Category Archives: Treatment

Treating Drugs With Drugs: Heroin Addiction Treatment With Marijuana

The lesser of two evils. Fighting fire with fire. Throwing a Band-Aid at the problem? If you find yourself scratching your head in concern right now, you likely are not alone. Many of us may recall a time in school, out in the community, through the news, or various other sources when marijuana was referred to as the “gateway drug.” Ultimately suggesting the use of marijuana will open the flood doors and lead to the use of more and worse drugs. Now, we are seeing the very same drug being used as a way of treatment for heroin addiction. Believe it or not, some treatment facilities are even going as far as saying marijuana is a cure for heroin addiction. The adhesive on Band-Aids isn’t super glue and even super glue does not last forever.

While this claim has gained attention countrywide, there are still experts in the addiction field that are highly skeptical. Dr. Mark Willenbring for example, a psychiatrist who provides treatment to addicts (and formerly oversaw research at the National Institute for Alcohol Abuse and Alcoholism), believes that alternative approaches are needed for traditional drug treatment, but not this – stating “the concept on its face is absurd.” Dr. Willenbring, further states “I’m not prone to making exaggerated or unqualified statements and in this case I don’t need to make any: It doesn’t work.” — “Like trying to cure alcoholism with Valium.” Common sense should tell us substituting one drug for another doesn’t bring a solution. It develops yet another layer to the addiction. If the goal is ultimately to be drug-free, how is adding another drug to the mix an effective means of treatment?

Why Medical Marijuana?

The zeitgeist contradicting Dr. Willenbring’s perspective is that medical marijuana has reportedly become a less harmful way to treat certain diseases and ailments including but not limited to multiple sclerosis, arthritis, epilepsy, glaucoma, HIV, chronic pain, Alzheimer’s and various forms of cancer.

To complicate matters further, medical marijuana is now being used to treat substance use disorders. A 2014 study conducted by the Journal of the American Medical Association found that the death rates for opiate overdoses were significantly lower in states with medical marijuana as compared to states that continue to outlaw marijuana.

Let’s look at the other side of the coin…

Wait – isn’t marijuana still considered a drug? Therefore, medical professionals are essentially treating one form of substance use disorder with a different substance? Yes. Marijuana is still considered a Schedule 1 drug by the federal government. Why is this important? Well, Schedule 1 drugs are drugs that according to the United States Drug Enforcement Agency have certain characteristics which includes drugs or other substances that have a high potential for abuse. More notably, among the drugs considered to be a Schedule 1 drug is heroin. That’s right, we are now being told that marijuana – a drug with the same classification and the drug for which we are trying to cure an addiction to – heroin – is supposed to be a solution.

heroin-use-is-a-part-of-a-larger-substance-abuse-problem

As shown in the above image, the Centers for Disease Control and Prevention found that those addicted to marijuana are three times more likely to become addicted to heroin. Haven’t we learned from past attempts to treat drug use with additional drugs that put us at risk for comorbid addiction? The late 19th and early 20th centuries were characterized by using morphine to treat alcohol addiction. The next “solution” was to treat all the morphine addicts with, wait for it, heroin! Additional renditions of using drugs to treat drugs continue to occur, with an eerie feel that we’re in a Simpson’s episode, blindly following Seymour Skinner’s philosophy on extinguishing invasive species.

What are the prescribers saying and doing?

Several states are authorized to dispense medical marijuana to treat opioid addiction however, there are opposing points of view. While it’s possible that close monitoring of a program using medical marijuana to treat heroin addiction, the ongoing concern is that we’re just creating a second addiction which will eventually be super ceded by the harder drug, heroin.  This suggests that long-term monitoring with significant attempts to ensure accountability for heroin addicts will be necessary for successful prescription of medical marijuana.

While there is data that suggests using medical marijuana as an effective harm reduction approach in reducing opioid overdose mortality, do we want to continue using addictive drugs to treat drug addiction considering the aforementioned failed attempts? The Yale Journal of Biology and Medicine suggests using the following prevention techniques to curb our populations’ initial and current involvement with illicit and prescribed drugs:

  • Education
  • Targeting high-risk populations
  • Targeting those with a history of substance use disorders
  • Involve immediate and extended family members
  • Propaganda discouraging the sharing of prescription opioids
  • Encourage appropriate disposal of unused and expired opioids
  • Medication take back days
  • Prescription monitoring programs
  • Increase prescriber use of pain contracts

To drug, or not to drug: is it even a question?

