Author: Justin Mckibben
Big Pharma has been called out several times in the past couple years for pricing, aggressive marketing and misrepresenting their products. Big Pharma companies have also been called to court a few times for the contribution prescription opioid drugs have made on the opioid epidemic that has damaged the country. The financial and emotional toll of the opioid epidemic has hit hard in several states. South Florida is no exception. Delray Beach has experienced their fair share of strain from the opioid problem, especially when it had been an epicenter of the huge illegal pill mill problem.
Now community leaders in Delray Beach are seeking restitution from the Big Pharma empires, making it the first city in Florida to take this shot at holding Big Pharma accountable.
The Big Suit
That’s why the Delray Beach commission Tuesday decided to sue drug makers for the part they played in the heroin crisis. The city has enlisted the national law firm of Robbins Geller Rudman & Dowd from their office based in Boca Raton. So far the suit has set its sights on at least 8 major drug makers and distributors. Two of these have already seen similar cases; Purdue Pharma and McKesson Corp.
Mayor of Delray Beach, Cary Clickstein, has stated:
“With virtually no help from our federal government and little from our state … cities like ours are now frantically searching for answers for our own population,”
“We’re right for turning our eyes to those who are known conspirators in this ongoing atrocity.”
According to the law firm representing Delray Beach, the Big Pharma companies being pursued are responsible for:
- Downplaying the addictive nature of opioids
- Forcing the burden of dealing with the resultant overdoses on state, county and city governments
One of the more impressive features of this case is that the lawsuit won’t cost the city of Delray Beach. The expenses will be covered by Robbins Geller. However, the case supposedly has the potential to garner millions in damages for the parties pressing the matter.
According to a partner of the law firm, who compared the Big Pharma tactics to the now infamous tactics of Big Tobacco,
“They went out and said that opioids are less than 1 percent addictive. That is obviously not true.”
The Mayor and the law firm seem hopeful, while other states have been laying the groundwork for these powerful fights.
States VS Big Pharma
Back in 2015, two counties in California sought damages against 5 Big Pharma companies for the same reasons, and in no time at all the case had been dismissed. However, recently one of these drug company agreed to pay 1.6 million for substance abuse treatment to settle the lawsuit. 4 others remain as defendants in this ongoing battle.
In 2014, Chicago’s Mayor Rahm Emanuel took a similar stance, but in 2015 the case was also dismissed. However, the court did state in one of these cases:
“The Purdue entities made misstatements about opioids on their own websites with the intention that Chicago doctors and consumers rely on those misrepresentations are sufficient to state claims against the Purdue entities for violations…”
And while U.S. District Judge Jorge L. Alonso dismissed many of the complaints, the battle over whether these companies deliberately misrepresented the drug benefits and risks continues.
Even recently Ohio Attorney General Mike DeWine announced the state is suing 5 pharmaceutical companies, including:
- Purdue Pharma
- Endo Health Solutions
- Teva Pharmaceutical Industries and subsidiary Cephalon
- Johnson & Johnson and subsidiary Janssen Pharmaceuticals
- Allergan, formerly known as Actavis
There are numerous other suits that have been filed against Big Pharma companies.
- Four counties in New York
- The Cherokee Nationfiled a lawsuit against distributors and pharmacies in tribal court over the opioid epidemic.
- The city of Everett, Washington
While some of these suits may go over better than others, the fact is Big Pharma is under some serious scrutiny.
Delray Beach Making a Case
The Delray Beach lawsuit will seek damages based on the claims that drug makers and distributors violated laws of:
- State consumer protection
- Public nuisance
- Unjust enrichment
According to city officials, every overdose in Delray Beach costs the city about $2,000 in manpower and lifesaving materials. With 690 overdoses last year, that puts the bill around $1,380,000. The only problem is finding a way to prove that pharmaceutical companies can be linked to these overdoses. While many, if not all, of those overdoses were heroin-related, the city may still have grounds to go after opioid drug makers in Big Pharma because these dangerous drugs are considered an underlying problem in the opioid epidemic.
Between 72 and 82 opioid prescriptions are written for every 100 people in Florida, the law firm reports.
