Posts Tagged ‘drug deaths’

Suboxone- the pluses and minuses

Wednesday, January 20th, 2010

Suboxone (or buprenorphin) seems to be all the rage these days. With the power of the multi-lateral corporation Reckitt Benckiser (whose exclusive license on Suboxone brought in fifteen percent of their overall revenue in 2009), a huge push is being made to medical doctors to prescribe Suboxone as a way to combat heroin use. Since Suboxone is a semi-synthetic opiate, many dangers arise from the over-prescription of this drug. While we at AiR have seen many benefits to Suboxone during the initial detoxification process, we worry about the addicts who get saddled in trading one maintenance drug for another. Now the website for Suboxone does suggest that “more than medication alone” makes for successful treatment; however- we’d like to see some facts and research behind the amount of people who seek outside therapy along with their medication management.
Here’s the main problem, directly from the Suboxone website:

“All opioids can cause physical dependence. SUBOXONE belongs to a class of opioids called “partial opioid agonists.” As a partial agonist, buprenorphine appears to produce less physical dependence, limited euphoria, and less potential for abuse compared with a full agonist, eg, heroin, oxycodone, and hydrocodone. SUBOXONE has potential for abuse and produces dependence of the opioid type with a milder withdrawal syndrome than full agonists.

When patients are ready to stop taking SUBOXONE, the dose is slowly and gradually tapered. The withdrawal symptoms of SUBOXONE are milder than those seen with a full opioid agonist and can be managed with your doctor’s supervision.”

So, basically, are we dealing with the new methadone here? It sure looks like it. We need physicians to be responsible and educated around addiction before they reach for that prescription pad. If a doc wants to use suboxone to assist in the detoxification process, then please do- just be sure to remove a patient from this opioid. Creating additional dependence, albeit on a lower-level substance, still encourages a dependence instead of a solution. Hazelden had this to say (from a CNN article earlier this year): “At Hazelden, a small proportion of patients receive anti-addiction drugs, but medical director Dr. Kevin Clark says the traditional model — based on intensive therapy and the 12 steps — is still best. ‘It is a disease of the brain, but it’s a multifaceted disease. It has a spiritual component, a behavioral component to it,’ says Clark. ‘Our experience tells us that having the network of support and recovery is what really makes the difference.’”

With the help of residential treatment, twelve-step programs, and support from a family, the chances of an addict getting into recovery skyrocket. Medication alone will never be the solution, because, at the end of the day, the drugs are only a symptom. An addict needs help outside of a pill.

For help for yourself or a loved one, please call us at 877-320-0247 or visit our main page at www.a-i-r.com.

Tags: addiction, addiction intervention, AiR Assistance in recovery, assistance in recovery, buprenorphin, chemical dependency, drug addiction, drug deaths, methadone, prescription drug abuse, Recovery Assistance Program, suboxone, substance abuse, Treatment
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Addiction at Home and in the Workplace

Friday, December 11th, 2009

Dr. A. Thomas McLellan, one of the leading researchers on addiction and a psychology professor at the University of Pennsylvania, recently shared his story with the New York Times. Dr. McLellan recently accepted a position with the U.S. government, at the invitation of Vice President Joe Biden, to be the nation’s number two drug control officer. This gave him an interesting choice- to stay a professor, or to go work for the new administration. However, some experiences in his home life led him to move to work with the administration.

Last year, Dr. McLellan’s 30-year-old son passed away from an overdose of anti-anxiety medication and alcohol, at the same time as his other, older son was in residential treatment working on his own addiction issues. This, McLellan said, is what led directly to him making the post. With the help of Gil Kerlikowski, the nation’s drug czar, he hopes to turn addiction from a punitive crime into one where we can see more people get help instead of jail time. From the article: “Dr. McLellan said that of the 25 million substance abusers he estimated were in this country, only about 2 million were receiving treatment. He and Mr. Kerlikowske want to triple that number, partly by spending more money and partly through other tactics, like integrating addiction treatment into the primary health care system.”

An interesting quote from Dr. McLellan: “If it has to happen, better it happens to me, I’m an expert, right? I didn’t know what to do and none of my buddies knew what to do, and let me tell you they were experts. So I said, “˜What the hell are we doing?’ ”

So what happens when the experts don’t know what to do? Well, that’s why we’re here. At Assistance in Recovery, we’re available to coach you through all those difficult questions, whether you’ve been researching addiction for 30 years or you know absolutely nothing about it, and everywhere in between. In the struggle with chemical dependency, it can happen to ANYONE- and is always better having an outside perspective on what to do.We can assist on all of those difficult questions and help put a solution in place.

Call us at 877-320-0247 or visit us on the web at www.a-i-r.com.

