Every day, thousands of men and women all over America lose their lives to heroin addiction. In every state, there are families and communities suffering from the loss of friends, neighbors and loved ones. Heroin addiction is more prevalent than ever before in our country.
At the same time, there are people every day trying to give up using heroin and other opioid drugs. Some people try to do it on their own, and very few of them succeed. Many end up relapsing due to the pain of withdrawal and the intense dependence on this life-threatening drug.
But there is hope. With professional help and safe, medically assisted heroin detox many people have the opportunity to build a strong foundation for recovering from their addiction.
Let us look at what you need to know about heroin detox when you reach out to get help.
Heroin Detox: Understanding Drug Dependence
Like most drugs, excessive and prolonged abuse of heroin leads to a medical condition called Substance Use Disorder (SUD). But a crucial part of the development of a SUD is drug dependence, and there are two particular kinds of dependence that people should understand.
This is about how your body adapts to substances. When the cells of your body can’t function without a substance, that is a clear indication of physical dependence. The body gets used to the presence of a chemical over time, so when the chemical is no longer present the body is forced to regulate itself.
The body also stops producing certain chemicals in the brain naturally because it gets them artificially through drugs. However, once you stop using the drugs the body is no longer producing what it needs.
Physical dependency becomes pretty apparent when you try to stop using heroin without any medical help. When you try to stop using abruptly you experience extremely uncomfortable physical withdrawal symptoms because of the imbalance in the body.
Psychological or emotional dependence is a result of the changes a drug creates in the mind. It is defined as a compulsion or perceived obsession for the substance. So while the individual may not be experiencing intense physical withdrawal, they may be psychologically impaired by the abrupt absence of a substance they have adapted to.
Instead of developing healthy coping skills, most heroin users tend to rely on the drug for dealing with emotional or behavioral issues. If they suddenly remove the drug, they are left defenseless against their issues.
If someone relies heavily on drugs for feelings of pleasure and stimulation, removing the drug may cause them to feel they cannot be happy without it. This is impacted by the drugs chemical interaction with the brain.
And at the end of the day, physical addiction can have psychological side effects, and vice versa. That is why heroin detox should not only offer medical assistance, but also therapeutic resources.
Heroin Detox: Withdrawal Symptoms
Suddenly stopping heroin without any medical assistance is called going “cold turkey” and it throws you almost immediately into withdrawal. “Cold turkey” is not just uncomfortable, it is dangerous. These heroin withdrawals manifest both physically and psychologically, and the symptoms can range in severity and frequency. Some examples of heroin withdrawal symptoms including:
- Extreme anxiety
- Excessive yawning and sneezing
- Runny nose
- Cold sweats
- Cramp-like pains
- Involuntary spasms in the limbs
- Severe muscle and bone aches
Trying to go through withdrawal from heroin without help is extremely difficult. Some people find it impossible due to the severity of their symptoms. Many people find themselves trapped in a cycle or relapse and attempts to recovery because withdrawal symptoms can be so hard to overcome.
This is why heroin detox is so important. This level of care can help ease you off of heroin and other opiates gradually with the use of medications specifically designed to assist with heroin withdrawal symptoms. Having a safe and experienced medical staff makes this process much more manageable. With a physically and emotionally healthy environment, you can start to establish a comprehensive recovery plan.
Heroin Detox: Safe, Medical Care
Heroin detox should always consist of two phases: evaluation and stabilization.
During this first stage of heroin detox, the individual will be given an assessment in order to determine the best course of treatment. It will include obtaining information about:
- What drugs they have been using
- The presence of drugs in their system
- What quantities of drugs have they been using
- How long have they have been using these drugs
- Other medications
- Co-occurring conditions
This is done through a drug screen, along with any further information you provide during the assessment. Because programs for heroin detox are in a medical setting, the results of your drug screen and information disclosed during your assessment are strictly confidential just like any other medical information is.
During a heroin detox program, the stabilization stage will utilize all the information you provide during your initial assessment to design an effective detox plan. Taper medications are often used in order to wean you off of heroin in both a safe and comfortable way. Detoxing from heroin and other narcotic opiates like prescription painkillers should always be done in a professional and effective manner.
There are many kinds of medication designed to help combat opioid addiction. Carefully consider your options with the medical addiction specialist to ensure you are getting the best possible care. Be sure to provide them with accurate health information for the best results.