While the law firm anticipates other governing bodies will join as plaintiffs, Delray Beach leaders insist they will not wait for other plaintiffs to join the lawsuit. At this point there is not telling how long the lawsuit will last.
There should definitely be accountability for the damage that has been done thanks to the misrepresentation of drug risks and benefits. The misguided and underestimated use of powerful opioids has destroyed countless lives over the years. But beyond holding Big Pharma accountable, there should also be some effort put forth by the state and community officials to promote safe and effective addiction treatment. Innovative and holistic recovery programs can make a huge impact. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Narcan, or the generic version Naloxone, is the opioid overdose antidote that we have heard so much about in recent years. The opioid epidemic has left us no choice but to talk about it. While opioid addiction spreads, the overdose death rates skyrocket and community leaders all over the country are trying to find ways to expand access to Narcan and Naloxone. Now some advocates in South Florida, and specifically in Palm Beach County, are pushing for discussion on having Narcan in schools.
This isn’t a brand new concept, and it obviously doesn’t come out of the blue. There is a steadily growing number of kids prescribed legal pain killers, especially after the FDA ruled to allow OxyContin to be prescribed to children 11 years old and up back in 2015.
So with the conversation trying to get off the ground, we might want to take a serious look at the benefits of such resources. This is not the first time the question has been raised about utilizing the overdose antidote in schools, so is it a good idea or not?
Examples of Narcan in School
There are already several states across the country that use Naloxone and Narcan in schools. State programs are set up differently, with some requiring the medication and others leaving it to individual school districts to set their own requirements. Just a few examples of states with Narcan in the classroom include:
January of this year Ohio Governor Kasich signed a bill making it possible to have Narcan in schools and homeless shelters. Just this week there was a 5 to 1 vote in Akron, Ohio by the Akron Public Schools Board of Education that passed a motion for police officers who work in the district’s middle schools and high schools to be equipped with Narcan in district buildings.
A law passed during the legislative session allows West Virginia schools to stock opioid antagonists, such as Narcan and Naloxone, for drug overdoses.
The state of New York has a program set up to provide Narcan in schools for free. So far 64 districts are participating in the narcan expansion program.
In 2016 there were 268 schools in the Pennsylvania Public High Schools system approved for Narcan intranasal kits from Adapt Pharma for free.
Also back in 2016, the Illinois General Assembly voted to override the Governor’s veto of a bill to allow Narcan in schools so nurses have access. The Illinois legislation specifically authorizes school nurses to administer the drug to anyone they believe may be suffering an opioid overdose.
Every middle school, junior high and high school is required to have a stock of naloxone on the premises.
The kicker is there are currently no programs for Narcan in Florida schools.
Palm Beach County Debate
Of course with programs like these we will always see some standing against it saying it promotes, or at least enables, illicit drug use by students. However, there are plenty of others who have stood on the fron lines and seen how opioid addiction can stem from legal and innocent beginnings. Maureen Kielian is one advocate who spoke up about the possibility of Narcan in schools recently, stating:
“My son became addicted to legally prescribed opioids,”
South Florida Recovery Advocates is a group actively advocating for schools to have Narcan, and Maureen has joined the fight to make a difference for kids like her son. Kielian states,
“We are on it. We just need cooperation from our leaders to save lives,”
Palm Beach County Commissioner Hal Valeche plans to meet with local law enforcement officials and school leaders to try and pursue a future Narcan program for the South Florida schools. He acknowledges that the biggest hurdle may be funding, but Valeche insists that saving lives is more important. He and other advocates understand the cost is nowhere near the value of a life.
While schools try to get their hands on an antidote that might save the lives of their students, people everywhere are still fighting for their lives. Don’t wait for an overdose to get help. Make the choice now. If you or someone you love is struggling with substance abuse or addiction, please call toll-free.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Ohio has been a major epicenter of the overdose outbreak. In 2014, Ohio was #2 of states with the most overdose deaths. Since then, Ohio has topped the list for heroin overdose deaths in the country, and remains in the top 3 states with the highest overdose death rates, both overall AND per capita. In fact, the overdose capitol of America is actually Montgomery County, Ohio, with over 365 opioid-related deaths in the first 5 months of 2017.
