Research Study: Technique Rewrites Addicts’ Memories

 Researchers in China have developed a technique that rewrites the memories of drug addicts to lessen their association with pleasure and help prevent them from relapsing.

The study’s findings may be a useful addition to existing treatments for recovering addicts, who are vulnerable to relapse even after undergoing rehabilitation programs which include “extinction procedures” to help patients control cravings

http://www.healthcare-today.co.uk/news/technique-rewrites-addicts-memories/21665/

Source:  Healthcare Today – April 17, 2012

Naloxone (Narcan) in the News

Naloxone Debate: FDA Hears Testimony About Making an Overdose Antidote Nonprescription

Parents testified at an open meeting called by the FDA to consider whether the lifesaving antidote to opioid overdose — a non-addictive, non-toxic drug called
naloxone (Narcan) — should be made available over-the-counter, so that everyone can keep it in their first aid kit, just in case.

The meeting was sponsored by the FDA, the Centers for Disease Control and Prevention (CDC) and the National Institute on Drug Abuse, whose director, Dr. Nora Volkow, has said that she supports making the drug available without a prescription.

http://healthland.time.com/2012/04/13/naloxone-debate-fda-hears-testimony-about-making-an-overdose-antidote-nonprescription/

Source: Time Healthland.com – April 13, 2012

Antidote (Naloxone) Hard To Find As Heroin Death Toll Rises

In the face of the rising death toll, the state of Washington in 2010 made the lifesaving opiate antidote Naloxone available by prescription. The drug, also known by several brand names, has long been used by paramedics and emergency-room doctors to pull overdose victims back from the brink of death.

It’s legal, but it’s not widely available, said Caleb Banta-Green, a research scientist at the University of Washington’s Alcohol and Drug Abuse Institute. “It’s an issue of needing enough demand. People don’t know to ask for it,” he said.

http://www.yakima-herald.com/stories/2012/04/06/antidote-hard-to-find-as-heroin-death-toll-rises

Source: Yakima-Herald.com – April 6, 2012

White House Releases 2012 National Drug Control Strategy Stressing Treatment Not Incarceration

 

governmentThe U.S. government’s drug strategy should focus more on treating addiction and less on imposing harsh prison sentences, the White House said Tuesday. “Outdated policies like the mass incarceration of nonviolent drug offenders are relics of the past that ignore the need for a balanced public health and safety approach to our drug problem,” Gil Kerlikowske, director of the Office of National Drug Control Policy, said in a statement.

The office’s annual report to Congress suggests a “new national approach” that includes criminal justice system reforms aimed at stopping “the revolving door of drug use, crime, incarceration, and rearrest,” officials said in a statement.

“The policy alternatives contained in our new strategy support mainstream reforms based on the proven facts that drug addiction is a disease of the brain that can be prevented and treated and that we cannot simply arrest our way out of the drug problem,” said Kerlikowske, who is known as thenation’s “drug czar.”

http://edition.cnn.com/2012/04/17/us/drug-policy/index.html

A full copy of the 2012 National Drug Control Strategy is available at: http://www.atforum.com/addiction-resources/documents/2012_ndcs.pdf

Source: CNN.com– April 17, 2012

L.A. Moves the Needle – The City’s Early Action in AIDS/HIV Prevention by Providing a Needle Exchange Program Proved to be Prescient. Now is no Time to Back Off

In 1992 in Los Angeles, where needle exchanges were already in effect, the rate of HIV among those who injected drugs was 8.4%. In 1993, the HIV rate in Miami for that population was the highest in the country: 48%. Although Miami put into place HIV-prevention programs, there has never been a large-scale needle exchange program there. Today the rate of HIV among injection drug users in Miami is 16%. In Los Angeles, the rate stayed low, and as of 2009, the most recent data available, it was 5%.

These facts have important consequences. Extrapolating from county data, it’s believed that about 34,000 Los Angeles residents are injection drug users. The California Department of Public Health calculates the lifetime costs of treating one person with HIV at $385,200. If those 34,000 Angelenos had an HIV rate of 16% rather than 5%, we’d be spending an additional $1.4 billion in treatment costs.

http://www.latimes.com/news/opinion/commentary/la-oe-scholar-hiv-needle-exchange-20120410,0,4371176.story

Source:  Los Angeles Times – April 10, 2012

HCV Vaccine Possibly Within Reach

Researchers have identified a possible new target for the development of a vaccine against the hepatitis C virus (HCV).