Quality care during stabilization should also include providing therapeutic resources for the emotional and psychological side effects. Having support for your mental and emotional well-being is also extremely important for relapse prevention. It lays the groundwork for developing healthy and sustainable coping skills. With the right care, you can take this time to design a personalized recovery plan that is right for you and addresses all of your specific needs to help you be more successful in recovery.
Are you struggling with a dependence on heroin? Are you trying to quit but have failed on your own? Consider reaching out to the caring and compassionate professionals of Palm Partners Recovery Center. If you or a loved one is struggling with heroin abuse or addiction, please call toll-free now. We want to help.
CALL NOW 1-800-951-6135
No one loves harder than a mother, and the pain a mother feels when a child suffers one cannot even imagine. So when a mother loses a child, the hurt can do a lot of things. For some mothers, it pushes them to action, and that is exactly what happens to a grieving mom in Ohio who recently launched a battle against drug overdoses with a roadside billboard after the loss of her son.
Following the overdose death of her son, Lenora Lada paid to put up a billboard in the Marietta, Ohio to raise awareness about the Good Samaritan laws. She takes this action in hopes that other mothers may not have to grieve as she does.
Trey’s Life Mattered
The sign Lada bought shows a picture of her son, Trey Moats, and reads,
“His Life Mattered: No Excuse For Not Calling 911 or taking someone to a hospital,”
Trey’s mother had known about his struggles with addiction but had felt helpless as her 26-year-old child was unwilling to get the help he needed.
Then one day at 3:26 in the morning, she got a call from her son’s friends. Trey had been in a car with these friends when his lips turned blue as he overdosed, so they had driven him to another friend’s house to ask a mother there to perform CPR. But because they were too afraid to call 911, they called Trey’s mother instead and told her to come and get him. Lenora Lada states that by the time she arrived, her son was on the ground already gurgling.
By the time Lada arrived at her son’s side, it had already been 20-25 minutes. When she asked if someone had called 911, she was told by the other mother,
“No, I don’t want the squad and the sheriffs coming to my house again.”
Lada demanded that the daughter call 911, but Moats ultimately died at the hospital of multiple organ failures due to cardiac arrest and polysubstance abuse. Ever since that tragic and heartbreaking moment, Lenora Lada is determined to make sure people know that her son’s life mattered, as do the lives of other victims of overdose. The billboard also states:
“3/10 Mile could have saved Trey’s life.”
Lada believes a call to emergency responders could have saved her son. The sheriff’s report, however, states it is unclear if her son would have survived even if he was taken to the hospital. Local news reports that one coroner said Trey would have been brain dead, but another coroner did not seem so sure.
One thing is for sure though, Trey’s life did matter. And whether or not it was certain to make a difference, something more should have been done to try and save this young man’s life. That is why now Lada is also focused on raising awareness for Good Samaritan laws in Ohio.
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Good Samaritan Awareness
According to the Good Samaritan law:
- Authorities cannot prosecute anyone who calls 911 to report an overdose
- Protects the person overdosing from prosecution
- Immunity is only good two times
- The law is not applicable to people on parole
Ohio’s Good Samaritan laws also require a survivor of an overdose to obtain a drug treatment referral within 30 days in order to avoid charges. This measure is in place with hopes to show more people who do suffer from addiction there are opportunities to seek help.
The intention of Good Samaritan laws is to reduce the hesitation to get help from bystanders who witness an overdose. These laws vary from jurisdiction to jurisdiction, with different interactions with other legal principals. But in essence, they are meant to prevent unnecessary overdose deaths by trying to take the fear of punishment out of the situation.
Lada also believes she would like part of the law to be changed, stating,
“I am asking for people to be accountable for not getting them help,”
What exactly that would look like is unclear, but for a mom who lost her son, it is an understandable sentiment. In many cases, there have been voices of support for charging drug dealers who sell to overdose victims with murder. So if this were to happen, what kind of punishment should someone face for not reporting an overdose?
Good Samaritan laws exist to help prevent deaths due to drug use, and there should be more of an effort to encourage people to report overdoses. Far too many sons and daughters are lost every day to drug overdoses. We should be taking every action we can to avoid more of the same. To defeat drug-related death requires prevention, education, and effective addiction treatment. If you or someone you love is struggling, do not hesitate. Please call toll-free now. We want to help.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
In Philadelphia, there have been nearly 800 fentanyl overdoses this year.
According to figures released by the US Centers for Disease Control and Prevention (CDC) a sharp rise in drug overdose deaths, which many attribute in part to fentanyl, is causing a drop in American life expectancy.