So with Ohio being one of the states hit the hardest by the ravishes of the opioid epidemic and the overdose crisis, you would think that Ohio officials would be more apt to adopting progressive and preventative measures for saving lives. In some areas, yes. However, in others… not so much.
Butler County Sheriff Richard K. Jones says his deputies won’t carry Narcan, despite its effectiveness reversing the effects opioid and heroin overdoses.
Butler County Overdose Deaths
Making this a much more controversial issue, drug overdose is killing more people than any other cause in Butler County. According to a statement by Dr. Lisa Mannix’s office, in the first 4 months of 2017 the coroner investigated 175 deaths, and 96 of them were lethal drug overdoses.
The month of April was especially deadly for drug users in the area. According to Mannix, her office-
“- has never seen that many deaths of any kind in a single month.”
In just those 30 days, 30 people died from drug overdose. According to the coroner’s office, 83% of the overdose deaths involved illegal opiate substances. This includes the now infamous synthetic opioids such as:
If this deadly trend continues, the coroners office expects those rates will see a 50% increase from the total overdose deaths in 2016.
The Sheriff Says “I Don’t Do Narcan”
He’s Jones just happens to be the only sheriff in Southwest Ohio whose department does not use the opioid overdose antidote Narcan, or the generic Naloxone. And apparently, he has no intention of starting anytime soon.
Jones was asked about the lack of Narcan use by his police department shortly after the now controversial comments made by a Middletown city councilman suggesting a policy to refuse giving a response to overdose calls. According to the sheriff, local residents and even social workers often ask him why law enforcement continue to revive people who overdose multiple times. His response was simple; his deputies don’t. When interviewed and asked about it, Jones stated:
“I don’t do Narcan.”
Yes… let that just sink in for a second.
This is a man who has the job description of ‘protect and serve’ but when it comes to addicts, he would prefer to do neither.
So what was his justification?
Jones went on to rationalize his opinion by, according to the original report, ‘talking about babies he has seen born addicted to heroin in his jail and mothers who teach their teenage children how to use heroin so they can shoot the mom up.’ When the reporter pressed on about the lack of Narcan in his department, Jones stated:
“They never carried it. Nor will they. That’s my stance.”
The sheriff went on trying to validate his rationale by claiming safety was the primary priority. He argued that people revived from an overdose are often violent and are almost never happy to see the police.
So in short, it sounds like this sheriff would let sick and suffering men and women, even teens, die from overdose rather than save their lives… because they might be upset or aggressive?
What Do You Do?
As expanded access programs to provide Narcan to first responders have become more popular it seems some have gone on to debate how long should tax payer money do to saving lives, and how many times should someone be revived.
This is a tough conversation to have. For some there is no easy answer. Those who are more focus on being monetarily minded and conservative will typically argue that resources should not go to repeatedly paying to save addicts from death. But is it fair for anyone to decide whether someone should die or not simply because they are addicted to drugs? Are we really willing to let people die to boost the government’s budget?
However, for some of us the answer is easy- you cannot put a price on a life. Struggling with substance use disorder does not diminish the value of a person. It should go without saying that if the resources exist to prevent death from overdose, than we should use it. Narcan may not be the cure to addiction, but it might keep just enough people alive long enough to find help and make a difference in the world.
Thankfully, this isn’t how all of Ohio is handling the opioid overdose outbreak in their state. Sheriff’s deputies in surrounding counties carry the opioid overdose antidote, including:
- Warren County
- Clermont County
- Hamilton County
Other expanded access programs in Ohio are going strong and saving a lot of people, but of course the next step to solving the issue is helping to establish sources of effective treatment.
Drug addiction treatment can be the decisive variable that allows for these overdose victims and others suffering with substance use disorder to get a new chance at life. Holistic healing with innovative and personalized recovery programs has the potential not to just save a life, but transform lives. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-800-951-6135
When we are in a crucial time of combating substance use disorder and drug addiction in America, it could be useful to remind everyone of the key differences in different drug categories and which common drugs can qualify for these descriptions.
Needless to say, this is not a complete list of every known drug. Truthfully, there is a vast library of known chemical combinations that are utilized as either medical treatments or abused as a means of recreational intoxication. There are the more abstract medications that have no known recreational use, and there are many synthetics that can be far more complicated.
