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Prescriptions for opioid painkillers have increased by 60 per cent in the UK during the last decade, and the number of codeine-related deaths in England and Wales has more than doubled.

The government is now planning to put prominent warnings about the dangers of addiction on the packaging of opioid medicines, to protect people from 'the darker side of painkillers' - as Secretary of State for Health Matt Hancock put it.

This is an effort to avoid the situation in the United States where 130 people die every day from opioid-related drug overdoses, which has prompted President Donald Trump to declare a national health emergency.

But are we really on the precipice of our own epidemic?

David Aaronovitch asks how the situation got so out of control in the USA and whether the UK should do more to regulate painkillers containing opioids.

CONTRIBUTORS

Sam Quinones, journalist and author of 'Dreamland: The True Tale of America's Opiate Epidemic'.

Dr Raeford Brown, former chair of the FDA's Anesthetic and Analgesic Drug Products Advisory Committee

Dr Luke Mordecai, consultant anaesthetist at University College Hospital, with research focus on opiate use and complex pain

Professor Leslie Colvin, chair of pain medicine, University of Dundee

Dr Emily Finch, consultant addiction psychiatrist at the South London and Maudsley NHS Trust

Producers: Serena Tarling & Richard Fenton-Smith
Researcher: Kirsteen Knight

Details of organisations offering information and support with addiction are available at bbc.co.uk/actionline, or you can call for free at any time to hear recorded information on 08000 155 947.

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