Such a vaccine — which could help control the growing global problem of HCV infection – has been difficult to come by because the virus’s constant mutations have thwarted previous attempts to attack it.

http://www.medpagetoday.com/LabNotes/LabNotes/32070?utm_content=&utm_medium=email&utm_campaign=DailyHeadlines&utm_source=WC&eun=g320800d0r&userid=320800&email=rsopermd@gmail.com&mu_id

Link to article abstract: http://www.pnas.org/content/early/2012/04/03/1114927109.abstract

Source:  medpagetoday.com – April 6, 2012

AT Forum April 13, 2012 Weekly News Update

April 13, 2012

Compiled & Edited by Sue Emerson – Publisher
Prior Edition: March 30, 2012
List of all News/Updates

MEDICATION-ASSISTED TREATMENT (MAT) AND OPIOID ABUSE/ADDICTION

BENZODIAZEPINES

GOVERMENT

Wisconsin Association of Perinatal Care (WAPC) Newborn Withdrawal Project Educational Toolkit Now Available Online


This Toolkit is a compendium of educational materials intended for both parents and health care providers of newborns experiencing neonatal abstinence syndrome and pregnant women undergoing methadone maintenance treatment or other treatments for opioid addiction.

Resources include:

Source: Wisconsin Association of Perinatal Care – March 29, 2012

 

Buprenorphine Now More Likely than Methadone to Be Found in U.S. Law Enforcement Drug Seizures

Buprenorphine is now more likely than methadone to be found in law enforcement drug seizures that are submitted to and analyzed by forensic laboratories across the country, according to data from the National Forensic Laboratory Information System (NFLIS). NFLIS monitors illicit drug abuse and trafficking, including the diversion of legally manufactured pharmaceuticals into illegal markets. From 2003 to 2009, the number of methadone reports increased gradually, reaching a peak of 10,016 in 2009, and then decreased slightly to 9,477 in 2010. In contrast, the number of buprenorphine reports has increased dramatically, from 90 in 2003, to 10,537 in 2010.

Regardless of whether diverted buprenorphine is being used nonmedically to self-treat opiate addiction or to get high, unsupervised use of diverted buprenorphine places users at serious risk for potential adverse health effects, especially when taken in combination with other opioids or with depressants such as sedatives, tranquilizers, or alcohol.

Estimated # of Total Methadone and Buprenorphine Reports U.S. Law Enforcement-Seized Drug Exhibits Analyzed by Forensic Laboratories,2003-2010 

Notes: Estimates are calculated using the National Estimates Based on All Reports (NEAR) methodology (see www.nflis.deadiversion.usdoj.gov/Reports.aspx). Annual data are based on drugs submitted to laboratories during the calendar year and analyzed within three months of the end of the calendar year. Up to three drugs can be reported for each drug item or exhibit analyzed by a laboratory. State and local policies related to the enforcement and prosecution of specific drugs may affect drug evidence submissions to laboratories for analysis. Laboratory policies and procedures for handling drug evidence may also vary. For example, some analyze all evidence submitted, while others analyze only selected items.

Sources: Cesar Fax – April 2, 2012. Adapted by CESAR from data provided by the U.S. Drug Enforcement Administration (DEA), Office of Diversion Control, Drug and Chemical Evaluation Section, Data Analysis Unit on 3/21/2012.

Painkiller Sales Soar Around U.S., Fuel Addiction

Sales of the nation’s two most popular prescription painkillers (oxycodone and hydrocodone) have exploded in new parts of the country, an Associated Press analysis shows, worrying experts who say the push to relieve patients’ suffering is spawning an addiction epidemic.

From New York’s Staten Island to Santa Fe, N.M., Drug Enforcement Administration figures show dramatic rises between 2000 and 2010 in the distribution of oxycodone, the key ingredient in OxyContin, Percocet and Percodan. Some places saw sales increase sixteenfold.

http://online.wsj.com/article/AP3d8960c42a3a430ca5f6437ca964c857.html?KEYWORDS=painkiller

Source: Wall Street Journal – April 5, 2012

Why Xanax is the Most Popular Anti-Anxiety Drug in America


So reliably relaxing are the effects of benzodiazepines that ­SAMHSA’s director of substance-abuse treatment, H. Westley Clark, says they’ve gained a reputation as “alcohol in a pill.” And their consumption can be equally informal. Just as friends pour wine for friends in times of crisis, so too do doctors, moved by the angst of their patients, “have sympathy and prescribe more,” says Clark. There are a lot more benzos circulating these days, and a lot more sharing.

http://nymag.com/news/features/xanax-2012-3/

Source: New York Magazine – March 18, 2012

Study: Benzodiazepine Update: Alprazolam and Other Benzodiazepine Use Among People Who Inject Drugs

The use of benzodiazepines among people who use illicit drugs is complex as reasons for use are not always straightforward and use does not necessarily infer abuse. On the other hand, higher dosing than prescribed is common among drug users (Nielsen et al. 2008) and use in combination with drugs such as heroin and alcohol is likely to promote adverse effects.

http://ndarc.med.unsw.edu.au/sites/ndarc.cms.med.unsw.edu.au/files/ndarc/resources/IDRS%20April%202012.pdf

Source: McIlwraith, F., Hickey, S., and Alati, R. (April 2012). Benzodiazepine update: alprazolam and other benzodiazepine use among people who inject drugs. IDRS Drug Trends Bulletin April 2012, Sydney: National Drug and Alcohol Research Centre, The University of New South Wales.

