Courtesy Egalet
It's become enough of a problem that President Barack Obama mentioned prescription drug abuse as one of his top priorities in the first minutes of the State of the Union address.
With opioid medication being one of the most effective pain management methods and with abuse so rampant, scientists and regulators are trying to find the best ways to solve the problem of abuse.
At the JPMorgan Healthcare Conference in San Francisco this week, I got a glimpse of what that solution might look like: An indestructible pill.
Seriously. I tried breaking the pills that are in development at Egalet, including one like those in the picture above which is an extended release form of oxycodone. I wasn't offered any tools to take a whack at the pill, but I could tell: These pills are no match for the mere reporter.
And it's not just hands that can't crumble the pill into a powder form. Egalet has tested it against hammers, blenders - virtually anything someone might have laying around the house that could be used to crush a little pill. All to no avail. Even dissolving the pill or melting it won't quite work: It just converts into a not-so-pleasant smelly goop that can't fit into a syringe, Egalet CEO Bob Radie said.
For the most part, prescription pain medications are abused through either snorting or injecting the drug after a person has already graduated from taking multiple pills instead of the recommended dose. But that requires changing the format of the drug from a pill to a powder, or melting it into a solution. But with a virtually indestructible pill, that manipulation can't happen.
Here are some coffee grinders that lost their lives trying to crush Egalet's pills.
Broken coffee grinders at EGLT's Denmark office used to attempt to crush Guardian Technology product candidates. pic.twitter.com/1pWWqm1SaT
- Egalet Corporation (@EgaletCorp) October 20, 2015
Here's how Egalet's technology works: The company uses injection molding, a process typically associated with plastics.
"The same machinery that's used to make LEGOs, car bumpers, plastic bottles, no one's ever tried to take that and actually make an orally delivered pill before," Radie said. As weird as it sounds to ingest plastics, Radie said they're only using polymers that are safe to eat - the same ones found in vitamins and pills that are already available.
Egalet filed a new drug application with the FDA to get its extended release version of morphine approved in December 2015, with hopes that it will be approved by the end of this year and its extended release version of oxycodone not far behind that.