A court ordered a heroin addict to quit all drugs. Here's why that cost him his life.

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VOX--German Lopez

Robert Lepolszki had kicked his heroin addiction. In 2014, the 28-year-old from Long Island was in a methadone treatment program — which lets addicts replace heroin, a very deadly opioid, with methadone, a safer opioid that doesn't produce a euphoric high like heroin, to suppress withdrawal symptoms. For him, methadone acted like medicine for heroin addiction.

But then Lepolszki was arrested for an old drug sale and placed in front of a drug court, which push addicts to treatment instead of jail. These courts tend to take a hard line on addiction, and this court was no different. Judge Frank Gulotta Jr. said Lepolszki could only avoid incarceration if he quit all drugs — including methadone, the one drug keeping him off heroin.

Methadone treatment programs "are crutches — they are substitutes for drugs and drug cravings without enabling the participant to actually rid him or herself of the addiction," Gulotta wrote, NBC 4's Ann Givens and Chris Glorioso reported. "It must be remembered, the purpose of this program is to rid the participant of all addictions."

Lepolszki died of a heroin overdose six months later.

Gulotta, like other critics of methadone treatments, was repeating a common refrain: Using methadone to quit heroin only replaces one drug with another.
But as drug and science journalist Maia Szalavitz explained in the New York Times, this line of thought fundamentally misunderstands drug addiction and why it's a problem:

Addiction is not simply needing a substance to function: If that were the case, we would all be considered addicted to food, water and air.
Instead, addiction involves compulsive behavior in the face of negative consequences; obsessively pursuing a drug or experience even though it is ruining your life.

Maintenance replaces unhealthy behavior with simple dependence, the need to take a drug to avoid withdrawal. And that is not a problem with a legal, safe supply
.


Under this view, methadone isn't an addiction. The drug is not anywhere as deadly as heroin if used as advised. And since it doesn't produce a euphoric high like heroin, it doesn't lead to addicts looking for more and more as their tolerance increases, which raises their chances of overdose. It is, simply, a medication for opioid addiction.

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(Heroin is the bottom-light blue line, opioid painkillers-top line)

more: http://www.vox.com/2015/7/21/9009253/methadone-addiction-drug-courts
 
Yeah..

In regards to drug courts, they should change the policy on this or at least allow vivitrol if it's not allowed already. I don't have these in my state so I am not too familiar with them. I do know in many places if you test positive one time you can get a long prison sentence.
 
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methadone, a safer opioid that doesn't produce a euphoric high like heroin

I keep hearing people say this, and it's bullshit. Methadone makes me feel like I'm living in a magical fantasy world in which everything is a bed. It makes me feel so happy I start to spontaneously sing out loud even among strangers. It's like a continuous internal heated massage.
 
I surmise you're being sardonic...

methadone, a safer opioid that doesn't produce a euphoric high like heroin

I think this statement is generally accurate. Most people consider heroin more euphoric and methadone is less dangerous when used as advised.
 
I keep hearing people say this, and it's bullshit. Methadone makes me feel like I'm living in a magical fantasy world in which everything is a bed. It makes me feel so happy I start to spontaneously sing out loud even among strangers. It's like a continuous internal heated massage.

It would be politically incorrect to be honest about the fact that Methadone, a non-selective/non-partial (aka full) µ-opioid agonist clearly produces a noticeable feeling of intoxication in the vast majority (if not all) patients who are prescribed the potent synthetic narcotic as a maintenance medication in amounts which are considered typical or average for MMT, which AFAIK is ~60mg daily (or higher).

Even in MMT patients who have been dependent on the 'liquid handcuffs' for years, and who have slowly been going down in dosage, there is still a mild buzz which usually becomes noticeable about 1 to 2 hours after dosing.

And with respect to how this article calls Heroin "a very deadly opioid," I shake my head in disbelief at the apparent stupidity of most journalists in relation to 'street drugs' and their inability to comprehend the government-facilitated reasons why a clandestinely prepared, unregulated, adulterated, cut, variable purity/potency black market 'street drug' such as Diacetylmorphine/'Heroin' ends up causing a death by overdose in ~1 out of every 100,000 times an addict feels (s)he needs another fix.

Rarely does it appear to occur to these individuals that if a socially accepted legal high such as Ethyl Alcohol was supplied by the same sources using the same unregulated means of filling the large demand of Alcoholic Beverages in America, that countless men and women would soon end up dead due to alcohol poisoning. And even worse is the fact that far too many Americans still continue to rely on the same seemingly clueless members of the press in order to be (mis)informed (or completely deceived) of the war on (certain) drugs in general.

