...Effects of Methadone Treatment on Opiate and Heroin Dependency Since the early times, opiates, heroin, and other drugs have been used in providing analgesia as well as substitutes to reach a place of euphoria. Originally, as Yurgelum-Todd et al (2009) has noted, derived from the opium poppy, heroin has been used as an alternative to morphine in dealing with addiction (Yurgelum-Todd, p. 175, 2009). Unfortunately, over the years it has consistently become prevalent that heroin has more negative aspects than anything; heroin is highly addictive, resulting in consequences such as overdoses, infections, violence and crime, deficits in memory, learning, and attention. The need to relieve pain by use of heroin and other drugs, though, results in opioid dependence, estimated to affect more than one million persons in North America alone (Oviedo-Joekes, p. 778, 2009). To relieve opiate dependence, researchers experimented with an opiate-agonist called methadone; the standard opioid-susbstitution treatment, to help reduce withdrawals and other negative consequences surrounding the use of drugs like heroin by producing a phenomenon called the “blocking-dose”, which blocks opiate receptors (Oviedo-Joekes, p. 778, 2009). Methadone was, in fact, the “first opiate agonist used in the pharmacotherapy of heroin addiction. Methadone is the best studied drug, but also the most controversial”(Maremmani, p. 7, 2008). This paper will discuss different research methods used to analyze the effects...
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...Comparison of Methadone and Suboxone in Opioid Treatment Program Julien Nougarou Upper Iowa University Abstract Addiction to opioids is a common problem throughout the world. Maintenance treatments such as Methadone and Suboxone are effective in lessening the desire to consume illicit drugs, but they are not perfect options for drug treatment as each has negative effects, too. In this paper, both the positive and negative effects of the drugs Methadone and Suboxone will be determined and evaluated in order to better ascertain the better treatment. It was concluded that the effectiveness of each treatment can only be determined on a case-by-case basis, as the factors of success are often dependent on the patient receiving the treatment. There are various criticisms for both modes of treatment, but no other means of treating opioid addiction have yet to be found. There are improvements that could be made for both treatments, but regardless of improvements each mode of treatment is risky as there is no miracle cure for opioid addiction. Introduction In 1864, The New York State Inebriate Asylum, the first in the country, opened in Binghamton, NY. It was the first of a growing network of inebriate asylums that treated alcoholism and addiction to drugs such as opium, morphine, cocaine, chloral, ether, and chloroform. Today, when talking about opioid addiction and dependency treatments, two controversial but efficient treatments stand out from the lot: Methadone and Suboxone...
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...Prescription Opioids Deanna Pannell Aurora University One of the growing problems in America is the abuse of prescription opioids. In the past 10 years, the misuse of prescribed opioids has gone out of control, making it a national issue that many people are attempting to attack. Prescription opioid use is increasing in public health, creating an epidemic that is growing rapidly. According to the National Institute on Drug Abuse: opiates, depressants, and stimulants are the three drug classifications most commonly abused by Americans. A multitude of research on the subject has concluded that there is more than a single solution to the problem, such as taking immediate action as well as creating prevention strategies. I decided to do additional research on this topic since it plays a huge part in my career as well as personal life. Being a substance abuse counselor in the criminal justice field, I experience first-hand the effects of prescription opioid abuse. A large number of client’s participating in the TASC (Treatment Alternatives for Safer Communities) are dealing with prescription opioid abuse due to an injury or surgical procedure. On April 25, 2015, my first cousin died from a heroin overdose at the age of 23. After a football injury, he was prescribed Hydrocodone and became addicted. Since the pills are too expensive, he began using heroin and his battle ended 5 years later. In 2009, 16 million Americans age 12 and older reported taking a prescription pain reliever...
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...As one prescription drug abuser in his early 20’s explained: Once people (pill brokers) know you take them prescription opioids, they’ll start calling you. “Oh, it’s this time of the month.” Then they wait for that person to get their script. They know exactly in their head what day the script’s getting ready to come so they got the patterns down. Pill brokers and dealers reported congregating in open air drug markets typically strip mall and pharmacy parking lots, and outside methadone clinics to buy, sell, and trade prescription drugs. These markets were reported to involve a variety of transactions, including the purchase of prescription drugs for cash, as well as trades for crack and heroin. Pill brokers also reported the purchase of used fentanyl patches from nurses who have stolen them from pain patients or from disposal containers in hospitals. Some individuals frequenting the drug markets also barter their oxycodone for other opioids or benzodiazepines, typically alprazolam. Doctor Shopping focus group participants indicated that even in a small state like Delaware, doctor shopping appeared to be fairly easy. The vast majority of abusers reported obtaining medications through doctor shopping, and most reported frequenting at least four physicians in order to obtain sufficient amounts of their desired medications. Occasionally clinics and hospital emergency rooms were reported as locations for doctor shopping as well. A heavy user stated: Another focus group member...
