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Vancouver study on prescription heroin gains attention in United States

poledriver

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Vancouver study on prescription heroin gains attention in United States

A doctor in B.C. has developed a new program that's having some success at getting life back on track for those effected with drug addiction. Rumina Daya has more on how it works and who is taking notice

The lead doctor at a Vancouver clinic that provides medical-grade heroin and another legal opioid to treat long-term heroin addicts is hopeful the work of the clinic will expand.

“I don’t want to be the only one,” said Dr. Scott MacDonald, lead physician at Providence Health Care’s Crosstown Clinic.

“More people need access to this. I think it will save lives, reduce suffering, and reduce public disorder.”

Earlier this year, 202 Crosstown patients were involved in a trial called SALOME, whose Principal Investigator is Dr. Eugenia Oviedo-Joekes, where they received injectable hydromorphone and diacetylmorphine on a regular basis.

“People who are engaged in illicit heroin use daily, after six months of treatment, that goes down to just four days a month. At the beginning, people were involved in illegal activities 14 days a month…at the end of their time in the study, that had been reduced to just four, five days,” said MacDonald.

“Change does not happen in days or weeks. It takes months and years, but we’re seeing positive changes and health benefits in our patients.”

“I can wake up without worrying. Before, I had to wake up, the first thing was on my mind was taking care of that addiction, that craving,” he said.

“People like Scott put time in, above and beyond the call of duty…It’s not just giving me dope, it’s making sure my housing is taken care of. There’s a lot of different aspects to addiction.”

READ MORE: Canada to allow heroin prescriptions to treat addicts

Last month, MacDonald went to Washington D.C., testifying to the Senate’s Committee on Homeland Security and Governmental Affairs about the effectiveness of the program.

“The senators listened very attentively. I’m not sure there was pushback. They had questions…about the benefits or our treatment, and who it helps, and what the long term goals of treatment are. We have evidence to support this treatment, and that’s what they were interested in, and I simply responded to the questions,” he said.

More than than 47,000 died from drug overdoses in the United States in 2014, mostly from opioid pain relievers and heroin. In B.C., fentanyl, Oxycontin and other illicit drugs have been responsible for more than 300 overdose deaths this year alone.

This motivates MacDonald to keep pushing his research, and to keep advocating for its effects.

“The opioid crisis is growing in British Columbia. It’s important that we attract and engage the most vulnerable in care, and some people simply require an intensified treatment with an injectable treatment option like this. It’s safe and effective,” he said.

http://globalnews.ca/news/2838013/v...tion-heroin-gains-attention-in-united-states/
 
I like this. There are some people that are constitutionally incapable of quitting opiates and staying sober for over a year. It is not something I like to think about too much, but I don't think they should be punished or terrorized by police because of it.

There are people that have failed on subs (like myself) people that methadone just doesn't work for, and those that just cannot stay with either of those kinds of programs. There was a huge turnover rate at my suboxone clinic just due to the cost. Part of my recovery story is tapering off heroin, going to rehab, and then continuing therapy afterwords. I was constitutionally incapable of sticking to the rigid program of bupe or methadone. Some addicts do not have the support to do what I have done...ie the cost of rehab, or the cost of therapy, and there needs to be more tools available to help. There are many types of opiate addicts and to reach all of them there needs to be a wider array of services available.
 
I agree that this kind of discussion is a good thing. It's too bad the USA's morality-based approach to the opioid crisis has persisted for so long and hurt so many, but if lawmakers are finally so desperate to alleviate the problem that they're willing to turn to science and reason for answers, then bring on the evidence-based policies.
 
^ The separation of church and state was supposed to keep morality based policy making out of politics and place it with reason. This is not the case. Just look at the Republican platform in which "pornography" is the worst "health crisis" as opposed to say...smoking, diabetes, poverty....etc. The list could go on infinitely but they choose to make platforms based on their own archaic beliefs about popular mythology.
 
I don't get how that doctor is not being obliterated by the College of Physicians. I support what he's doing but, he must have some pretty big backers on the inside. The main reason why more doctors don't stick their necks out like this is because of the College. Hell, getting an MD to prescribe cannabis is next to impossible.
 
I just applied for the heroin program in my city wish me luck
 
Good luck.

I don't see this ever happening in murica. They prob called the dr down so they could find what he was doing so they could put laws in place to prevent from ever happening here.
 
^ The separation of church and state was supposed to keep morality based policy making out of politics and place it with reason. This is not the case. Just look at the Republican platform in which "pornography" is the worst "health crisis" as opposed to say...smoking, diabetes, poverty....etc. The list could go on infinitely but they choose to make platforms based on their own archaic beliefs about popular mythology.
Absolutely agree. Separation of church and state was supposed to be the foundation of American law and society, but we still get way too many morality based laws, like the ridiculous NC bathroom law, the entire "war on drugs," etc. Up until 2000, here in NY, if you had 3 bags of heroin or more, it was a felony. 3 bags is nothing! But NY is notorious for its positively draconian Rockefeller drug laws, which thank God we no longer have. But seriously, why can't the government make laws based on reason? In some ways, it's like we live in a theocracy.
 
Can someone please explain to me the benefits of prescription injectable heroin clinics compared to say, methadone clinics? I read somewhere that patients in this program will be injected with heroin 3 times a day. In my view in the opiate world methadone has always been a superior way to treat addicts because it last long so you only need to go once a day, isn't intense, and has a very high oral bioavailablity. While heroin has a huge rush, is short lasting, and can only be ived.

I always thought the point of these programs were to give the addict enough of the drug to not WD and stop cravings but not enough to get high and out of all the opiates methadone and suboxone fit this purpose extremely well which is part of the reason they are not widely used in the drug world but used in the treatment one. So in that way, at least to me it seems kind of ridiculous to have heroin based methadone clinics. And this is coming from a opiate addict who has been on methadone for 2 years. I mean if people who have failed methadone treatment because it's hard for them to come in once a day what makes them think this program will work when they have to come in 3 tines a day? I'm just quite baffled how this is supposed to work better. It really seems like your just giving opiate addicts the OK to get high legally and medical everyday instead of trying to treat them. Which is okay with me, but in that case just fucking legalize it and stop trying to hide it under some kind of medical treatment. Just my opinion. Please someone feel free to explain to me what I'm missing here.
 
I'm just quite baffled how this is supposed to work better. It really seems like your just giving opiate addicts the OK to get high legally and medical everyday instead of trying to treat them.

The idea is that this IS effective treatment. When provided with free, pure heroin three times a day, some addicts stay on it but others eventually just quit by their own will, probably (IMHO) because the cycle of pain and relief is broken.

The human body and brain are baffling things that surprise us all the time. There may be people for whom methadone or suboxone treatments are not effective, but this treatment is.
 
Different type of article was written about medical-grade heroin and other legal problem to treat long term heroin addicts and other problem in universities and colleges Custom Assignment Help several research and article is available for this topic.
 
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