Still, plenty of drugs that we know of have been put into different classes. Here is a brief breakdown of the different drug categories and what drugs qualify.
Prescription Medical Drugs
First we will make a more solid distinction between medical drugs and recreational drugs. Sadly, prescription drug abuse has become a major problem in the country. The opioid crisis has been largely impacted by the abuse of drugs created for medical use. It is important to be aware of the dangers of prescription medical drugs.
Many medical drugs have side effects that make them appealing to people who don’t have a real medical reason to be prescribed these substances. Common medical drugs to be abused include:
The tragedy we have learned through the opioid crisis is that even though these drugs are typically prescribed for medical purposes, they can be extremely dangerous. That includes people who use them recreationally, and for those who are prescribed the medication because of the risk of physical dependence.
Some prescription drugs are more addictive than others, and many can be deadly when taken improperly or with other drugs, especially alcohol.
Recreational drugs are substances specifically used to achieve a desired feeling, or to get ‘high’. Most recreational drugs are illegal. Some legal drugs are recreational, and some recreational drugs are legalized in certain areas for medicinal purposes.
Recreational drugs are typically categorized into three main categories: depressants, stimulants and hallucinogens.
Depressants, which are also called ‘downers’ are drugs that depress activity in the body, meaning they slow down the messages sent to and from the brain. Examples of depressant drugs include:
- Opiates (such as heroin and morphine)
- Sedatives (such as Valium)
- Some glues, petrols and other solvents
An individual is at an even higher risk of overdose from depressant drugs when consuming different types of depressants at the same time. Large amounts of depressants can cause life-threatening respiratory issues and loss of consciousness.
Stimulant drugs are also known as ‘uppers’. The term refers to the way these drugs make someone feel ‘up’ or ‘alert’ by speeding up the messages sent to and from your brain. Examples of stimulants include:
- Amphetamines (such as speed or ice)
Some of the hazardous side effects of stimulant drugs include:
- Severe strain on the heart
- Increased body temperature
Combining different stimulant drugs, or using stimulants with depressant drugs can create even more strain on the heart and the body, which can cause major health problems or even death.
Hallucinogen drugs are psychoactive agents which can cause hallucinations, anomalies in perception, and other substantial subjective changes in thoughts, emotion, and consciousness. Examples of hallucinogens include:
- LSD (acid)
- ‘Magic’ mushrooms
- High doses of cannabis
Hallucinogen drugs do a number on the mind, and therefore they tend to make people experience things like:
- Risk taking behavior
Legal VS Illegal
One thing that we should always keep in mind is that a drug isn’t necessarily safe just because it is legal. Whether or not a drug is illegal, it can still pose a great deal of problems to different people for different reasons.
Consider alcohol. This is a legal substance, but it is still considered by many to be the most dangerous drug there is. That isn’t to say that it is as potent as drugs like heroin, but the danger rating comes from the fact that it is deadly, addictive AND highly accessible! For one, someone can get alcohol poisoning and die if they drink too much. Also, alcohol withdrawals can be some of the most dangerous there are. Add in the fact that it is extremely addictive, even more lethal when combined with other drugs, and can be purchased on pretty much every corner in America.
THAT is a dangerous drug.
Then, there are synthetic drugs. These substances can be ambiguous when it comes to being flat out illegal. For a while there were constantly news stories about new dangerous synthetic drugs being sold as “legal highs” that were making people deathly ill. In some cases, people did die.
Synthetic drugs can also fall into any of these categories, for example:
These drugs can be far more dangerous than others because of the often random chemical combinations they come in, being cooked in homemade labs with substances that have no clinical trials on human biology.
Drug and alcohol rehab programs are designed to put you in the best position to succeed with as many resources as possible, and it all starts with a healthy detox. Understanding the different drug categories may help you better understand the importance of a safe and effective treatment program. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
CALL NOW 1-800-951-6135
(This content is being used for illustrative purposes only; any person depicted in the content is a model)
Author: Justin Mckibben
In the fight against opioid addiction many have turned to medication maintenance programs as a means to help them curb their substance abuse. Methadone is one of the more commonly utilized medication maintenance drugs. However, the system is not without its inherent and relatively serious risks. In fact, methadone abuse is common.