SAMHSA News Winter 2012 Now Available Online

The Winter edition of the Substance Abuse Mental Health Services Administration is now available online at: http://www.samhsa.gov/samhsaNewsletter/Volume_20_Number_1/Winter2012-volume-20-number-1.pdf

Articles in this issue include:

¨       Health Information Technology—What It Means for You

¨       SAMHSA Enhances Health IT Efforts

¨       Behavioral Health IT Resources

¨       View From the Administrator: Embracing Health Information Technology

¨       Using Social Media To Save Lives

¨       Study Finds One in Five American Adults With Mental Illness

¨       National Survey on Drug Use and Health shows 45.9 million adults across the United States experienced mental illness in the past year.

¨       SAMHSA’s Budget Affirms Commitment to Behavioral Health

¨       Celebrating 20 Years of Behavioral Health Advances

¨       SAMHSA Releases Two New Resources

Source: Substance Abuse Mental Health Services Administration – March 29, 2012

News & Updates – March 30, 2012 – Issue 164

March 30, 2012

Compiled & Edited by Sue Emerson – Publisher
Prior Edition: March 23, 2011
List of all News/Updates

MEDICATION-ASSISTED TREATMENT (MAT) AND OPIOID ABUSE/ADDICTION

GOVERNMENT

Methadone Treatment in Pregnancy…That Can’t Be Right, Can It?

 

This journal article was published in the Spring 2012 issue of Northeast Florida Medicine. The author of the article, Stacy Seikel, MD, wrote: Every day, pregnant women with opiate addiction come to me wanting to “detox” and get off “everything.” It takes support and education with the patient and family for them to understand that they are doing the right thing for the baby by going on methadone. They must understand the difference between untreated withdrawal (intrauterine) and treatable withdrawal in the neonate. The patient needs to be constantly reassured that she is putting her infant first and doing the right thing. A team approach of obstetricians, pediatricians, neonatologists, nurses, addictionologist, and primary care providers all giving the patient the same message, that she is doing the right thing by going on methadone, is invaluable.”

The full article is available online at: http://www.dcmsonline.org/jax-medicine/2012journals/AddictionMedicine/MethadoneTreatmentPregnancy.pdf

Source: Northeast Florida Medicine - Vol. 63, No. 1 2012

Florida Drug Enforcement Teams Strike Down Prescription Drug Abuse


Florida’s Drug Enforcement Strike Force Teams have put a dent in the out-of-control distribution and abuse of prescription drugs in Florida. Created by Governor Rick Scott last March, the teams have taken almost half a million pills off of Florida’s streets. They have also made 2,150 arrests – including 34 doctors – and seized 59 vehicles, 391 weapons and $4.7 million.

“These teams are accomplishing exactly what they were created for by targeting the prescription drug abuse problem at its source – the pill mills, pain clinics and unscrupulous doctors that contribute to the illegal distribution of legal prescription drugs. The strike force teams are getting drugs off our streets and saving lives,” said Governor Scott. “We’ve sent a clear message that Florida will not be known as the state that tolerates criminal drug distribution and abuse.”

In 2010, Florida was known as the place for criminals to come and get their pills. Ninety of the nation’s top 100 Oxycodone purchasing doctors and 53 of the nation’s top 100 Oxycodone purchasing pharmacies were located in Florida. Over the last year, the number of doctors has been reduced by 85 percent, down to 13, and the number of pharmacies has declined by 64 percent, down to just 19. In addition, the number of pain clinics has declined from 800 to 508 clinics in the state.

The 2011 Interim Drugs Identified in Deceased Persons Report shows the number of prescription drug deaths fell nearly eight percent compared to the same period in 2010.

“In one year, we’ve gone from being known as the Oxy-express to being a role model for other states dealing with this problem,” said Florida Department of Law Enforcement Commissioner Gerald Bailey.  “While we have made tremendous strides, we’re just getting started.  Prescription drug trafficking remains a significant concern for Florida law enforcement.”

 “The Florida Department of Health realizes the severity of this epidemic, and will help lead the fight to stop the inappropriate prescribing of highly addictive controlled substances to patients, and stop senseless deaths that come from this practice,” said Florida Department of Health Interim Surgeon General Dr. Steven Harris.

 “Law Enforcement has teamed with city and county government, state regulatory agencies and federal representatives to use all the tools in our toolbox to fight this battle,” said Winter Park Police Chief Brett Railey. “Investigating doctors, pill mills and drug trafficking organizations can often be long and costly.  One important tool has been the availability of strike force funding.  Many of the cases would go unaddressed without these funds.”

http://www.flgov.com/2012/03/14/florida-drug-enforcement-teams-strike-down-prescription-drug-abuse/

Source: Governor Rick Scott – March 14, 2012

Site last updated May 15, 2012 @ 3:33 am