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...Southwestern Assemblies of God University School of Distance Education Methadone Treatment Programs are Effective in Stopping Heroin Use A Paper Presented to Professor Loyd Uglow, Ph.D In Partial Fulfillment of The Requirements for the Course THE 5113 Research Literature and Technology Sharon Pete November 28, 2012 THESIS STATEMENT: To investigate Methadone maintenance is found to be more effective in treating heroin addiction than 180 day detoxification. The objective is how methadone maintenance, a widely used but controversial method of weaning heroin addicts off the drug—with counseling has psychosocially enriched 180 day methadone assisted detoxification. OUTLINE I. INTRODUCTION A. History of Heroin B. History of withdrawals II. How Methadone is used to treat Heroin? III. Research Findings IV. CONCLUSION V. Work Cited Methadone Treatment Programs are Effective in Stopping Heroin Use Substitution treatment or maintenance pharmacotherapy programs using methadone are today the most sought after and effective form of treatment for opiate addiction and dependence. Because methadone is a long-acting opiate whose dosage can be stabilized, it is well suited for daily administration and has proven effective in the elimination of narcotic craving, a driving force behind continued heroin use. And, because it can be administered orally, methadone dramatically reduces heroin injecting frequency...
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...in Vietnam with an alarming revelation that “15 percent of U.S. servicemen in Vietnam… were actively addicted to heroin” (Spiegel, 2012, para. 3). The idea that American servicemen were addicted to such a horrible drug disgusted much of the American public. “It was thought to be the most addictive substance ever produced, a narcotic so powerful that once addiction claimed you, it was nearly impossible to escape” (Spiegel, 2012, para. 4). President Richard Nixon took swift action by creating, The Special Action Office of Drug Abuse Prevention which concentrated primarily on prevention and rehabilitation. In the late 70s and early 80s the use of heroin reached its peak when it seemed to take a backseat to the reappearance of cocaine and the subsequent crack epidemic that overwhelmed much of the United States throughout the 1990s. Although the use of heroin seemed to disappear throughout much of the U.S., it was still able to become entrenched in the everyday lives of addicts in American cities such as Baltimore. Baltimore City, in particular, has been adversely affected by the public health problem of heroin addiction so much so that it is has become best known as the...
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...his close friends or family even knew the problem had escalated so greatly. It had all started with a pill addiction to xanax that slowly grew more severe but with a few interventions and a couple of trips to rehab, most of us thought that he was doing well and had kicked the habit. Little did we know that he had kicked the xanax habit only to graduate to something as intense as heroin. The frightening thing about this drug is that my friend was a small, upper class, Jewish boy from the suburbs of St. Louis and would not typically be the image you think of when a person might think of a heroin addict. He was the furthest thing from an underprivileged, poor, inner city adult. But addict hew was, and it is still somewhat of a mystery to those who were closest to him as to how he was able to access his drugs. For every person that believes they know the true meaning of the word “addiction,” there is another person right beside them to argue a different point of view. In this day and age, one would think that doctors or scientists or psychologists would have narrowed it down to a universal description but this is not the case. There are many different aspects to understanding what makes an addict who they are, and why they do the things that they do. Because every person has a different story and a different way to handle certain situations, it seems that addiction is often dependent on context. Regardless of the debates that ensue regarding the exact meaning of the word...