Tags: addiction, addiction genes, addiction intervention, AiR Assistance in recovery, anti-anxiety, assistance in recovery, chemical dependency, drug addiction, drug deaths, methamphetamine, overdose, pain addiction, pain killers, pain medication, prescription drug abuse, substance abuse, Treatment
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Methadone Deaths on Wyoming Reservations

Monday, November 23rd, 2009

On the Wind River Reservation in Wyoming, families are mourning the deaths of three girls from methadone overdoses. CNN posted this interesting and terrible article this morning, talking about the tragic deaths of girls ages 13, 14 and 15. The three girls were sleeping over on a night just before starting a new semester of high school- and never made it home. On a reservation that has seen its share of drug and alcohol-related deaths, the loss of three young teenagers really struck home.

The coroner ruled the deaths homicides- but it was not readily apparent where the drugs came from.The FBI got involved almost immediately following the deaths, as they do when felonies occur on reservations. As a result, not much is known about the case itself. Two teenage boys have been arrested in conjunction with the deaths, but no other details are really known at this time. In a culture that acknowledges a distrust of law enforcement, nearly 24 hours passed before authorities were contacted about the deaths.

A difficult situation for the families on this reservation; one can only hope that, through this tragic loss, the people on the reservation can be more aware of the dangers of drug use and abuse. Through this, more help may be available- at least we can hope so. A difficult and tragic situation like this, along with it being brought into the public eye, may actually result in some change.

If you or a loved one are struggling with addiction, please contact us directly at 877-320-0247 or visit us on the web at www.a-i-r.com.

Tags: addiction, addiction intervention, adolescent addiction, AiR Assistance in recovery, assistance in recovery, chemical dependency, drug addiction, drug deaths, mental illness, methadone, methadone overdose, overdose, pain addiction, pain killers, prescription drug abuse, substance abuse, Treatment
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Watch AiR's Andrew Wainwright's interview on CNN

Thursday, October 22nd, 2009

16 states across the nation, more people die from drug-related incidents than die in traffic accidents. AiR’s founder and CEO, Andrew Wainwright discussing why drug deaths might be on the rise ““ the CDC points to the increase in abuse of prescription medication.

Aired October 1, 2009 – 07:00 ET

CNN AMERICAN MORNING HOST JOHN ROBERTS: Some shocking new statistics coming your way from the Centers for Disease Control. In 16 states across the nation, more people die from drug-related incidents than die in traffic accidents. So what could be done about it? We’ll find out. 38 and a half minutes after the hour.

(COMMERCIAL BREAK)

ROBERTS: Welcome back to the Most News in the Morning. Startling new statistics as we said from the Centers for Disease Control. In 16 states and counting, drugs now kill more people than car accidents. While traffic accidents remain the biggest injury- related cause of death across the country, drug overdoses are on the rise. Why is this happening?

Andrew Wainwright is the president and CEO of Assistance in Recovery Incorporated and kicked his own addiction a decade ago. He joins us from Minneapolis this morning.

So Andrew, according to the Centers for Disease Control, drug- related deaths in the United States have doubled from the late 1990s to 2006. Why the rise?

ANDREW WAINWRIGHT, PRESIDENT & CEO, ASSISTANCE IN RECOVERY, INC.: Well, I think two important factors, John. One, in the mid 1990s, a mandate came down from Jaco and others saying we were under prescribing for pain medically, across the board. And we needed to write more prescriptions for pain. So that began and docs began to do that. We saw a rise in the writing of prescriptions.

At the same time, we saw the big pharmaceutical companies begin the kickoff primarily in January of 1996. (INAUDIBLE) Pharma kicked off OxyContin. So we saw the rise of the selling of pharmaceutical drugs, heavy narcotics both to the consumers and to the docs. So I think the combination of those two factors – in the mid ’90s, exactly where we are, the swing of the pendulum where we have unintended overdoses. And this is interesting, in hospital and on the street today.

ROBERTS: Is it just because of the availability of drugs? Or is it also a public perception issue? I ask you that because Margaret Warner, an epidemiologist for the Centers of Disease Control talked about this yesterday. And here’s what she said. She said, “People see a car accident as something that might happen to them. But as far as drug overdoses go,” she says, “maybe they see it as something that’s not going to happen to them.”

You know, you get in a car. You know you’re going out there in the flow of traffic. You have a license, you have insurance. You know that it’s possible that you could get into a car accident. When taking drugs, do people say, I might overdose? I better be careful here or better still, I’m not going to do it at all?

WAINWRIGHT: Well, I think we also have, let’s say 40 good years of education without car accidents. If you remember back there was a time when nobody wore seat belts. And then we saw the rise of air bags and all kinds of other safety insurance to make sure that we got safer. We’re raised with years of commercials and high school showings of drunk driving and all those things what happens to people.

I don’t know if we’ve seen that piece of education for the general public around drug addiction from prescription drugs. We certainly see it in the DARE program and others for narcotics that you find in the street but prescription drugs, they sort of see it safe. They come from your doctor. They’re prescribed. They come in a clean bottle. They’re sold to you from a clean environment. You take them home to your house where you take them. And it doesn’t seem there’s a lot of danger there.

