Tag Archives: prescription opioids

Recovery: Exercising Gratitude and Giving Back

recovery

With all the opioid overdose deaths occurring across the country each day, it is easy to forget that for each tragedy there is a second chance (i.e., recovery). Now that first responders and the families of addicts can access naloxone, or Narcan, with greater ease, it is possible to reverse the deadly side effects of some opioid overdoses. In the blink of an eye, a person can become a hero thanks to their quick response in administering the life-saving antidote.

Today, the majority of EMTs, firefighters, and police officers carry naloxone kits in their vehicles. In the wake of the American opioid addiction epidemic, the need for overdose reversal has skyrocketed. In recent years, the easy to use drug has become one of the essential tools among those whose job it is to come to the aid of others. What’s more, many addicts and their families can acquire Narcan with relative ease, and in some states without a prescription. Expanding access to naloxone has saved countless lives, considering that many reversals go unreported.

Those who survive a drug overdose are usually pretty shaken up and for a good reason. Walking the precipice between life and the hereafter is a traumatic experience, by anyone’s standards. One could even argue that being within a hair's breadth of perishing, is as about as close to a “bottom” as any one person can get when battling substance use disorder. As a result, many advocates for recovery seize on such an opportunity to reach people who could benefit from addiction treatment services.

An Opportunity for Recovery

While not every person’s overdose is a catalyst to seeking recovery, there are some who do find help. Many addicts are starting to understand that fentanyl exposure is becoming more and more common. Those same people are learning that naloxone isn’t always capable of bringing them back from an overdose involving dangerous synthetic opioids. And, given that many addicts experience several overdoses during their using tenure, it’s likely the odds of returning to consciousness diminish each time.

Fentanyl isn’t forgiving! It was never intended to be administered without medical supervision. What’s more, even when a person is aware that their heroin contains fentanyl, it’s difficult to gauge a safe dose. As a result, seasoned addicts are succumbing to opioid toxicity. If ever there were a time for opiate addicts to consider treatment and recovery strongly, the time is now.

Synthetic opioids are more common than ever, and experts do not expect that trend to wane in the coming years. At PACE Recovery Center, we implore each person struggling with opioid use disorder to seek addiction recovery services. Recovery is possible; recovery is life-saving!

Giving Back In Recovery

In the rooms of recovery people often talk about paying it forward. Once individuals have a foundation for building a new life they can begin making efforts to help others. Another critical facet of working a program is selflessness; being of service to other people (not just those who are in recovery) whenever possible. Little acts of kindness can have a remarkable impact on one’s life, and they can help individuals stay clean and sober. It feels good to provide unsolicited assistance to anyone, even perfect strangers.

An instance of kindness and gratitude made the news recently, involving six (6) EMTs, a recovering addict, and an IHOP. Last Friday, six emergency services volunteers were eating breakfast in Toms River, New Jersey. When it was time to pay the bill, members of the Toms River First Aid Squad learned that their check was taken care of by an anonymous woman, WSMV reports. The EMT’s receipt for $77 said: "Paid, thank you for all you do! Have a great day!" — signed: "Recovering Addict."

Alyssa Golembeski, captain of the Toms River First Aid Squad, asked the IHOP manager if they could thank their benefactor only to learn that she wanted to remain unknown, according to the article. Captain Golembeski said she doesn’t know if the anonymous woman is in recovery from opioid use disorder. But, she added that the opioid crisis is terrible in New Jersey, which made the act of kindness all the more special.

This gift was amazingly thoughtful, and brought our table of tired EMTs to tears," the squad posted on Facebook. "We are so blessed to be able to serve you and everyone else who lives and works in the greater Toms River area. Good luck on your journey of recovery!"

Opioid Use Disorder Treatment for Men

PACE Recovery Center is a gender-specific, specialized treatment for men struggling with addiction and co-occurring mental health disorders. If you are in the grips of an opioid use disorder, please contact PACE as soon as possible. We can help you make lasting recovery your reality!

Opioid Summit Involves Google and Facebook

opioid

The U.S. Food and Drug Administration (FDA) is hosting an Opioid Summit today, June 27, 2018, in Washington D.C. Government entities, academic researchers, and advocacy groups are attending the event, as you’d probably expect. Unexpectedly, internet stakeholders, as well as senior executives from major search engines like Google and social media platforms such as Facebook and Instagram are also participating. Why would the FDA, led by Commissioner Scott Gottlieb, M.D., invite the movers and shakers of Silicon Valley to such an event? The answer, to combat illicit opioid sales over the internet.