As 2018 begins, many are afraid of what the future may bring concerning more deadly drugs reaching the streets, overdoses, and deaths. One area, in particular, is the streets of Philadelphia. Now, many in the area are pointing out that heroin is no longer the poison most popular on the illicit market. Fentanyl in Philadelphia is now the main ingredient in the drug problem.
How Fentanyl in Philadelphia is Changing the Scene
Patrick Trainor is a special agent with the Philadelphia division of the Drug Enforcement Administration (DEA). Trainor has kept an eye on the Kensington neighborhood for two decades. When talking about the drastic impact the lethal synthetic opioid has brought to the heroin market, he states,
“Fentanyl has drastically changed the landscape… Sixty-four percent of fatals in Philadelphia County are fentanyl-related. There’s no dope out here now, it’s all fentanyl. Even the old timers are scared of it.”
In areas like Emerald Street, AKA Emerald City, even drug users carry Narcan regularly.
Dangers and Death
Even addicts who are now content with using fentanyl are aware of the risks. But many say that compared to heroin, fentanyl’s rush is intense and immediate.
It is painful to use because it burns the vein. Some choose to chance the elevated risk of abscesses by injecting under the skin. This practice is said to reduce the risk of overdose and prolong the high. Yet, overdoses come almost instantaneously. Beyond that, the comedown of fentanyl is said to be abrupt, and the withdrawal period is a long and difficult one.
Tolerance for the drug builds quickly; dependence on the drug is rapid and pretty much unavoidable. Even those revived by Narcan can fall back into overdose due to the immense strength of the drug.
A lot of the issues related to fentanyl in Philadelphia can be connected to how it hit the street in the first place. According to interviews with drug users in the Kensington area, when fentanyl first started flooding the market the dealers didn’t know how to handle it, and the users didn’t even know about it. They had no idea about the risks of the drug, and overdoses were everywhere.
But then the dealers caught on when customers started dying all over, and so they changed the way they cut the drug in order to keep their consumers. Trainor himself notes,
“You’re paying the same for something that’s roughly 100 times more powerful, so why would you buy heroin? The demand is for the most powerful thing they can get. Heroin will never be able to compete with fentanyl. It just can’t.”
There is no wonder why fentanyl in Philadelphia has become the dealers choice, the economics of fentanyl trafficking are easy to understand.
Unlike with heroin, there is no need to wait for the poppy harvest to start production. To yield a kilo of fentanyl, the chemicals one would need cost less than $5,000. At $55,000-$60,000 per kilo delivered, fentanyl is the about the same price as heroin but earns traffickers far more once it is cut and packaged for the street.
Each kilo of fentanyl can be cut out to approximately 330,000 doses, according to Trainor. A single kilo is enough to kill half of the counties residents.
Two factors make fentanyl in Philadelphia such a difficult drug to get ahead of:
No dominant trafficker
With drug problems in the past, a substance coming into any area would probably be controlled by a single, relatively predictable trafficker or trafficking family, but not with fentanyl.
This incredibly powerful and potentially life-threatening drug is coming from China, ordered over the dark web, or coming up from Mexico. It isn’t being shipped in through the typical channels, and thus law enforcement has found it increasingly difficult to track.
It is easy to modify
Fentanyl is a synthetic drug, therefore it is pretty simple to change the formula. Every time traffickers make subtle changes to the chemical ingredients of their batch, the DEA analysts struggle to adapt and catch on before the recipe has been changed again.
“It used to be just fentanyl but now we’ve noticed eight different analogs in this area and around 40 nationally. Our chemists estimate there could be 200 additional variants.”
One of those variants is Carfentanil. This horrifically hazardous material is a painkiller… for elephants and other large mammals! It is estimated to be up to 10,000 times stronger than morphine. Carfentanil has shown up in other areas in the past, such as Cleveland, Ohio. It is still rare for street consumption, but it has shown up along with fentanyl in Philadelphia medical examiner’s office.
Over the past three years, fentanyl-related deaths across America have increased by 540%. According to the Journal of the American Medical Association, for the first time, the majority of fatal overdoses are fentanyl-related, accounting for nearly all the increases in drug overdose deaths from 2015 to 2016. Part of facing the ongoing opioid epidemic is providing effective and comprehensive addiction treatment opportunities. As more and more people die every day from these insidious substances we have to do all that we can to help fight back. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now. We want to help!
