Have you been directly affected by the opioid epidemic in America? Millions of people have become addicted to these powerful drugs—and for many, that addiction started with a legally prescribed medication to treat legitimate pain. One report estimated that more than 59,000 people died from drug overdoses in 2016—and most of those were caused by opioids. The President has even declared opioid abuse a national public health emergency.

I’ve written before in this space about the opioid epidemic and the massive opioid litigation gearing up across America as well as the establishment of centralized multidistrict litigation. So far, these cases primarily involve state and local governments suing opioid manufacturers and distributors for their roles in the opioid crisis.

No doubt governments have suffered financial losses from the skyrocketing number of overdoses requiring emergency treatment. In North Carolina alone, the cost of opioid-related accidental overdose deaths was estimated at $1.3 billion in 2015.

But if you’re a victim of the opioid epidemic—either through your own addiction or that of a loved one—you may be wondering whether you’ll ever see any benefit from these government lawsuits or whether you can sue directly. After all, the government’s losses are secondary, while you may have lost your job, home, relationships, or loved one.

Will these government lawsuits affect your ability to file your own case? The answer depends both on who might be responsible for the harm and how you could hold them accountable.

Who’s Responsible?

The government cases have focused on drug manufacturers and distributors. They allege that these businesses overzealously marketed opiates for pain treatment, misrepresenting their risks and benefits.

Other lawsuits have gone after doctors, arguing that they negligently prescribed addictive drugs without fully explaining the risks. It’s easy to see why doctors are targets: The Centers for Disease Control and Prevention (CDC) reported that “In 2015, the amount of opioids prescribed was enough for every American to be medicated around the clock for 3 weeks.”

With that kind of rampant overproduction and overuse, and drugs that prove addictive to as many as one person in every four who receives an opioid prescription, this epidemic might have been unavoidable.

How Are These Drug Suppliers Responsible?

In product liability cases, there are three general ways to hold a manufacturer or seller responsible for the injuries to someone who is hurt using a product. That product might have:

• A defective (and dangerous) design. Think of tobacco, for example—if used as intended, it causes serious negative health effects.
• A manufacturing defect. A product that is otherwise safe might have been produced in a way that made it unsafe. For example, if a batch of ice cream is accidentally contaminated with salmonella as it is mixed, that is a manufacturing defect.
• A defect in warnings. A product might be unsafe in certain predictable situations, yet the manufacturer or distributor failed to warn customers about those risks. If a toxic household cleaner didn’t advise users to wear gloves that could qualify as a failure to warn.

The most likely avenue for opioid litigation by individuals is the third, a failure to warn patients of the risks of addiction. But one of the problems with opioid litigation is that each potentially responsible party can blame someone else. Manufacturers and distributors point the finger at doctors who over-prescribed drugs, while doctors argue that they didn’t understand the risks either, given the heavy promotion from pharmaceutical companies.

As an individual, this finger-pointing is especially problematic, because there will always be a finger pointing back at you.

Misuse of Narcotics

In most product liability cases, people are injured using a product in the way it was designed to be used. This is how the tobacco litigation unfolded: people were injured because they were smoking cigarettes, not because they were misusing cigarettes.

Unfortunately, the fallout from opioid abuse generally comes from off-label use, where people start using more of the medication than they were supposed to. Many people become so desperately addicted that they resort to street drugs like heroin to satisfy their physical cravings.

Manufacturers, distributors, and doctors can all argue that the addict is responsible for the destructive effects of opioids. If the patient had stuck to the prescribed dose, none of this would have happened! Governments avoid this problem, because they had no role in that off-label use.

But is it really your fault if you became addicted to opioids? If you’re like most people prescribed these potentially addictive narcotics, you weren’t an addict before you got that prescription. Addiction is a disease; the negative or even illegal behavior that follows is arguably caused by the addiction itself. When the addiction was a foreseeable consequence of the original prescription, are you solely responsible for that conduct?

That’s the question we’re interested in examining. At least some courts are trying to make sure that the government lawsuits don’t impede the right of affected people to sue individually. Expect to see more here about opioid litigation—both government and individual—in the future.