Most people have heard or know a little bit about the “dark web;” home to multiple online marketplaces that allow people to exchange illicit goods. Users can peddle and procure just about anything in the far corners of the world wide web; and, those engaging in such activities are, theoretically, protected by proxy servers and virtual private networks (VPNs). Disguising one’s internet protocol (IP) address allows people to buy and sell things like heroin and counterfeit passports, evading the watchful eye of authorities, most of the time. You have probably heard about the dark web marketplace known as The Silk Road; if so, you know that the FBI shut it down and arrested its founder Ross Ulbricht in 2013. Ulbricht is now serving a life sentence without the possibility of parole, which you’d be right to think should deter others from having similar aspirations. It didn’t!

Today, the internet is home to even more black marketplaces than before. The number of sales and profit generated on the most popular sites people now rely on for illicit goods dwarfs that of the preceding Silk Road, according to findings by RAND Europe and researchers at Carnegie Mellon University.

Hiding In Plain Sight

Not everyone looking to sell opioids online has the know-how to set up shop on the darknet. An even more significant number of people on the hunt for prescription painkillers or heroin do not understand how or have the tools to access dark marketplaces. Many people take a more cavalier approach to purvey and procure opioids over the internet; advertisements for online pharmacies abound on the plain old internet on search engines and social media sites. While some good many websites are scams to harvest private information from the naive, plenty of these sites make good on their promise.

Earlier this month, the FDA reached out to some 53 online pharmacies instructing them to cease and desist, or face severe legal consequences, Wired reports. A study conducted by Carnegie Mellon University shows that online illicit drug sale revenue increased from between $15 and $17 million in 2012 to between $150 and $180 million in 2015. Whether more people are acquiring their drugs from internet pharmacy sites or on the dark web is somewhat irrelevant, what is salient is how to stop the practice.

Addressing the problem of drug dealing on the web is more urgent than ever considering the rise of synthetic opioids like fentanyl, carfentanil, and U-47700 or Pinky. Dealers disguise the substances mentioned above as more popular and less dangerous opioids like OxyContin, and they carry an enormous risk of fatal overdose. On average, 115 Americans succumb to opioid misuse every day in the U.S.

Opioid Summit May Devolve Into A Blame Game

At this point, it is hard to tell what, if anything, will come out of the meeting in Washington today. Reports show that in the days leading up to the summit, tech representatives and lobbyist began tossing blame around. The Center for Safe Internet Prescribing (CSIP) released a report showing that majority of drug sales happen on the dark web, and that open web offers for opioids were more likely to be scams. Libby Baney, an advisor to the Alliance for Safe Online Pharmacies, argues otherwise to Wired:

If all drug sales happening on the internet were on the dark web, I'd throw a party. Then the vast majority of Americans would be safe."

Tim Mackey, an associate adjunct professor at the University of California, San Diego, and fellow researchers found that online links on Twitter and Facebook offering up for sale illegal items originate on the darknet. Professor Mackey, who will speak at the summit, says:

What’s happening on the dark web is a lot of business-to-business sales. The digital drug dealers are sourcing from the dark web and using social media to sell directly to consumers.”

It’s worth noting that Facebook will direct users attempting to purchase opioids to addiction treatment resources, instead. Google played a significant role in the most recent National Prescription Drug Take-Back Day. And, according to CSIP—which is backed by tech giants—117 million ads attempting to sell illicit goods were blocked last year.

Proactive Approaches to Opioid Use Disorder

Dark web, open web, prescribed by doctors or not; lives hang in the balance if significant corporations in the tech sector cannot work together with government agencies to stem the tide of opioid addiction in America. There is an opportunity here to put a stop to illicit online opioid sales. The problem is here, and we cannot afford to ignore it, the United States Senate Permanent Subcommittee on Investigations released a report presenting incontrovertible evidence that average Americans can purchase illicit opioids online. Another report from the National Association of Boards of Pharmacy shows that when searching online for prescription opioids, nearly 91 percent of the first search results led users to an illegal online drug seller offering prescription opioids—regardless of the search engine.

Social media companies, search engines, and domain registrars are in a unique position to nip, at least some of these kinds of practices, in the bud; not only redirecting people to addiction treatment services but having a hand in saving countless lives.

Opioid Use Disorder Treatment

If you or a loved is struggling with opioid use disorder, please contact PACE Recovery Center. We offer clients gender-specific, extended care treatment for males in the grips of progressive mental health disorders.

