Category Archives: Prescription Drugs

CVS Standing For Life and Safety

methadone-recovery-1It was announced late last month that CVS Drugstores intends to expand their provision of non-prescription naloxone into 12 additional U.S. States. Currently, they provide naloxone over-the-counter in Rhode Island and Massachusetts, but will begin offering the life-saving medication in California, Minnesota, Mississippi, Arkansas, Montana, New Jersey, North Dakota, Pennsylvania, Tennessee, Utah, South Carolina, and Wisconsin.

Naloxone has gained attention in recent years due to its ability to reverse opioid overdoses. Over 44,000 people have died annually in the United States from drug overdose with a majority of those stemming from heroin or prescription pain medication. Naloxone has been successfully utilized in emergency rooms and on site in communities around the country reversing opioid overdose and saving thousands of lives.

It is critically important to recognize that people who have suffered with addiction are sometimes close to a lasting recovery. There is a popular expression used lately that is somewhat stark though true and thought-provoking. The expression goes “You can’t recover if you’re dead.” While this may sound off-putting to some, it reminds us that people stuck in years of painful addiction can, and do, change. We would much rather have naloxone readily available to save a life and to provide a son, daughter, or friend the opportunity to change direction.

An addicted individual could be much closer to choosing a life of recovery than we might imagine. This happens on a daily basis. How, and when, someone recovers from addiction is hard to predict. All we can do is to offer them an open door to a new and better life.

More Articles on Naloxone

Methadone and Other Medications

doc66Methadone is FDA-approved for pain management and the treatment of opioid addiction. Methadone is a relatively safe and highly effective medication when used exactly as prescribed. It is currently in use in the United States and around the world following years of conclusive research on methadone’s efficacy and safety.

It is important for patients receiving methadone to know that it can interact with other central nervous system depressants like alcohol and benzodiazepines such as xanax, klonopin, valium, and librium as well as similarly acting non-benzodiazepine agents like ambien (a popular sleep aid). When methadone is mixed with these other medications, there is an increased risk of sedation and loss of consciousness. In extreme cases, individuals mixing methadone and other CNS depressants have gone into respiratory failure.

For those who have chosen to receive methadone in an opioid treatment program, they will discover that a proper dose of methadone not only eliminates opiate withdrawal & cravings, but will also block the euphoric effects of any other opiates. This is typically a positive side effect in that it discourages illicit opiate use or supplementing with street drugs like heroin. Since methadone binds so well to the brain’s opiate receptor sites, any other opiates that are ingested have no means of creating a euphoria or a high since the body’s opiate receptors are occupied by methadone. This removes the incentive to misuse other opiates and can facilitate the process of recovery. I was ordered by his neuropathologist to treat panic attacks. I began to drink them in half, and then I kiss the pill for the night. I drank a tablet of hours at 8 pm – after half an hour I sleep with a child). The effect is very classy: nothing is interesting, nothing is needed, there is no emotion – everything a person needs is just morally tired.) She accepted Klonopin for about four months. The effect was. Somehow I just did not care about panic attacks). They did not care anymore.

There are instances in which a patient’s physician has prescribed a benzodiazepine for anxiety management while also prescribing methadone. Such decisions should always be accompanied by a thorough discussion with one’s doctor of the potential risks & complications. There are other, safer alternatives for treating anxiety such as Buspar and cognitive therapy. These other options should be considered when a patient is already receiving methadone. In addiction treatment, the use of benzodiazepines for anxiety is typically monitored carefully through increased random urinalysis testing and medication counts.

Opioid Addiction Spiking in Guilford County North Carolina

policeGuilford County is the third most populated county in the state of North Carolina. Located within Guilford County are the cities of Greensboro and High Point – both of which are experiencing a surprising increase in opioid addiction and related overdoses.

The High Point Enterprise news reported that the High Point Vice and Narcotics unit has begun to make a favorable impact on the problem with multiple arrests of those trafficking heroin locally. The article documents that 70 reported High Point opioid overdoses have occurred thus far in 2014 with 9 of those ending in death. Six people were arrested the week of July 14 and are being held on multi-million dollar bonds for their roles in selling or trafficking heroin. To emphasize the local impact, the HP Enterprise reported that 7 overdoses occurred within a 24 hour period on May 16, 2014.