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...limited to pain relief especially neuropathic pain suffered mostly by those with nerve damage, marijuana has been used as nausea control medication. Medicinal marijuana also has appetite stimulating characteristics, which are extremely beneficial to AIDS (Acquired Immune Deficiency Syndrome) patients as well as cancer patients. It has also helped many patients with psychiatric symptoms and conditions, withdrawals from other medications, anorexia and controlling inflammation (Cannabis Medicine). Compared to pharmaceutical grade opiates, which have an extremely high dependency level, marijuana is slightly addictive but with similar benefits as opiates. The classification of drug type that marijuana is classified under is held for drugs with the highest possibility of addiction once consumed. Based off studies, marijuana has a less than 5% chance of “addiction”, whereas these other schedule 1 drugs have ratings above 75% chance of becoming addictive. This paper will review efforts to reschedule marijuana under federal law, and explore the development and evolution of state medical marijuana laws and how federal law and policy has affected states...
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...In Defense of Recreational Drugs If illicit drugs are harmful to the mind, body and soul, than why do people continue to manufacture, distribute and use these substances? The prohibition of these illicit substances as outlined in the Controlled Substances Act of the United States goes against all logic. Propaganda across the United States promotes the myth that psychotropic drugs impair moral judgment and is a cause of destructive deviant behavior. There is evidence that refutes this claim, illustrated by findings in several of the government’s own studies. The truth is that the majority that dabbles with these intoxicants is misrepresented by the media and politicians as delinquents, but are respectable citizens with jobs to work, bills to pay, and classes to attend, and are indistinguishable from the general population. Their use is not accounted for as many are reluctant to admit to it, due to the illegality and prejudice against use of controlled substances in our society. Such illicit substances must have some intrinsic value because of their continued use. Just as prescription pharmaceuticals can prove to be valuable in a specific context, so can all classes of illegal drugs. The poison is in the dose not the chemical itself. The unconstitutional War on Drugs in the United States needs to cease, because it is based on heresy and fear mongering. This calls for reeducation of the American people about the true nature of drugs; for this legalization and regulation of all...
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...Drug Addiction Leah Richards PSY326: Research Methods Maleka Hillsman August 27, 2012 The topic that caught my attention when I was reading my choices was “Drug Addiction”. Drug addiction is something that should not be taken lightly by anyone who has a family member or friend with this issue. We often wonder how and what make people turn into being a drug addict. “Drug addiction is rooted in long-term adaptations within the brain that promotes escalating drug use, difficulty quitting, and relapse—all despite the awareness of negative consequences.” With that being said I have always wondered what keep a person going back to their addiction and why can’t they quit. When I read the article and it mention how drug addiction is rooted a light bulb clicked in my head. When something is rooted inside of you whether it is for good or bad it is hard to break. “It was previously hypothesized that addiction was caused in part of an imbalance between an impulsive system that governs appetitive motivation and is driven by immediate rewards on the one hand and a reflective system that regulate and control impulsive according to future pleasurable or aversive consequences.” With this study they were able to predict the hypothesis and see what causes addiction to happen in some cases. I think that the method used in order to see how people become an addict was efficient and it was very precise that made the validity of the experiment a success. It is important to...
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...Heroin Addiction Psyc 305 B-03 June 15, 2015 Abstract: This paper will serve to provide information about heroin addiction in our society. Heroin addiction is an epidemic problem in the United States and is growing every year. Factors such as genetics and environmental factors will be discussed as they relate to heroin addicts. Trends with prescription pain medication and their effects on heroin use will be discussed. This paper will also highlight the prevalence of heroin in the United States. Heroin affects different groups of people in all walks of life. Treatment for heroin will be discussed in the latter portion of this paper. This will highlight different options to fit specific needs. Addiction: a physical dependency on a substance (Doweiko, 2015), a chronic brain disease that causes compulsive substance use despite harmful consequences, (Addiction, 2015). There is no universally accepted way to define addiction. It seems that it is easier to qualify behavior as an addiction than it is to define the word itself. For the purpose of this paper we will use the four general categories of the DSM-5 to help identify and understand heroin addiction. This paper will serve to provide information about heroin addiction’s possible causes, prevalence and treatment. What causes heroin addiction? The causes of heroin addiction are not clear. As with most drugs it is thought that the user is trying to feel better or self-medicate...