CALL NOW 1-800-951-6135
Author: Justin Mckibben
For some time now government officials in different states across America have been pushing for the implementation of safe injection sites in their neighborhoods to combat the perpetual rise of opioid addiction and overdose death. This time last year there were proposals in New York, California and Washington D.C. to open such facilities. With the rising rates of overdose and death more officials have asked for the opportunity to at least examine the potential impact of safe injection sites. Now, officials are pushing for safe injection sites in Boston.
This request didn’t come lightly, either. The Massachusetts Medical Society is actually imploring state officials to open a safe injection site within the City of Boston, with desperate hope of curbing the numbers of casualties.
Safe Injection Presented to City Council
The Boston city council members heard arguments both for and against safe injection sites in Boston, and the debate is on as to what to do with the information.
Advocates for safe injection sites in Boston believe such facilities save lives by making emergency medical treatment immediately available. Dr. Henry Dorkin with the Massachusetts Medical Society supports the idea, stating:
“In fact, if you don’t have them in a facility with Narcan readily available, they’ll die very quickly,”
Just to clarify, safe injection sites are secure locations with medical staff available where addicts can use heroin under medical supervision. It provides what could be considered neutral ground where the drug user will not have to worry about being charged with criminal possession, while also having a first line of defense against overdose. Safe injection sites do not provide drugs, they simply provide the space and with some clean needles are also available.
Probably one of the most popular examples used by advocates of safe injection sites has been the famous facility in Vancouver, Canada that helped save dozens of lives. City Councilors Anissa Essaibi-George and Frank Baker, who requested the hearing, point out that the safe injection sites in Vancouver reduced fatal opioid overdoses by 35%.
This kind of decrease in overdose fatalities would make a huge difference in Massachusetts. The state Department of Public Health says the state’s top cause of accidental death so far this year is opioid overdose. The department says an average of 6 people a day in Massachusetts die from opioid overdoses in 2017, making. A 35% decrease would make a tremendous improvement on the community.
Anti-Injection Sites Argument
Opponents of safe injection sites in Boston say that these facilities do nothing to address the true problem, which is addiction. Sue Sullivan of the Newmarket Business Association states:
“It’s an existence. We need to figure out how we’re going to save these people and it’s not safe injection sites,”
Looking at the Vancouver statistics was apparently not enough to convince the entire city council. One feature of safe injection sites is that they often have a team of treatment professionals who encourage addicts who visit the facility to get treatment. They provide information about safe medical detox and other levels of care to those who are interested in getting help. However, one city council member, Frank Baker, states:
“263,000 visits a year by 6,500 individuals. And it has only 404 referrals to onsite detox,”
Some officials believe that this measure of harm reduction isn’t enough to really solve the issue without getting more people into drug addiction treatment and off the streets.
Possible Benefits of Safe Injection Sites in Boston
The primary function of safe injection sites is to preserve life. The idea is that while it may not be a lasting solution, it is a way to save lives. Safe injection sites allow people struggling to have the opportunity to survive their addiction long enough to get treatment. Beyond slowing down drug related deaths, safe injection sites in Boston could offer a number of other positive outcomes.
In May of last year we also covered a report titled Alternatives to Public Injection in which experts with experience operating supervised injection facilities (SIFs) shared data that shows:
- People who use SIFs take better care of themselves
- SIFs reduce or eliminate addicts needle sharing
- Ultimately, participants reduce their drug use all together
- SIF participants gain access to other medical and social services
- Participants have resources to seek addiction treatment
- SIFs do not increase drug use in the surrounding area
- Crime and public disturbances decrease in the areas around these programs
- There has not been a SINGLE overdose death in any of these programs over many years of operation
Rates of people visiting safe injection sites attending treatment may not be as good as they could be. However, the fact that they have no experienced a single overdose death at these facilities is an incredible improvement.
Are we going to see safe injection sites in Boston? Are more American cities going to consider this option? Is having a safe injection site a good idea?
While getting the right kind of safe and effective addiction treatment can create lasting change, preventing the ongoing deaths from drugs is also a worthy cause. Holistic healing programs are designed to address every aspect of addiction. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
That’s right, you read the headline correctly. Law enforcement could soon be giving heroin to addicts, for free, in an attempt to fight addiction. While harm reduction is an admirable concept to preserve the lives of those suffering from addiction, this is a hard bit to chew.
Various countries are working to drastically reform drug policies. Some states in America have even started to pursue expanding access to naloxone, needle exchange programs and even safe injection sites. Other countries around the world have gone to new lengths in decriminalization, while others go to new extremes in the War on Drugs. Yet, despite all this variations of progress, giving away heroin seems like the most abstract idea yet.
