago, 90 of the top 100 oxycodone-buying physicians in the nation were from Florida.
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Orlando, FL, USA
And the streets are feeling it.
"Our street sources tell us that the crackdown on pain clinics has had a definite impact on the price and availability of oxycodone," said Volusia County Sheriff's Office spokesman Gary Davidson. "We're still working about the same number of pill-related cases as in the past, although there has been a small uptick in morphine seizures."
Central Florida law enforcers say oxycodone is hard to come by these days, and when abusers and dealers can find the drugs they need, the pills can get prohibitively expensive.
Authorities say Central Florida physicians are prescribing less oxycodone now than in the past, partly because they're now being tracked by the Prescription Drug Monitoring Program. Some local pharmacists also are reluctant to fill prescriptions they think might be suspect.
That means abusers are turning to other drugs, such as the painkiller hydromorphone, investigators say.
And there are concerns across the country that heroin use could rise, and that overdoses could increase as abusers try drugs they aren't familiar with.
In Seminole County, narcotics investigators say they are seeing more hydromorphone on the streets, but it's not because that is the preferred drug.
"It is because it is cheaper and easier to acquire than oxycodone," said Sheriff's Office spokeswoman Heather Smith.
Law-enforcement officials in Orange County said they have encountered people with illegal hydromorphone during traffic stops, undercover buys and even when they're assisting the Department of Children and Families during child-welfare checks, according to a review of local arrest reports.
On a recent afternoon in east Orange County, deputies say, James Franklin Frost walked into a Walgreens on East Colonial Drive, implied he had a gun and placed a note on the pharmacy counter demanding prescription drugs.
He got away with about 600 Dilaudid pills, a brand name forhydromorphone, before being spotted by deputies in a wooded area near the pharmacy.
In April, Kyle Elden Shiver of Orlando was arrested after, authorities said, he agreed to sell an undercover detective 86 Dilaudid pills for $1,376.
Agents with the Metropolitan Bureau of Investigation, the task force that investigates prescription-drug cases in Orange and Osceola counties, say an oxycodone pill today can cost about $30 on the street.
In comparison, a Dilaudid pill will run about $15.
MBI Director Larry Zwieg said if addicts can't get their oxycodone, they're most likely going to try another drug.
That observation was mirrored in a national study recently published in the New England Journal of Medicine that looked at the illicit use of OxyContin before and after the painkiller was reformulated to make it more difficult to crush — a deterrent to abuse.