There’s significant history suggesting that using addictive substances to treat substance use disorders is highly (no pun intended) unsuccessful. An argument can be made that marijuana is the least of its preceding evils (i.e. morphine, OxyContin, hydrocodone). Despite marijuana being excused as much less harmful drug, by the buyers and sellers, an argument can be made that marijuana can be debilitating and increase the risk of harm to the user and those around him or her.

Should we prescribe to this new school of thought, how can we actually determine that medical marijuana is a solution? Will states be willing to install an infrastructure that sanctions those in receipt of medical marijuana so they can have a license to operate a motor vehicle while under the influence? How does one get to work if they smoked three hours before a shift starts? What if that employee needs the marijuana to control his or her chronic pain at their place of employment? How does that affect those in rural areas that don’t have access to public transportation? Are we contradicting the ‘buzzed driving is impaired driving’ campaign? These are important questions that seemingly have not been answered yet.

We all undoubtedly want to find the solution for drug addiction – especially when it comes to heroin as it has claimed so many lives. But at what cost? Normalizing drug use has a history of being a slippery slope. Operating a motor vehicle is just one of the seemingly infinite variables that will need to be addressed and we’re doing it on whim with an absence of years of conclusive studies and evidence.

So many questions with so few answers

If we’re betting on history and lobbying against prescribing addictive drugs to treat drug addiction, something’s got to give. Between 2001 and 2015, the rate of opioid overdose fatalities quadrupled. What’s interesting is that many longitudinal studies on marijuana use are tainted because the people being studied are often combining marijuana with other illicit drugs, including heroin. The studies are further skewed by the increasing THC content in marijuana over the last couple of decades. So, we’re trying to study marijuana use but its historical cautionary slogan of it being a gateway drug is becoming true to those that are trying to push it through legislation. Follow the money! Taxes in states with legal medical marijuana are much lower than their counterparts.

Need for a cure

Not only have the heroin-related overdoses deaths quadrupled over a fifteen year period but individuals using heroin are likely to also be abusing multiple other substances, including cocaine and prescription opioid pain relievers. It is estimated that nearly all people who use heroin also use at least one other drug. Based on this information alone – yes we are in desperate need for a cure.

One way to combat the heroin epidemic is to educate yourself and the ones you love on the risk factors associated with the addiction. The following are some risks of those most at risk of heroin addiction:

  • People who are addicted to prescription opioid pain relievers
  • People who are addicted to cocaine
  • People without insurance or enrolled in Medicaid
  • Non-Hispanic whites
  • Males
  • People who are addicted to marijuana and alcohol
  • People living in a large metropolitan area
  • 18 to 25 year olds

Do any of the above apply to you or someone you love? The risks are not limited to these situations as the Centers for Disease Control and Prevention has found that some of the largest increases actually occurred groups with historically low rates of heroin use. These demographic groups include women, the privately insured and people with higher incomes. It appears there are no bounds when it comes to the heroin epidemic.

Perhaps most notably, as it relates to the current subject matter, one of the risks associated with heroin addiction is in fact people who are addicted to marijuana and alcohol. Based on this alone, how are doctors considering using a drug that increases an individual’s risk to become addicted to heroin as a cure?

In conclusion

While it is quite clear that there is a need for a cure for heroin addiction and other substance use disorders, it is not as clear that medical marijuana is the solution. Since there is no time to lose as heroin addiction is truly a life threatening disorder, instead of relying on this new treatment with medical marijuana which has very little scientific backing, there are multiple other treatment and prevention options available to you or someone you love.

responding-to-the-heroin-epidemic

Below are some options which may be the right fit for you or someone you love:

  • Medications. There are several medications which aided individuals who are trying to combat their addiction. These medications have been well-researched and also are FDA-approved.
  • Therapy and support groups. This option may suit you or someone you love as well. No one treatment is the right treatment for everyone. Speaking with a professional will help find the right treatment plan for the individual and may just be the missing piece to the puzzle to aid in recovery.
  • Call SAMHSA 24-hour national helpline. If you are not sure where to start, please pick up the phone. The helpline is always available to you or someone you love and it is an invaluable resource as something as simple as reaching out may just save a life.

Most importantly, whatever treatment is right for you, the time for treatment is now. Don’t waste anymore of your life – get help before it is too late.

