Tag Archives: addiction-treatment

The other side of Suboxone

The other side of Suboxone – KevinMD – July 2018 – by Dennis Wichern

There are no good or bad opioids, there are only good or bad ways to use them.

A lot has been written about Suboxone, the buprenorphine treatment drug.

For many, Suboxone acts as an effective medication to treat opioid addiction.

For others, it’s a highly-valued street drug that is commonly diverted and misused. To understand and acknowledge the darker side of Suboxone we have to look back at its history over the past 16 years.   Continue reading

Opioid bills could net millions for companies

Opioid bills could net millions for companies – By Adam Cancryn –  June 2018

The House is touting passage of dozens of bills that could help combat the national opioid crisis — but a small handful of companies that have spent millions lobbying Congress could reap a windfall if any of the bills become law.

In a two-week legislative blitz, the House cleared several narrowly tailored measures that would spur sales for companies that have ramped up their influence game in Washington, according to a review of the more than five dozen bills up for votes.

Those poised to benefit include:   Continue reading

What the media gets wrong about opioids

What the media gets wrong about opioids – By Maia Szalavitz – Aug 2018

After Jillian Bauer-Reese created an online collection of opioid recovery stories, she began to get calls for help from reporters. But she was dismayed by the narrowness of the requests, which sought only one type of interviewee.

They were looking for people who had started on a prescription from a doctor or a dentist,” says Bauer-Reese, an assistant professor of journalism at Temple University in Philadelphia. “They had essentially identified a story that they wanted to tell and were looking for a character who could tell that story.”  

Just like the latest research on opioids, the result is assumed before they even start. I don’t understand how this negligence became standard practice. Continue reading

Moral Crusades and Moral Panics as Means of Social Control

Moral Crusades and Moral Panics as a Means of Social Control in the Medical Profession – March 2016

Though the author is writing about the witch hunt and punishment of doctors suspected of drug abuse, this article is equally pertinent to pain patients who are always suspected (if not downright accused) of drug abuse.

Sociologist Stanley Cohen  used the term ”moral panic” to characterize the amplification of deviance by the media, the public, and agents of social control.

Labeled as being outside the central core values of consensual society, the deviants in the designated group are perceived as posing a threat to both the values of society and society itself.  Belief in the seriousness of the situation justifies intolerance and unfair treatment of the accused. The evidentiary standard is lowered.   Continue reading

Overdose and Other Drug and Addiction Myths

Overdose and Other Drug and Addiction Myths  – Psychology Today – by Stanton Peele Ph.D. – Jan 2018

  1.  Drug Overdose

Tom Petty died from, according to the New York Times headline (link is external), an “Accidental Drug Overdose.”

Here’s the coroner’s list of the drugs found in Petty’s system:

  1. fentanyl,
  2. oxycodone,
  3. temazepam,
  4. alprazolam,
  5. citalopram,
  6. acetyl fentanyl and
  7. despropionyl fentanyl. 

Continue reading

Hyperalgesia in Buprenorphine Maintenance Treatment

Pain Tolerance in Buprenorphine Maintenance Treatment – by Brandon May – April 13, 2018

Here’s an article showing the potential danger of this treatment, which results from buprenorphine binding more tightly to opioid receptors. Therefore it blocks more effective opioids while not relieving pain as well itself.

The actual study detailed in this article has a more bluntly honest title: Buprenorphine maintenance subjects are hyperalgesic and have no antinociceptive [pain relief] response to a very high morphine dose .

And from Wikipedia: “People on high-dose buprenorphine therapy may be unaffected by even large doses of opioids for episodes of acute pain. It is also difficult to achieve acute opioid analgesia in persons using buprenorphine for opioid replacement therapy.”    Continue reading

Is Device To Ease Opioid Withdrawal Effective?

Questions Raised About Study Of Device To Ease Opioid Withdrawal– May 2, 2018 – NPR – by Jake Harper

The financial sharks are attracted to the “opioid crisis” (we are merely chum in the waters), seeing in it an opportunity to make huge profits.

Becuase there is no real science involved in determining who needs addiction-treatment, they can sell anything that seems to be even a little bit effective.

To the untrained, the evidence looks promising for a new medical device to ease opioid withdrawal. A small study shows that people feel better when the device, an electronic nerve stimulator called the Bridge, is placed behind their ear.   Continue reading

Epidemic of Unethical Addiction Treatment Providers

Fraud’s Newest Hot Spot: The Opioid Epidemic And The Corresponding Rise Of Unethical Addiction Treatment Providers – April 2018 – by Anuradha Rao-Patel, Michael Adelberg,  Samantha Arsenault,  Andrew Kessler

For decades, bad actors have followed the money through a string of sophisticated scamspower wheelchairs, home health, ambulance and medical transport, and counterfeit medicines.

SUD treatment was a $9 billion per year industry in 1986 and is now a $35 billion industry that is expected to reach $42 billion in 2020.

Now, the burgeoning opioid crisis is a hot spot for health care fraud.   Continue reading

You can escape addiction on your own

Government Says You Can’t Overcome Addiction, Contrary to What Government Research Shows – Stanton Peele | February 1, 2014

Nadine remembered the first lecture she and her fellow residents heard in rehab: “You all have been born with a genetic disposition to be alcoholics, from which you can never fully recover,” announced the official-looking man at the front of the room

The idea of biological determination of alcoholism and addiction is a given in American culture, inside of treatment and out.

The truth is, the vast majority of people quit addictions on their own. Every population study (that is, research with people not in treatment) tells us this.   Continue reading

Involuntary treatment for substance use disorder

Involuntary treatment for substance use disorder: A misguided response to the opioid crisis – Harvard Health Business Blog – Jan 2018 –  By: Leo Beletsky, JD, MPH, Contributor, Elisabeth L. Ryan, JD, MPH, Contributor and Wendy E. Parmet, JD, Contributor

Recently, Massachusetts Governor Charlie Baker introduced “An Act Relative to Combatting Addiction, Accessing Treatment, Reducing Prescriptions, and Enhancing Prevention” (CARE Act) as part of a larger legislative package to tackle the state’s opioid crisis.

The proposal would expand on the state’s existing involuntary commitment law, building on an already deeply-troubled system. Baker’s proposal is part of a misguided national trend to use involuntary commitment or other coercive treatment mechanisms to address the country’s opioid crisis. 

This is the next logical step in the politicians’ efforts to stop the “opioid crisis” by brute force.  Continue reading