If you have suicidal ideations, please contact the National Suicide Prevention Lifeline: 1-800-273-8255

Opioid Addiction in America Accountability

opioid

The effort to rein in the prescription opioid problem here in America continues even though there hasn’t been an announcement from the Office of National Drug Control Policy (ONDCP) on how it plans to tackle the issue. While state and Federal lawmakers tirelessly work to bring about change and hold those responsible for their actions, the pharmaceutical industry has been less than cooperative. It probably shouldn't come as a surprise, after all the prescription painkillers are a multibillion-dollar industry in the U.S. Taking even a modicum of responsibility for misleading doctors and patients about the dangers of opioids would be to acknowledge profiting off suffering and death.

All roads lead to the pharmaceutical industry no matter from what angle you examine the American opioid addiction epidemic. There is a plethora of evidence showing the tactics of companies, like Purdue Pharma, beginning in the late 1990s. Methods including promotional videos assuring doctors that the number of patients who might develop an opioid use disorder was statistically irrelevant. Before long, and with the bonus of incentives to prescribe, primary care physicians began doling out drugs like OxyContin for all things pain.

Naturally, the opioid scourge in America wasn’t the doing of just one entity; we need to consider that there are many stops along the way from the poppy fields to the medicine cabinet. The onus of the problem affecting millions of people falls on many private companies, health organizations, and government agencies like the FDA. In fact, some of the companies which profited the most from addiction in America were pharmaceutical distributors, those in the business of getting drugs from manufacturers to the pharmacy. Even a cursory look reveals that wholesalers turned a blind eye to filling suspicious orders.

Opioid Addiction Accountability

Yesterday, the leaders of five pharmaceutical distributors sat before a House panel hearing fielding questions regarding their practices in the state of West Virginia. The population of the “Mountain State” is roughly 1.80 million, according to today’s estimates and yet, 780 million hydrocodone and oxycodone tablets went into the state between 2007 and 2012, CNN reports. The town of Kermit, WV, for instance has a total population of 400 people and yet, over the course of just two years almost 9 million painkillers were sent to one local pharmacy.

At one point during the hearing, House Energy and Commerce Oversight and Investigation Subcommittee chairman, Gregg Harper (R-MS) asked McKesson Corp., Cardinal Health, AmerisourceBergen, Miami-Luken and Smith Wholesale if their companies had a role in the opioid epidemic? All the distributor heads but Dr. Joseph Mastandrea, chairman of the board of Miami-Luken, answered Harper unequivocally, “NO!”

Despite the fact that Rep. David McKinley, (R-WV) was not a member of the subcommittee he was able to sit in and allowed to share some thoughts with the distributors, according to the article. He points to the companies' "lack of attention on your algorithm and your core operation. And deflecting responsibility, saying, 'I just had to fill the order' -- no, you had a role. You had a role." Adding, "And for several of you to say you had no role whatsoever in this I find particularly offensive."

I just want you to feel shame in your roles, respectively, in all this," said McKinley. "I am so frustrated for the people of West Virginia and this country that you all have not stepped up and took more responsibility for this.

Paying for Opioid Use Disorder Treatment

Lawmakers’ ire is fervent toward manufacturers as well, with many reasoning that since the companies had a role in creating the problem, the least they can do is help cover the cost of treatment. Currently, some 15 states have legislation in the works that would tax prescription opioids; the revenue would then fund addiction treatment services, The Chicago Tribune reports. Of course, bringing such laws to fruition is, unfortunately, a David and Goliath scenario given the powerful ‘big pharma’ lobbies. To date, only the state of New York has been able to pass an opioid tax measure.

The industry is up-to-its-eyeballs in lawsuits and protracted litigation, owing mainly to the staggering death toll in the last twenty years. The general public and lawmakers (some of whom have lost loved ones to overdose) want the industry to do what’s right, take responsibility, and be a part of the solution. Such companies can afford to help, especially when you consider the amount of money opioid developers spend in efforts to defeat common sense legislation. The big opioid producers spent $880 million on politics and lobbying from 2006 through 2015, according to AP and the Center for Public Integrity.

So, what is the manufacturers and distributors argument, you ask? The companies contend that an opioid tax is wrong and would lead to patients or taxpayers eating the cost in the long run. As you can probably imagine some lawmakers are at their wit's end with the lack of accountability, state Sen. Julie Rosen (R-MN) walked out of a meeting with big pharma reps, the article reports. She said:

They know that they're spending way too much money on defending their position instead of being part of the solution.

Opioid Use Disorder Treatment

If you are a young man struggling with opioid addiction, PACE Recovery Center can help. Our team of experts can teach you the skills and provide you the necessary tools for leading a productive life in recovery. Please contact us today to learn more about our program.