The American Opioid Epidemic

 

Between 2000 and 2014, American rates of death from opioid overdose have tripled from three deaths per 100,000 people to nine per 100,000. That adds up to 28,647 deaths in 2014. While the number of heroin overdoses has made a rapid climb, the majority of the lethal overdoses involve prescription opioids  –  and the heroin crisis is closely tied to prescription drugs, since many users become addicted to a prescription opioid before switching to the street drug. In March 2015, U.S. Department of Health & Human Services Secretary Sylvia M. Burwell announced an initiative targeting three priority areas to tackle the opioid epidemic and help save lives. These include: improving prescribing practices, expanding access to and the use of medication-assisted treatment, and expanding the use of naloxone.

The abuse of opioids, a group of drugs that  includes heroin and prescription painkillers has had a devastating impact on public health in this country. According to the CDC approximately 100 Americans died from drug overdose every day in 2010. Prescription drugs were involved in well over half of the 38,300 recorded fatal overdoses and opioid pain relievers were involved in 16,600 of those deaths.

Overdose Deaths Involving Opioid Analgesics

Research shows that many non-medical users obtain prescription medications from family and friends.

How Different Misusers of Pain Relievers Get Their Drugs

Today, more Americans die from drug overdoses than car crashes or gun fatalities. In total, drug overdoses killed 47,000 people in the United States in 2014, the latest year for which data is available. That’s 130 deaths per day, on average.

 

The majority of those deaths – 29,000, or 80 per day – involved an opioid.

Between 1999 and 2014, the overdose epidemic spread from a few concentrated pockets in Appalachia and northern New Mexico to nearly every corner of America. The opioid overdose crisis began early in central Appalachia, a region encompassing much of West Virginia and eastern Kentucky. The largely rural area – dominated by physically taxing industries, including coal mining, agriculture and timbering – was susceptible to the pain-relief promise of prescription opioids such as OxyContin and Vicodin. These painkillers were aggressively marketed throughout the 1990s and early 2000s. As prescriptions proliferated, so did misuse and abuse. In central Appalachia, as in many parts of the country, the prescription painkiller epidemic also fuelled the influx of a cheap, alternative opioid: heroin. As painkiller-related deaths began to fall in the early 2010s following federal and state crackdowns on prescription opioids, heroin-related deaths began to rise.

In the west, New Mexico showed earliest signs of the looming overdose crisis, but Utah was not far behind. The state’s overdose death rate climbed steadily during the early 2000s, driven by growing prescription opioid dependence. But Utah lawmakers took action early. In 2007, they established a two-year public health-based program to combat painkiller misuse. Over the next three years, prescription opioid-related overdose deaths dropped more than 25%, but the success was short lived. After funding ran out in 2010, deaths began to climb again. Drug overdose deaths in Utah continue to be fueled by prescription painkiller misuse, often in combination with other depressant drugs . Though heroin deaths have made a smaller impact in the state, they are also on the rise. Now, six years after the Prescription Pain Medication Program program ended, the Utah house of representatives declared drug overdose deaths to be a public health emergency, and passed a slate of new public health measures, including the legalization of needle-exchange programs.

New England Opioid Overdose RatesNew England is grappling with a more recent scourge. Since 2013, New Hampshire, Massachusetts, and other north-eastern states have seen large spikes in overdose deaths attributed to increasing heroin use and the introduction of a new deadly drug: Fentanyl. Fentanyl, a synthetic opioid 50 times more potent than heroin, first appeared in the region around 2012, making its way down from Canada. Suppliers often cut the drug into heroin or other substances before selling it to users who may not know exactly what they’re buying. Because of its strength – and users’ unfamiliarity with it – fentanyl has proven particularly deadly.

In the face of these new challenges, Massachusetts and other north-eastern states have begun to expand prevention efforts and access to treatment programs. Naloxone, a drug that can reverse opioid overdoses, has become more widely available throughout the region and local harm-reduction initiatives are being tested.

 

Meanwhile, Fentanyl has surfaced in several more states, including Ohio and Florida.

Florida, once known as the prescription drug capital of America. began cracking down on “pills mill” clinics in 2010. Soon after, the state’s drug overdose death rate took a downward turn, declining through 2013.But by 2014, deaths were inching back up in Florida too.

Florida did a good job of cracking down on the supply side, but at the same time they actually cut treatment funding. Not addressing the demand side of the problem has contributed to the continuing of the epidemic.

Though postponed for a few years, Florida’s overdose crisis has progressed along a familiar pattern: a wave of prescription opioid abuse followed by heroin and, soon after, fentanyl.