It’s very far removed from what you see in the evening news, the drug wars in Mexico. It doesn’t seem that it’s the same thing as the narcotics that I’m taking at my house. So it shouldn’t have the same result. And so the study comes out like the ones that we’re seeing from the CDC and we’re really surprised that people, us, our kids, our friends and neighbors are overdosing. We can’t really put the two together.

So I think we’re talking about a missing educational component that this is serious narcotics that’s being probably today, over prescribed or made overly readily available or the ones that we have in our homes aren’t being destroyed quickly enough as they are being diverted to the street. All of the things I think we’re beginning to get educated about.

So I think we should be happy on some level that A, the CDC did the study; B, CNN wants to talk about it; and C, it’s going out to America saying this is a real problem and we need to get more education and understand what’s going on so that we can stop it.

ROBERTS: Well, we here at CNN always want to talk about the important topics. You know, Centers for Disease Control in terms of this idea for prescribing, its report said that one in five adults now is prescribed an opiate every year. And you talk about education, there is one new area where we seem to be getting it as a nation, and that is the danger of our children getting a hold of prescription drugs that were prescribed for adults. Let’s take a look at this PSA, I think, that many are familiar with now.

(BEGIN VIDEO CLIP)

UNIDENTIFIED MALE: The yellow one – this is for my postpartum depression. This one, sciatica – whatever that is. I got these after my hysterectomy – or my prostatectomy – some “ectomy.”

(END VIDEO CLIP)

ROBERTS: And are PSAs like that helping to illuminate the problem, at least, of young people getting drugs out of their parents’ medicine cabinet?

WAINWRIGHT: I can only say I hope so. But I think that education is key at all areas of – of going to war against, you know, what’s becoming an epidemic for us culturally. I think it’s going to be a lot of education, needs to be a lot of time, because this has become, really, a cultural issue. I think it’s -

Well, you can look at pharm parties for high school kids. I think it’s culturally part of what we do is we have heavy narcotics in our home. We’re not loathe to share them with our friends and family if they are in pain. It’s sort of, you know, we carry these in our purse, we carry them on the plane, it’s part of who we are culturally. I think a big piece of that needs to change, and so I think, yes, the PSA is going to help. It’s going to take a lot of them, and I think it’s going to take a lot more of you and I and folks like us talking about this, making it important for everybody.

ROBERTS: All right. The National Highway Traffic Safety Administration says that the (ph) decline of road fatalities, which is one reason why drug deaths in some states have surpassed traffic fatalities is because of advances that were made in reducing traffic fatalities, but the safety administration says that it’s – it’s one of the great public health triumphs over the last few decades, to lower the number of deaths on the roadways. What can be done to make similar strides in drug abuse?

WAINWRIGHT: Well, you’re talking – you know, I’m a “change the world” guy, so I would – you know, I think it’s great that we lowered it 1 percent or 2 percent or whatever it was for traffic fatalities. You know, I’m all for making big changes. So I think that the pendulum began to swing in one direction in 1995 when we had these two major incidents happen around overprescribing of heavy narcotics. I think what – the CD (ph) study is great because it gets us talking about it, so we’re hoping that the pendulum is going to swing as far as this can go in this direction and we’re going to push it back the other way.

So let’s pick a mean, let’s say 1996, 1997, 1998 – that somewhere in there we’re going to say that’s the gold mean where we’re prescribing enough to manage and treat the pain that America is presenting with but we’re not overprescribing and allowing drugs to be (INAUDIBLE) in the street. And then we’re going to culturally change how we understand and think about the use of these kinds of prescribed drugs.

ROBERTS: Andrew Wainwright – a “change the world” kind of guy. You managed to change your world. You changed many other people’s. See if we can keep going from here. Thanks for being with us this morning. Appreciate it.

WAINWRIGHT: Thanks, John.

ROBERTS: Forty-seven and a half minutes now after the hour.

(COMMERCIAL BREAK)

Learn more about:

Drug Addiction
Alcoholism
Eating Disorders
Sex Addictions
Gambling Addictions

Tags: alcoholism, andrew wainwr, cnn american morning, drinking and driving, drug addiction, drug deaths
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AiR's CEO on CNN Thursday, October 1st at 7:30 ET

Wednesday, September 30th, 2009

AiR’s founder and CEO, Andrew Wainwright, will discuss tonight’s wire story
“In 16 states, drug deaths overtake traffic fatalities.” Experts said the
startling shift reflects two opposite trends: Driving is becoming safer,
and the legal and illegal use of powerful prescription painkillers is on
the rise.

CNN’s American Morning host, John Roberts, will be talking with Andrew
about AiR’s take on why drug deaths might be on the rise ““ the CDC
points to the increase in abuse of prescription medication, something he’s
talked with CNN’s American Morning about before ““ and what can be done
about it. Why are so many people abusing Rx drugs? What can be done to stop
it.

Check local listings

Tags: air, amercian morning, assistance in recovery, cnn, drug deaths, prescription drug abuse
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