Tag Archives: Narcan

In the News: Duterte, Baking Soda Bombs, Narcan

Listen in to this opiate recovery support group as they discuss the news of the week. Narcan is now available at all Walgreens pharmacies; Duterte reluctantly ends the killing of drug users; and Baking Soda Bombs are the latest way to cheat a drug screen.

Discussion Guide:

Do you have a Narcan kit?

If not, do you know where you can get one?

Do you need a Narcan prescription in your state in order to get Narcan?

What are the pros and cons of drug screens?

Have you attempted to cheat a drug screen?

Have you heard of 'Baking Soda Bombs'? What are they?

Have you heard of the Philippine President Rodrigo Duterte's war on drugs? If not, check out our previous podcast on 2/7/17.

Supplemental Reading:

Bill Chappell, Narcan Opioid Overdose Spray Is Now Stocked By All Walgreens Pharmacies, http://www.npr.org/sections/thetwo-way/2017/10/26/560180901/walgreens-stocks-narcan-opioid-overdose-spray-in-all-pharmacies

Paul Fuhr, Baking Soda Bombs Emerge As Latest Drug Test Trend in South Dakota, http://www.thefix.com/baking-soda-bombs-emerge-latest-drug-test-trend-south-dakota

Bryan Le, Duterte Ends Bloody Philippine Drug War, http://www.thefix.com/duterte-ends-bloody-philippine-drug-war

President Trump Declared Opioid Crisis a Public Health Emergency

President Trump declared the opioid crisis a public health emergency. More than 140 Americans die every day from an opioid overdose. The nation's Public Health Emergency Fund has a current balance of just $57,000. But the opioid crisis is a $14 billion problem, at minimum. Listen in to this opiate recovery support group as they discuss how they would approach the crisis, if they had the funds to do so.

Discussion Guide:

Are you familiar with the declaration of the opioid crisis as a public health emergency? How is a public health emergency different from a national emergency?

What are the pros and cons of this declaration?

If you were in a position to change policy and were given funds to address the crisis, what strategies would you recommend?

Supplemental Reading:

Claude Brodesser-Akner, 7 takeways from Trump's opioids public health emergency: What it really means, http://www.nj.com/politics/index.ssf/2017/10/5_takeaways_from_trumps_public_health_emergency_de.html

Developing Treatment for Cocaine Addiction: TMS

Opiate addicts are fortunate to have several treatment medications that help decrease cravings, stop withdrawal, and block feelings of eupohoria from opiates. Unfortunately, there is no comparable medication for cocaine addiction. Transcranial Magnetic Stimulation (TMS) is now being applied to stimulate areas of the brain that control impulses. This is a foreign and frightening procedure for most people. Would you be willing to zap your brain in order to be free of a cocaine addiction? Listen in to this opiate recovery group as they discuss TMS.

Discussion Guide:

Are you familiar with TMS (Transcranial Magnetic Stimulation) and ECT (Electro-Convulsive Therapy)?

How do these treatments work?

Would you be willing to be zapped in an attempt to be free of cocaine?

Supplemental Reading:

Meredith Wadman, Brain-altering Magnetic Pulses Could Zap Cocaine Addiction, http://www.sciencemag.org/news/2017/08/brain-altering-magnetic-pulses-could-zap-cocaine-addiction

Behavioral Addiction vs. Substance Addiction

When we think of addiction, we immediately think of alcohol, drugs and gambling.  Few of us think of sex, social media or spending as addictions. The DSM 5 (Diagnostic and Statistical Manual of Mental Disorders) does not recognize behavioral addictions, other than gambling. Behaviors such as sex, social media and spending are not included in the approved list of addictions. But should they be included? Listen in to this opiate recovery support group as they discuss the similarities and differences between behavioral addictions and substance addictions.

Discussion Guide:

Are you familiar with the terms behavioral addictions, or process addictions? What are they?

Name examples of behavioral addictions.

How are behavioral addictions different than substance addictions?

How are they similar?

Do these two types of addictions have similar or dissimilar outcomes?

Supplemental Reading:

Robert Weiss, Can You Really be Addicted to a Behavior? http://www.huffingtonpost.com/entry/can-you-really-be-addicted-to-a-behavior_us_59938c79e4b0a88ac1bc380e

Marc Lewis, Behavioral Addictions vs. Substance Addictions https://www.psychologytoday.com/blog/addicted-brains/201306/behavioral-addictions-vs-substance-addictions

Are Narcan Parties a Thing?