Just 15 miles away in the neighboring city of Greensboro, Rhino Times covered the local explosion in heroin addiction much of which has been driven by individuals turning to heroin when they could no longer obtain prescription opioids like oxycodone. Rhino Times interviewed the Director of Guilford County Emergency Services, Jim Albright, who stated that a particularly strong strain of heroin hit the streets of Greensboro in late April, 2014.

Over the weekend of April 25, the Guilford County EMS responded to an avalanche of calls in response to people overdosing on the new potent version of heroin. Mr. Albright is reported to have identified that 21 overdoses and 5 deaths occurred just in that one weekend. Due to the potency of the drugs, some victims were found with a needle still in their arm.

Highlighted in the article was the life saving properties of Narcan, a drug that quickly reverses the dangerous overdose effects of opiates. Narcan can be administered by injection or squirted into the nasal cavity. As it is absorbed into the body, it restores breathing to those that have overdosed. Narcan is now kept in first responder vehicles, firetrucks, and ambulances. Visit Alcohol & Drug Services for more on Narcan and opioid overdose prevention kits.

For information on methadone as a treatment for opioid addiction, click here.

Heroin Addiction In College Life

addiction-in-collegeWithin the last year, Methadone.US wrote about the resurgence of heroin addiction in corporate America and in particular areas of the Northeast United States. However, opioid addiction is not exclusive to the Northeast and is surfacing across the entire country. This emerging epidemic has gained the attention of numerous government personnel as well as local community leaders.

There are thousands of colleges and universities in America. While substance abuse on college campuses is nothing new, the growing heroin problem is. Alcohol, marijuana, and cocaine have been ever-present throughout colleges for decades, but opiates historically have been a second tier drug of abuse … until now.

A recent article on DrugFree.org has highlighted efforts being made at the University of Rochester and the University of Vermont to more actively screen for opioid abuse among the students enrolled there. It is anticipated that the number of college students using heroin will rise in correlation with the general heroin epidemic which has already infiltrated the state of Vermont and other parts of the country. Vermont’s Governor Peter Shumlin is on record as having recognized that the state is experiencing a genuine crisis with heroin addiction and associated overdose deaths.

According to the DrugFree article, Yale University officials have also reached out to students to share the school’s caution and concern that some students may not fully understand the danger and potency of the drugs being secretly distributed on college campuses. University representatives are trying their best to get ahead of the problem before things spiral out of control.

Heroin has become the new “cheaper” substitute for those who have developed a dependency on prescription opiates but who no longer have access to them. Unfortunately, it has become a practice among many colleges to keep drug problems out of the news for fear that it will tarnish the school’s reputation.

This tendency to keep things “quiet” often works against connecting addicted people with the professional help that they may need. Every college should be working hand-in-hand with local addiction treatment organizations and professional addiction counseling centers since most colleges and universities are not sufficiently staffed to deal directly and effectively with complex addiction treatment issues. Credit should be given to those schools that are being proactive in their desire to educate students before tragedy strikes.

Information For Families on Opioid Addiction Treatment

Massachusetts Is Prohibited From Banning Zohydro

court-decisionSomewhat of a surprise was the recent ruling that the state of Massachusetts cannot ban the powerful new painkiller, Zohydro, from being prescribed in the state. The manufacturer of Zohydro, Zogenix, had argued that the ban was not constitutional and must be reversed.

The state governor, Deval Patrick, had announced his intention to make Zohydro unavailable since the manufacturer’s initial plan was to provide it without a tamper-proof component to deter abuse and potential overdose.

Judge Rya Zobel ruled that the state of Massachusetts had exceeded its authority in banning the drug, and she consequently implemented a preliminary injunction temporarily reversing the ban. The governor expressed disappointment that the public’s safety concerns were not sufficient to halt the sale of Zohydro, but he stated he would pursue other channels for addressing the widespread opioid abuse problem that is continuing to grow in the state and across the country.

Opioid pain medications have become a primary drug of abuse for a number of age groups. Deaths by opioid overdose now surpass deaths by homicide and motor vehicle accidents in numerous states.

While Zohydro may be an effective pain management medication, it will very likely be sought (and purchased illegally) by those with severe opioid addictions trying to avoid daily opioid withdrawal sickness. Sadly, overdose deaths will result from the use of this medication in similar fashion to the problems that surfaced when oxycontin hit the market. Please keep yourself informed, and if you are suffering with opioid addiction and withdrawal sickness, seek treatment immediately. There is opioid detox, methadone medication assistance, and private physicians using suboxone to help patients cope with their addiction.