Police in Durham, a city in northeast England, are planning to offer free heroin to drug users. Why? They say the objective is actually to reduce both crime and addiction.
The Free Heroin Plan?
Durham Police and Crime Victims Commissioner Ron Hogg spoke recently on his logic for providing heroin to addicts. In his statement he said,
“The aim would be to enable people who have become addicted to heroin to follow a program that would stabilize their addiction in a controlled environment, and reduce their dependency on heroin until they stop taking it,”
The idea isn’t just to give addicts free heroin and let them loose, but to create a very distinctive atmosphere of support in hopes of inspiring recovery. The proposed free heroin program would work in combination with a traditional substance abuse support program, and the users would be monitored on use and tapered off. According to the Independent newspaper, the free heroin clinics could be established in the Durham area before the end of this year.
What do Police Think of Free Heroin?
It seems the police department is hoping that if drug users have access to free heroin then they won’t have to resort to crime to support their addiction. While they are aware of how this idea might seem strange, the idea is that they may be able to further decrease all other devastating results of addiction on the community. Crime, spread of disease, overdose death and more.
According to the Independent newspaper, Durham Chief Constable Mike Barton also says the initiative would take away from drug dealers’ profits. With drug users having access to free heroin they hope it will cripple the trade on the illicit drug market. Barton states:
“We need to get over our moral panic about giving people heroin as part of a treatment plan,”
“Our primary concern is to prevent crime. If we’ve got people who are addicted to Class A drugs committing crime, it makes good sense to get that person off drugs.”
Commissioner Hogg also goes on to say,
“The aim of the initiative is to save the lives of addicts, shut down drug dealers and reduce acquisitive crime,”
“It would also reduce demand on police time, and the courts, and I believe it should also help lower the prison population.”
The impact of heroin on the U.K. should of course be noted as a cause for desperate measures.
- 2015-2016 statistics show there were 149,807 people receiving treatment for opioid use disorder in England
- Between 2012 and 2015, heroin-related deaths doubled from 579 to 1,201 deaths in England and Wales
So of course, as the opiate epidemic rattles countries all over the world, a few have decided to react in very different ways. Apparently, some parts of the U.K. are moving toward a very, very liberal stance.
Fix Rooms and Safe Injection Sites
England is not alone on this. Let us also note that Switzerland has actually offered a free heroin maintenance program since 1994. Other governments in the U.K. have approval for similar safe injection initiatives, including:
- The Netherlands
Last October, Glasgow, Scotland became the first city in the U.K. to approve plans for “fix rooms”. These are sites where people will be provided medical-grade heroin and clean syringes with the intent to contain the heroin epidemic.
The free heroin program in Switzerland began in Zurich. It is now credited with decreasing crime in the area. Information indicates this program has expanded to 23 clinics. But it isn’t just free heroin in these locations. These “fix rooms” also provide counseling and support.
Harm Reduction… or Reorganizing?
Now, we have to ask, is this as crazy as it sounds? While the police in these areas seem to be openly admitting that giving away free heroin is indeed enabling, they seem very convinced that things have gotten so bad this is the best they can hope for at the moment. Again, they are hoping to contain the fallout of heroin abuse in their communities and provide information and treatment resources. The idea sounds pretty intense, but some would say desperate times call for desperate measures.
So is this harm reduction, or just reorganizing? Is this tactic set to prevent even more suffering and destruction, or is it a feeble attempt to make some semblance of order out of the chaos of the opiate crisis?
From a personal opinion, as an addict in recovery, I can say I honestly don’t know. It sounds incredibly dangerous and almost irresponsible to say that law enforcement will provide free heroin. Yet, I have to try and understand their logic; that it might be able to prevent some crime. It might take a nice piece of money out of drug dealer pockets, and it might preserve lives long enough to convince them to get treatment. Then again, an addict like me might just take advantage of the free heroin program and get more off the street while also getting free, government funded drugs too.
Past data might show some support to this innovation. I guess we will just have to wait and see what becomes of this. Until then, there should always be an emphasis on the possibility of effective and comprehensive treatment. Even with the free heroin program, the idea is to get people the treatment they need.
We want to know what YOU think.
Addiction and drug abuse have become relevant in every aspect of American life. Police, politicians, educators and community leaders are trying to create radical changes in perspective. Not every perspective is easy to understand, but the common goal is inspiring lasting recovery. If you or someone you love is struggling with substance abuse or addiction, please call toll-free.
CALL NOW 1-800-951-6135