Have you heard the rumor that groups of people are having Narcan parties? It is alleged that thrill seekers want the experience of dying and are using Narcan to pull them back from death. Is it fact or fiction? Listen in to this opiate recovery support group as they give their opinions on the subject.

Discussion Guide:

Have you heard of "Narcan parties" also known as "Lazarus parties"?

People who abuse substances are risk takers. They never know if they will die from their next fix. Have you pushed the limits so far that you have depended on someone else to bring you back with Narcan?

Do you think the people who would participate in a Narcan party are suicidal, thrill seekers or both?

Who would be more likely to use Narcan to bring them back from the dead? An opiate dependent person or a non-dependent person?

What does Narcan do to a person who is addicted to opiates upon their regaining consciousness?

Have you ever known a drug dealer to offer Narcan with their heroin or opiates? What would the purpose be?

How will the so called Narcan parties hurt opiate addicts and add to the stigma against them?

Who benefits from the reports of these parties?

Supplemental Reading:

Chris Elkins, Are Narcan Parties Really a Growing Trend? http://www.drugrehab.com/2017/05/12/are-narcan-parties-a-growing-trend/

It Is Unethical and Inhumane To Withhold Narcan (Naloxone)

A stigma against people who abuse substances exists. Most often it is subtle, but now and then it is loud and ugly. Sheriff Richard Jones in Butler County, Ohio said that he will not equip his deputies with Narcan. "My officers don't carry Narcan, nor will they". He will change his position only if he is court ordered to begin carrying Narcan. Also in Ohio, Dan Picard, Councilman from Middletown, proposed a two strikes and you're out policy. He suggested that the council explore the possibility of denying emergency medical services to people who have sought overdose intervention twice before. Listen in to this group of addicts share their opinions on the matter.

Discussion Guide:

Have you overdosed? If so, were you revived with Narcan? How would you describe the benefits of Narcan to someone who is not familiar with it?

Have you experienced a stigma as a result of having a drug dependency? Please describe it.

If you, a close friend or a family member were denied Narcan and died as a consequence, what steps would you take to seek justice? And what steps would you take to ensure it doesn't happen again?

What are the underlying values of people who would withhold Narcan?

As the costs associated with overdoses increases, how do you think communities or the overdose patients should pay for it?

Some people think that withholding emergency medical response to overdose patients is manslaughter and premeditated murder. Do you agree or disagree?

Supplemental Reading:

Nick Wing, Sheriff In Heart of Ohio's Opioid Epdemic Refuses to Carry Overdose Reversal Drug, http://www.huffingtonpost.com/entry/richard-jones-butler-county_us_595fb129e4b02e9bdb0c3b78

Corky Siemaszko, Ohio Councilman Sparks Fury After Asking If EMS Can Stop Responding to Overdoses, http://www.nbcnews.com/storyline/americas-heroin-epidemic/ohio-councilman-sparks-fury-after-asking-if-ems-can-stop-n778711

Overdose: Condolences to One Of Our Group Members Who Lost a Family Member

By now, everyone is knowledgable about the high number of opioid overdose deaths and what public health officials are calling an epidemic. In spite of public awareness and prevention efforts, the death toll continues. In this podcast, one of our group members shares his experience of the recent death of his family member from overdose. Listen in to these group members as they offer support.

Discussion Guide:

Have you lost a family member or friend to opiate overdose?

How did it affect you?

Did you have any negative automatic thoughts?

What are alternate healthier thoughts?

What could have been done differently for the person who died, prior to the overdose?

What can be done for you?

Supplemental Reading:

SAMHSA Behavioral Treatment Services Locator, https://findtreatment.samhsa.gov/

SAMHSA Opioid Overdose Toolkit, http://store.samhsa.gov/shin/content/SMA14-4742/Overdose_Toolkit.pdf

Overdose Awareness and Use of Naloxone Test, http://www.opiatesupportgroup.com/wp-content/uploads/2016/04/Overdose-Awareness-and-Use-of-Naloxone-Test.pdf

SCARE ME, http://www.opiatesupportgroup.com/wp-content/uploads/2016/04/SCARE-ME.pdf

What Do You Say to Someone Who Has Lost a Family Member to Overdose?