Over the past few years, an opioid epidemic has caused horrific problems for many regions of the country. In 2015 alone, the US Department of Health and Human Services estimated that 12.5 million people misused prescription opioids, causing over 33,000 overdose deaths. In 2013, the opioid epidemic resulted in $78.5 billion in economic losses. In response to this tragic loss of life and the economic strain placed on many state and local governments, several lawsuits have begun.

What Exactly Are Opioids?

Opioids are synthetic or semi-synthetic forms of opiates (like morphine). Opiates are derived directly from the poppy plant while opioids are manufactured chemicals that are very similar to opiates.

Opioids are used as painkillers and prescribed to patients to treat a variety of medical conditions where moderate to severe pain is a concern. Commonly prescribed opioids include:

• Oxycodone (OxyContin)
• Hydrocodone (Vicodin)
• Fentanyl

Opioids are effective at relieving pain, but unfortunately, they are extremely addictive and often lead to overdoses and the use of stronger (and more dangerous) illicit drugs. The causes of the opioid epidemic are complex, but one approach to combating it is to seek relief in the courts by going directly after the opioid makers.

The Basis for Opioid Lawsuits

Both individuals and local governments have sued the pharmaceutical companies under a variety of legal theories, although they are often based on the idea that the makers of opioids downplayed the risks of opioids while exaggerating their benefits.

These lawsuits are in new legal territory, but parallel some of the earlier lawsuits where states sued Big Tobacco and firearms manufacturers for the number of deaths and the financial toll their products were taking on the general population and state budgets.

If the opioid lawsuits have the same ending as the lawsuits against cigarette companies, states and municipalities may be able to help pay for fighting and treating the opioid crisis. For example, when the lawsuit against Big Tobacco settled, it resulted in the largest civil settlement in history, amounting to tens of billions of dollars. Continued payments are made by cigarette companies forever to help states treat their sick citizens suffering from tobacco-related illness and disease.

However, the opioid lawsuits face potential challenges that may not guarantee victory. For example, the opioid crisis has many causes, not just the pharmaceutical companies allegedly marketing their opioid products incorrectly.

For example, opioid abuse is the result of doctors who are overprescribing opioids and (questionable) scientific studies incorrectly concluding opioids were non-addictive. In addition, many of the abused opioids are obtained illegally by users and prescription medication distributors often don’t halt suspicious orders for opioids. Despite these challenges, there have been early successes in the opioid litigation.

For example, in 2004, the state of West Virginia settled its lawsuit against Purdue Pharma, the makers of OxyContin, for $10 million. And in 2007, Purdue Pharma agreed to pay $130 million for future civil lawsuit settlements brought by private parties, such as patients who were prescribed OxyContin.

Current Status of Opioid Lawsuits

Recently, many of the opioid lawsuits have been brought by government plaintiffs, such as states, counties and cities. Several of these plaintiffs include:

• The state of Ohio
• Cherokee Nation
• The city of Everett, Washington
• Santa Clara and Orange counties in California
• Orange, Nassau, Broome, Erie and Suffolk counties in New York
• The city of Chicago, Illinois

Most of these lawsuits have been brought within the past few months, so we need more time to see the direction they will take. Regardless of the outcome of these cases, the mounting pressures from the opioid crisis is starting to make a difference in other ways.

For example, in June 2017, the U.S. Food and Drug Administration (FDA) asked Endo Pharmaceuticals to voluntarily pull one of its opioids, Opana ER (oxymorphone hydrochloride) from the market. The FDA made this recommendation on the basis that Opana ER was being abused in ways where the benefits from having the drug available in the market were outweighed by its risks. For example, Opana ER was being manipulated so that it could be injected. Besides the obvious addiction and overdose risks, this new method of abusing the drug created outbreaks of diseases, such as HIV and hepatitis C.

I suspect opioid lawsuits will increase dramatically over the next few years. With opioid litigation having only just begun, stay tuned to this blog for any additional updates.