More recently, fentanyl has cropped up in a previously unseen form: fake Xanax pills. The “death pills”, as they have become known, have also been found in California, Indiana and other parts of the mid-west.

Opioid Overdose DeathsIn October 2015, the President issued a Memorandum to Federal Departments and Agencies directing important steps to combat the prescription drug abuse and heroin epidemic. You can find it here.

In March 2016 HHS awarded $94 million to health centers in Affordable Care Act funding to help treat the prescription opioid abuse and heroin epidemic in America. This funding covers 271 health centers in 45 states, the District of Columbia, and Puerto Rico to improve and expand the delivery of substance abuse services in health centers, with a specific focus on treatment of opioid use disorders in underserved populations.

Administered by the HHS Health Resources and Services Administration (HRSA), these awards to health centers across the country will increase the number of patients screened for substance use disorders and connected to treatment, increase the number of patients with access to MAT for substance use disorders and opioid treatment, and provide training and educational resources to help health professionals make informed prescribing decisions. This $94 million investment is expected to help awardees hire approximately 800 providers to treat nearly 124,000 new patients.

Research demonstrates that a whole-patient approach to treatment through a combination of medication and counseling and behavioral therapies is most successful in treating opioid use disorders. In 2014, over 1.3 million people received behavioral health services at health centers, This represents a 75 percent increase since 2008 and was made possible with support from the Affordable Care Act (ACA) and the Recovery Act.

 

Opioid Treatment Options are Available

If you can’t stop taking a drug even if you want to, or if the urge to use drugs is too strong to control, even if you know the drug is causing harm, you might be addicted to opiates. Are you thinking about opioid treatment? Here are some questions to ask yourself:

  1. Do you think about drugs a lot?
  2. Did you ever try to stop or cut down on your drug usage but couldn’t?
  3. Have you ever thought you couldn’t fit in or have a good time without the use of drugs?
  4. Do you ever use drugs because you are upset or angry at other people?
  5. Have you ever used a drug without knowing what it was or what it would do to you?
  6. Have you ever taken one drug to get over the effects of another?
  7. Have you ever made mistakes at a job or at school because you were using drugs?
  8. Does the thought of running out of drugs really scare you?
  9. Have you ever stolen drugs or stolen to pay for drugs?
  10. Have you ever been arrested or in the hospital because of your drug use?
  11. Have you experienced an opioid overdose?
  12. Has using drugs hurt your relationships with other people?

If the answer to some or all of these questions is yes, you might have an addiction. People from all backgrounds can get an addiction. Asking for help is the first important step. Visiting your doctor for a possible referral to opioid treatment is one way to do it. You can ask if he or she is comfortable discussing drug abuse screening and opioid treatment. If not, ask for a referral to another doctor. You can also contact an addiction specialist about opioid rehab. There are 3,500 board-certified physicians who specialize in addiction and opioid treatment in the United States.

Taking the Steps to Overcome Heroin Addiction

Heroin is a growing epidemic in the United States. Each day thousands of men and women fall victim to heroin addiction, many losing their lives early on in their battle. If you are addicted to heroin and ready to get clean, know you are not alone. With thousands of treatment centers across the nation you can get the help you need to overcome heroin addiction.

 

Admit You Have a Problem

It’s easy to make excuses to why you can’t stop using heroin. We know it’s hard to quit, but you have taken the first step in getting clean by admitting you have a problem and that is never easy. Now that you have admitted you have a problem it is important to immediately seek the help you will need to get clean.

 

Starting Treatment

Whether you found a treatment center by word of mouth, a google search or your Doctor’s recommendation, it is great that you took the step to find the help you need to get clean. Starting treatment can be scary, you don’t know what to expect and withdrawal symptoms are starting to kick in. With a brief intake assessment, Doctors and staff will have a full understanding of your addiction and will put together an individualized treatment plan to help you move forward in overcoming your addiction to heroin.

 

Detoxification

Withdrawal is horrible, that is saying the least. You will experience withdrawal symptoms that vary in severity, some making you feel as if you are going to die. This is why detoxification is so important. During this time you will be monitored by nursing staff that will help to ensure your health, safety and comfort. Doctors will prescribe medications to ease symptoms of withdrawal and help you to stabilize, allowing you to move forward in your treatment.