One of our podcast listeners asked the group for feedback. She recently lost her ex-husband to a drug overdose, leaving their son and daughter devastated by the loss. She wonders what could have gone wrong, and what prevention steps could've altered the outcome. Listen in to this support group as they give their opinions on what likely happened and what could've been done to help. Our hearts go out to Brooke and her family.

Discussion Guide:

Why would someone in a Methadone Treatment Program be so oversedated that they would have trouble staying awake, drooling, be difficult to arouse when sleeping, and awaken in a foul mood and lash out? Is this common with methadone?

What are common substances that will cause a vulnerability to overdose if mixed with Methadone?

What would motivate someone to take another substance on top of Methadone?

What are the signs and symptoms of overdose?

Do you have Narcan available in case of an overdose? Have you trained your family members in its use?

Grief is a normal reaction to loss. One aspect of grief is wondering if you could've or should've done more to prevent the death. Do you think that you can do something to prevent an overdose? What would you recommend to others?

Supplemental Reading:

SAMHSA Opioid Overdose Toolkit, http://store.samhsa.gov/shin/content/SMA14-4742/Overdose_Toolkit.pdf

Overdose Awareness and Use of Naloxone Test, http://www.opiatesupportgroup.com/wp-content/uploads/2016/04/Overdose-Awareness-and-Use-of-Naloxone-Test.pdf

SCARE ME, http://www.opiatesupportgroup.com/wp-content/uploads/2016/04/SCARE-ME.pdf

Public Policy: Which Approach Is Most Effective To Stop the Opioid Epidemic?

It is clear that the US is facing an opiate epidemic in which an average of 91 opioid-related deaths occur each day. It is not clear how to best stop the epidemic. In this podcast, we discuss three different approaches to this problem. Listen to this group of people who have been addicted to opiates give their opinions of which approach works, and which cause more harm.  

Discussion Guide:

Are you familiar with Gloucester's Angel Program in Massachusetts? Instead of being arrested, drug dependent people can present themselves to the police and get help. Do you think this is a good idea? What are the pros and cons?

There is a town in Fayetteville County, Ohio who charge overdose survivors with a misdemeanor after they have saved their lives with naloxone. Do you think this is an effective strategy to decrease deaths? What are the pros and cons?

US Attorney General Jeff Sessions spoke at an opioid awareness summit in New Hampshire. He said that the "Just Say No" campaign and D.A.R.E. curriculum were effective. However, this is not supported by research. Sessions thinks drug prevention and education is an effective way to stem the opioid epidemic.  Do you believe education alone is effective?

Which approach do you think is the most effective? What do you recommend?

Supplemental Reading:

Terry Weber, Gloucester's Angel Program Helps 260 in Four Months, http://gloucester.wickedlocal.com/article/20151030/NEWS/151039478

Philip Marcelo, Researchers: Gloucester's Angel Program Helped Nearly 400 Drug Addicts, http://bigstory.ap.org/article/731169b9ace54d808b53df2acc160b86/researchers-nearly-400-drug-addicts-helped-police-effort

Kelly Burch, Ohio Town To Criminally Charge Overdose Survivors, http://www.thefix.com/ohio-town-criminally-charge-overdose-survivors

Britni de la Cretaz, AG Jeff Sessions Talks Addiction Crisis At Awareness Summit, http://www.thefix.com/ag-jeff-sessions-talks-addiction-crisis-awareness-summit

What’s With the High Cost of Narcan?

Narcan, also known as Naloxone, is a life saver for someone who has overdosed on opioids. The number of deaths has skyrocketed, but so has the cost of Narcan. What's up with that? Listen in to a group of people who are in recovery from opiate addiction discuss this issue.

Discussion Guide:

Have you overdosed? What were the costs associated with it?

Do you have a Narcan kit for emergency purposes?

Can you purchase Narcan from your local pharmacy? How much is it, do you need a prescription and does your insurance cover it?

What is the most expensive Narcan kit available on the market right now?

Why do you think the price of Narcan has increased over the years?

How does the manufacturer justify this cost increase?

Supplemental Reading:

Meg Tirrell, As Opioid Epidemic Worsens, the Cost of Waking Up From an Overdose Soars, http://www.cnbc.com/2017/01/04/as-opioid-epidemic-worsens-the-cost-of-waking-up-from-an-overdose-soars.html