Opioid Use Disorder Tackled On A&E INTERVENTION℠

opioid use disorder

Last year, we had the opportunity at PACE Recovery Center to help a young man break the cycle of addiction and begin the life-saving journey of recovery. Many of our regular readers probably remember the excellent work we did with A&E’s program INTERVENTION? The show directed their spotlight on then 23-year old Sturgill who, like so many young Americans, developed an opioid use disorder. His story was not too dissimilar from a significant portion of the more than 2 million opiate addicts in the U.S., Sturgill’s opioid use disorder stemmed from painkillers prescribed for an injury.

Opioid addiction and the eponymous epidemic is the result of liberal prescribing practices. The trend of overprescribing arose out the pharmaceutical industry’s effort to spread false or misleading information about the dangers of drugs likes OxyContin. Once patients became addicted to their painkillers, the majority found little recourse for dealing with their condition, due to limited access to addiction treatment services.

The situation in America today is not any different from when Sturgill came to PACE for assistance, the problem in America is dire. The number is not in yet for 2017, but overdose deaths are expected to surpass the previous year, which boasted the highest death toll on record. Efforts to curb the epidemic have shown some promise, to be sure, although the outbreak is far from coming to an end. Doctors still prescribe opioids with little prejudice, patients don't receive info about opioid-alternatives for pain, and treatment centers in most of America are challenging to access.

What’s more, prescription opioids are only one facet of the epidemic; heroin, fentanyl-laced heroin, and fentanyl pills disguised as popular painkillers continue to steal American lives.

A&E INTERVENTION℠ Tackles Heroin

Last week, A&E kicked off its new season of INTERVENTION℠; this year the show's producers decided to focus on the opioid addiction epidemic. The first episode directed viewer’s attention to what is dubbed the heroin triangle north of Atlanta, according to Daily Report. The triangle includes affluent Cobb, Fulton, and Gwinnett counties, is struggling with opioids; Cobb County District Attorney Vic Reynolds hopes the show will draw people's attention to the heroin crisis throughout the country. He’d also like people to see some of the novel approaches utilized in North Atlanta; in an interview, DA Reynolds echoed what many experts have said about addiction for decades:

We cannot arrest our way out of this heroin epidemic,” Reynolds said. “It cannot be done.”

The series premiere last Tuesday included two one-hour episodes; if you missed them hopefully, you can catch a rerun. For the next seven weeks (Tuesday at 9 PM) INTERVENTION℠ will cover aspects of the epidemic in the areas affected greatest.

As a testament to the severity of the country’s current opioid crises, this season focuses on the victims of this epidemic and exposes the widespread impact of addiction on a community-wide scale,” Elaine Frontain Bryant, head of programming for A&E Network, said in a news release. “We are extremely proud of the tremendous work of our interventionists and we hope the stories told this season serve as a beacon of hope to those suffering directly and indirectly from opioid addiction.”

Opioid Use Disorder Recovery

When mainstream media sheds light on public health epidemics like the opioid addiction crisis, it can lead to progress. Putting human faces to something that people mostly understood via statistics opens people’s minds to the true nature of addiction. The problem we face is a disease, a mental health disorder that has no known cure but is treatable, effectively. It should go without saying that addiction treatment is the most effective tool used in addressing the epidemic. Recovery is possible if people have access to the necessary resources.

If you are one of the millions of Americans touched by opioid use disorder, please contact PACE Recovery Center.

Addiction Treatment for Opioid Use Disorder

addiction

Opioid use disorder has the potential to impact any one’s life, as is evident by overwhelming addiction rates and an ever-increasing death toll. Prescription opioids, heroin, and synthetic opioid use is a complicated problem to address; on the one hand, pain must be treated adequately, while on the other hand, such drugs wield deadly power. If the nation is to find a solution to this public health crisis, it will be in the realm of responsible prescribing practices and addiction treatment services expansion.

If you have been following the epidemic, and efforts to address opioid use disorder, then you are probably aware that in the grand scheme of things there has been limited progress. Prescription drug monitoring programs designed to curb doctor shopping and help physicians identify opioid-dependent patients are underutilized. A large number of doctors are resistant to prescribing guidelines from government health agencies. Legislation passed to address various aspects of the scourge, while sensible and likely to reap progress, lacks the appropriate funding to fulfill such goals.

Addiction treatment exists, and it’s a useful means for turning one’s life around completely. Those who seek help from addiction treatment centers get introduced to a way of living that they once thought impossible. Sadly, many addicts and alcoholics don’t believe recovery is possible; it’s hard to see the light of change when in a perpetual cycle of darkness. People in the throes of addiction often resign themselves to thinking they will succumb to their disease. It’s for those reasons that everyone in recovery and the field of addiction medicine needs to do what they can to disabuse people of such notions.