 

Rehabilitation

addiction-recoveryThe rehabilitation process is vital in helping you to overcome heroin addiction. You will go through therapy, individual counseling and group counseling sessions to help you get to the root cause of your addiction and work through it, while educating you on your addiction and helping you to develop the tools needed to overcome heroin addiction and maintain your sobriety in your day to day life.

Tomorrow is a new day, do not let your past get in the way of your future. Start taking the steps needed to overcome heroin addiction today.

Overcoming Heroin Addiction

Heroin addiction is a growing problem throughout the United States. It does not discriminate on who it consumes, affecting men and women of all walks of life. This highly addictive drug is ripping families apart, taking a once happy person and turning them into a drug seeking zombie that only cares about getting their next fix. With no end in sight, the only thing that can be done is educate the public on the dangers of heroin, speak to our children, and offer our support to those who have fallen victim to heroin addiction.

overcoming-heroin-addiction

Getting Out of the Hole of Addiction

When addicted to heroin is can feel like there is no way out. Stopping heroin results in horrible pain as the body withdrawals, only sending you back to the drug for comfort. If you manage to get past the first 72 hours in withdrawal, if you don’t have the right mindset you can easily fall victim to temptation again. To get out of the hole of addiction you do not only need to admit that you have a problem but to seek treatment to help give you a true foundation to start in your recovery.

 

Turning to Chemical Dependency Treatment Professionals

Sure it is possible to quit cold turkey, but the likelyhood of this being an effective way to kick your heroin addiction is slim. Turning to chemical dependency treatment professionals to undergo detoxification, rehabilitation and aftercare will give you the medical treatment, educational tools and support needed to overcome your addiction to heroin.

 

Starting The Treatment Process

You can overcome your heroin addiction with the help of chemical dependency treatment professionals. First you will go through an intake assessment, this will help staff to determine the severity of your addiction and start putting together an individualized treatment plan.

 

Next you will move onto the detox process where you will begin to cleanse the body of the harmful chemicals and toxins related to heroin abuse. During this time you will be monitored to ensure your health and safety, the doctor will prescribe you medications to ease symptoms of withdrawal.

 

After the physical symptoms of withdrawal have been controlled you will move forward to begin the rehabilitation process. There you will go through various therapy and individual counseling sessions, as well as daily group therapies to help you get a true understanding of your addiction and develop the skills needed to maintain your sobriety in your day to day life.

 

When your Therapist and other clinical staff feel you are ready to return home you will work together with them to create an aftercare plan. This will include an outpatient therapy program, NA meetings, a doctor to monitor your medications and to create a support system for when you return home. All of this will help to keep you on the road of recovery, helping you to overcome heroin addiction and move forward to create a more fulfilling and healthy life for yourself and your family.

 

Want to Learn more about Heroin Addiction?

Resources and Organizations

  1. DrugAbuse.gov – https://www.drugabuse.gov/publications/drugfacts/understanding-drug-abuse-addiction
  2. DrugPolicy.org – http://www.drugpolicy.org/drug-facts/heroin-facts
  3. HHS.gov – http://www.hhs.gov/opioids/
  4. American Academy of Addiction Psychiatry

Heroin Addiction Treatment

Heroin addiction is a growing epidemic in the United States. It typically affects young white males between the ages of 18 and 23 years old, however heroin does not discriminate and affects men and women of all ages, races and social backgrounds. Each year thousands of people lose their lives to heroin overdose, nearly 80% of which are deemed accidental.

Taking The First Step

If you are suffering from an addiction to heroin and are ready to take the first step in your recovery by admitting to your problem and asking for help, there are thousands of treatment facilities ready to take you in and help you overcome addiction.

Cleansing The Body

The first aspect in any heroin addiction treatment program will begin with detoxification. This process allows the body to be cleansed of the chemicals and toxins related to heroin abuse. The detoxification process takes place in a hospital-type setting with 24-7 medical supervision to ensure your safety and comfort. Depending on the severity of your addiction you may receive medications to ease symptoms of withdrawal. The detox process can take as little as 3 days, upwards of 2 weeks.

Cleansing the Mind and Soul

The rehabilitation process will help you to cleanse your mind and soul from the damaging effects of heroin addiction. With typical, individual and group counseling, as well as other alternative therapies you will be able to get a better understanding of your addiction and to develop the key tools needed to maintain your sobriety in your daily life.

Regardless to the severity to your addiction, with the right treatment and the self motivation you will be able to overcome heroin addiction and to move forward to living a more fulfilling life in recovery.