Thank God that the internet seems to be aiding more and more of the American people with each passing day to notice that we have long been mislead and hoodwinked by fundamentally contradicted propaganda.
 
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... the 28-year-old from Long Island was in a methadone treatment program — which lets addicts replace heroin, a very deadly opioid, with methadone, a safer opioid that doesn't produce a euphoric high like heroin, to suppress withdrawal symptoms. For him, methadone acted like medicine for heroin addiction.

What a bunch of propaganda bullshit...

Generally accurate or not (and I'm more on the 'or not' side), it's pure political propaganda and that in itself makes it fundamentally dishonest.

Medicine... it's medicine, not a drug, unlike heroin, a drug, not a medicine.... every day all over society profound dishonesty is told through manipulation of words.
 
Journalists usually have no idea what they're talking about. One outlet puts out a paper and then a multitude of others reprint it regardless if it is accurate.

Both heroin and methadone could be entirely safe but overall illegal heroin is more dangerous.

In a state near me there was a period of several years when methadone caused more deaths than any other drug. (heroin, cocaine, oxycodone, etc)

Also, it's pretty obvious that heroin is considered more euphoric by most people...I agree that methadone is somewhat euphoric.
 
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I don't see heroin as a dangerous drug. If you imagine pharm.-quality heroin being distributed through legal channels, and users being able to control dosage very accurately, with no fillers used, the number of deaths per million users would likely be very low.

I agree. Some med professionals have said that technically paracetamol is more toxic.

Of course the media is always referring to street heroin.
 
I don't see heroin as a dangerous drug. If you imagine pharm.-quality heroin being distributed through legal channels, and users being able to control dosage very accurately, with no fillers used, the number of deaths per million users would likely be very low.

I'm not so sure about that. Opioid-related deaths are almost exclusively due to poly-depressant use (benzodiazepines + opioids more than anything else), and that kind of behaviour is relatively independent of whether the drugs are legal or not. That said, thorough education and better naloxone access, along with the gradual elimination of stigma, would be enough to drastically lower the death rate.

Hell, every opioid prescription should just come with naloxone by default.
 
The UK uses the medicine diamorphine (or in non bullshit speak, legal heroin) in medical settings all the time without people dropping dead. No accepted medical use my ass.
 
The UK uses the medicine diamorphine (or in non bullshit speak, legal heroin) in medical settings all the time without people dropping dead. No accepted medical use my ass.

Yeah, I am unaware of any evidence suggesting that it is more harmful than morphine. (using an equivalent dose)

I was told by a pharmacist that two reasons doctors don't speak out more in favor of heroin is because.

1. negative connotations (stigma)

2. Since they have been using morphine for so long with great success they consider heroin unnecessary.
 
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I don't see heroin as a dangerous drug. If you imagine pharm.-quality heroin being distributed through legal channels, and users being able to control dosage very accurately, with no fillers used, the number of deaths per million users would likely be very low.

The argument that the war on drugs has caused more damage than the drugs themselves is, in my opinion, clearly true when considering your argument as well as the implications of leaving it to criminal organizations - who care little for product regulations and consistency - to supply the demand of Heroin with a notoriously fickle commodity.

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No I mean it. It also depends on how euphoria is defined. A persistent state of deep comfort is euphoric, I think.

One man's euphoria is another man's dysphoria? I'd say the answer to that is yes.

Or in other words, euphoria is most definitely a subjective experience. And as an example, I'd like to point out that I often consider 'nodding' to be a pleasant experience, when in contrast, my significant other hates it.
 
The idea that the government has the right to tell its people what they can put into their own bodies is surreal.

Parents get to decide whether their boys get to have intact genitals with 100% function or mutilated genitals with < 50% function...It stands to reason that governments can and will control people.

...or delegate others (ie. parents) to do the controlling for them.

The control is the denial of basic human rights.

By not banning genital mutilation they are in effect violating human rights.
 
Maintenance replaces unhealthy behavior with simple dependence, the need to take a drug to avoid withdrawal. And that is not a problem with a legal, safe supply.

they use intersting definitions. if heroin were legal you couldn't be addicted to it, but only dependant. now there's only one simple step standing in the way of eradicating all drug addictions ;)
 
whats with all this circumcision talk?

The heroin isn't bad by itself, it is the user. Some people are prone to the misuse of substances. Personally, I looked at my heroin as my medicine and in order to stretch my dollar, I didn't seek the nod, rather I only sought to keep myself well for another day.

I think there are more people like me out there than the other type of user. Ever go to the dopespot early in the morning? you see a different class of addicts.
 
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