While methadone may not produce the same high in the same manner as heroin, it can be abused to cause the same effects as most opiates, including:
When considering methadone, there are a lot of reasons to do your research and make sure you fully understand how methadone is used and what the dangers are. Dosing of methadone will depend on a few factors, including:
- Age of the individual
- General condition and medical status of the patient
- Other medications being taken
It is very important to note that methadone can have side-effects when interacting with other medications, such as:
- Narcotic pain medications
- Muscle relaxers
- Medicines that can cause drowsiness or slow your breathing
- Diuretics(water pills)
- Heart or blood pressure medications
- HIV medicines
- MAO inhibitors
- Seizure medication
If methadone is taken with some other medicines the combination can cause serious medical problems. Looking at the side-effects of methadone, one should talk to their doctor about any other medications they take.
What Are the Side-Effects of Methadone: Common Side-Effects
Methadone is a narcotic used as a pain reliever, and is also used as part of drug addiction detoxification and maintenance programs. Methadone hydrochloride is the generic form. Common side effects of methadone hydrochloride include:
- Sleep problems
- Dry mouth
- Loss of appetite
- Decreased sex drive
Some of these more common side-effects may not be especially dangerous, but they can lead to much more serious complications.
What Are the Side-Effects of Methadone: Serious Side-Effects
When experiencing these serious side-effects, immediately contact your doctor or seek emergency medical treatment if you experience serious side effects of methadone hydrochloride including:
- Chest pain
- Muscle pain or cramps
- Bleeding gums
- Difficulty swallowing
- Blurred vision
- Blood in urine or stool
- Fast or pounding heartbeat
- Trouble breathing
- Extreme fatigue
One of the most critical mistakes many people make is assuming there is no danger in relying heavily on methadone as a means of recovery from opioid abuse. The reality is, approximately 5,000 people die due to abuse of methadone each year.
Admittedly, this is often more likely when methadone has been mixed with other substances, including alcohol and benzodiazepines. However, it is absolutely possible to overdose on methadone.
What Are the Side-Effects of Methadone: Overdose
It is possible to overdose on methadone, just as with any other powerful prescription opioid medication. Again, methadone is a narcotic and many of the overdose symptoms for methadone are the same as with other opioid medications, such as:
- Difficulty breathing/shallow breathing
- Hypotension (low blood pressure)
- Twitching muscles
- bluish fingernails and lips
With drug overdose, especially with such strong substances, death is a possible side-effect. Therefore it is extremely important that all side-effects are taken seriously and that someone trying to utilize methadone consults with their doctor about the risks.
What Are the Side-Effects of Methadone: Mental Health
While the physical side-effects of methadone can be very difficult to deal with, methadone also has a tendency to cause some psychological side-effects, such as:
The truth is, these psychological side-effects can be just as serious as physical side-effects, and some people have more difficulty dealing with the psychological aspect of methadone.
Also, people who already struggle with other co-occurring mental health disorders may experience some side effects more intensely. It is important to make sure both mental and physical health is taken into account with every form of drug treatment.
What Are the Side-Effects of Methadone: Withdrawal
The reality that makes the use of methadone seem self-defeating is that methadone does indeed come with its own set of withdrawal symptoms that become more severe with prolonged use. These withdrawal symptoms are often similar to those from other opioid drugs, such as heroin. The most common withdrawal symptoms include:
- Muscle pain and aches
- Rapid heartbeat
- Stomach cramps
Quitting methadone “cold turkey”, meaning abruptly without a safe medical taper or detox, can cause more severe withdrawal symptoms.
What Are the Side-Effects of Methadone: Detoxing from Methadone
Detoxing from methadone is safest and most efficient when done under the supervision in a medical detox of a drug treatment facility or hospital. Most medical detoxes provide a tapering off of the drug in order to reduce the severity of withdrawals. Quitting cold turkey is much more painful and difficult to do.
Drug treatment programs like Palm Partners also utilize the combined expertise of therapists and medical physicians in order to design a personalized treatment plan in order to give the individual the best opportunity for lasting recovery, and anyone who has been using methadone for an extended period or developed a tolerance to it should pursue an inpatient treatment option. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
CALL NOW 1-800-951-6135