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...International Journal of Drug Policy 23 (2012) 242–247 Contents lists available at SciVerse ScienceDirect International Journal of Drug Policy journal homepage: www.elsevier.com/locate/drugpo Research paper Nicotine control: E-cigarettes, smoking and addiction Kirsten Bell a,∗ , Helen Keane b a b Department of Anthropology, 6303 NW Marine Drive, University of British Columbia, Vancouver, BC V6T 1Z3, Canada School of Sociology, Building 22, Hayden Allen Building, Australian National University, Canberra, ACT 0200, Australia a r t i c l e i n f o a b s t r a c t Background: Over the past year or so, electronic cigarettes, more commonly known as ‘e-cigarettes’, have achieved widespread visibility and growing popularity. These products, which deliver nicotine via an inhaled mist, have caused no small amount of controversy in public health circles, and their rise has been accompanied by energetic debate about their potential harms and benefits. Methods: Interspersed with an analysis of current media coverage on e-cigarettes and the response of mainstream tobacco control and public health to these devices, this article examines the emergence of nicotine as both as an ‘addiction’ and a treatment for addiction. Results: We argue that by delivering nicotine in way that resembles the visual spectacle and bodily pleasures of smoking, but without the harms of combustible tobacco, e-cigarettes highlight the complex status of nicotine as both a poison and remedy in...
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...Alcohol and Drug Addiction Liberty University Abstract This paper is a reflection of addiction in the United States and the statistics that prove addiction is a major issue within the country. Discussed in the paper will be first the primary causes of addiction and risk factors that may lead to an addiction in an individual. Going further into the problem, the cycle of addiction and how to break free of the cycle and an individual’s addiction is talked about. Since there are different drugs that can cause addiction, a breakdown of certain drugs is given. These drugs include alcohol, prescription drugs, heroin, and marijuana. Next, the side effects of drug addiction to the drugs chosen are described in depth as well as the signs that can be viewed in screening for drug addiction. Resources available to drug addiction are touched on and treatment options to explore what can be done if an individual does suffer from drug addiction. Finally, what human service professionals are doing to assist individuals who are addicted and how they can improve on training to ensure that addiction can be caught early enough to make a difference? Introduction to Drug Addiction Addiction is a chronic disease of brain reward, motivation and memory in individuals who submit to any number of different drugs available to them. Such chronic need for the drugs leads to manifestations biologically, psychologically, spiritually and even socially in any given individual (ASAM, 2014). These, however...
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...problem that affects the justice system here in the United States, almost automatically I was drawn to my deep passion for recovery based solutions to drug and alcohol addictions. I have found my experiences in recovery, to repeatedly be surrounded with the pain of those whom have suffered and are still suffering from effects of their addiction(s). Many addictions have grown out of the same medications that when used properly, provided the relief sought to provide pain maintenance and therefore relief of such pain. I firmly believe that without some form of spiritual maintenance, recovery- both physical and mentally- is an endless merry go-round of medical doctors and drug dealers. As a recovering addict/alcoholic myself, my daily walk exposes me to the ever increasing ideology, of not only addicts, but the public at large, to the thought process of finding relief for every day undesirable thought and undesirable actions (according to some), to be the quick fix, which historically has been called the “magic pill” or “magical elixir” cure. In the near future, I plan to be a recovery counselor and placement specialist. I hope to be able to provide some experience based direction, on the path of recovery, to those whom still suffer. I felt the need to understand not only the options being provided for said addictions, but the history that brought those available possible solutions into existence. I personally believe that although methadone may be the necessary cure for some, it...
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... CBS Evening News correspondent Ben Tracy reported on April 6, 2011 that teenage drinking and drug use has increased by 22% and that 71% of all teenagers have had a drink of alcohol before finishing high school. Most teenagers believe that smoking marijuana is not a big deal and that parents and society opposed cigarette smoking more (Tracy, 2011). Celebrities such as Michael Jackson, Brittany Murphy, and Anna Nicole Smith overshadow the issue of prescription drug abuse when every day people are experiencing the same outcomes. Emergency room (ER) nurses are the frontline in treatment of individuals suffering from addiction, withdrawal, and overdose. Still, many doctors and nurses have become hardened because of the belief that patients are drug seeking, which leads to poor management of pain and increased disparity accessing health care. In this paper I will present demographics on prescription drug abuse, issues of cultural competence and sensitivity, and strategies nurses can use to alleviate health consequences for this vulnerable group. Finally, I will conclude by presenting a brochure that ER nurses can use to identify patients at risk for substance abuse and to assess for early referral to treatment. Consequently, looking at the big picture can help health care providers to assist individuals at risk without judgment. Demographics The Center for Disease Control and Prevention (CDCP) reports show that deaths from unintentional overdoses in the United States...
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