Encouraging Addiction Treatment

If you are dependent on opioid narcotics, we understand what you are going through, and we’d like to say that there is hope. There are thousands of people around the country who have made helping others break the cycle of addiction their life’s purpose. Many of those very same people were once in the position you find yourself in today; they have first-hand knowledge of your struggle.

Getting out from under one’s disease and leading a life in recovery is only possible with the help of others, going it alone is not an option. Due to this reality, it’s common for people in recovery to dedicate themselves to helping others realize their dreams of a different life. When you decide to seek treatment, you will find out relatively quickly that many of the people employed by the center are in recovery, too. In effect, people who work at treatment centers are living proof that the program works, forcing one to think that maybe recovery will work for me as well.

Who knows maybe one day, having learned how to live a life in recovery in addiction treatment, you will pass the message along to others. You will be in a position to guide others out of the depths of despair into the light of recovery; and in doing so, strengthen your program. Naturally, there is much to do in between now and spreading the message that recovery works, starting with addressing your disease and the self-defeating behaviors that accompany the condition.

Making A Decision

No one can force another into treatment. Even if you could, the result wouldn’t likely be positive. Meaningful progress only comes about when a person decides to take specific steps for change. It’s not a choice that comes easily; people can talk themselves out of seeking help even when one is looking up from the bottom. Mental illness does not loosen its grip without putting up a fight, and it excels at sowing the seeds of doubt in the minds of the afflicted. We could say that choosing to go into treatment is a leap of faith in a sense. However, there is living proof that walking blindly into a center of recovery will be fruitful in the long run.

Those of you with loved ones battling opioid use disorder should know that encouraging them to seek treatment will save their life and grant them a future. Over 2 million Americans are struggling with prescription opioid and heroin addiction, and over 50,000 people die of an overdose each year. The above numbers are expected to go in only one direction in the coming years, so the need for promoting recovery is more vital than ever.

If you are unsure about how to efficiently discuss recovery with your loved one, we can help. We work closely with addiction interventionists across the country who can guide you in how to talk about treatment with a loved one. Having a mediator in the room mitigates the risk of an intervention going south. Please contact us today to learn how PACE Recovery Center can help you or a loved one break the cycle of addiction and help one learn how to lead a productive life in recovery.

Addiction-Free Pain Management

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The search for cures to the world’s most deadly diseases (i.e., cancer and addiction) is one that tends to result in more questions than answers. History indicates, time and time again, that solutions to medical ailments are hard-fought, often taking decades to make progress. Some 37 years have passed since the Centers for Disease Control and Prevention (CDC) began its quest for a cure to the human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS). While there are medications that can keep HIV/AIDS at bay, a cure still eludes researchers.

We could say the same for many life-threatening health conditions leading to premature death, i.e., cancer, diabetes, and hepatitis C. The disease of addiction could also be added to the list of fatal conditions with no known cure. Like AIDS, recovery from addiction can be managed and maintained, but not cured.

It’s safe to assume that researchers are not on the brink of discovery regarding a cure for addiction. However, if a problem can’t be solved, then a temporary solution is to lessen the number of new cases. Finding ways to prevent individuals from going down the road of addiction is complicated by the method doctors use to treat pain.

Treating Pain Without The Risk of Addiction

Pain is a fact of life. At some point, all of us experience acute or chronic pain. The current means of treating either type of pain is prescription opioids. We don’t need to tell you the result of handling all-things-pain with opioids. Even when something non-addictive, like Tylenol, will work, doctors, more times than not (it seems) still fall back on drugs like OxyContin or Vicodin. The result? We now have more than 2 million opioid addicts in the United States.

At the Society for Neuroscience meeting this week in Washington, D.C., opioids was a significant topic of discussion. Pharmacologist Edward Bilsky, provost and chief academic officer at Pacific Northwest University of Health Sciences, is moderated a panel on pain, addiction, and opioid abuse, NPR reports. One of the topics of discussion: alternatives to opioids in the treatment of pain.

We know a lot more about pain and addiction than we used to," said Bilsky, "But it's been hard to get a practical drug."

Bilsky highlights several areas of pain management that carry fewer risks to patient safety than opioids, such as:

  • Scientists discovered cone snail venom contains substances that act as powerful painkillers affecting non-opioid receptors in the brain. However, the one drug on the market is only administered by spinal column injection.
  • Drugs targeting specific brain circuits which increase or diminish perception of pain; some antidepressants have shown promise.
  • Researchers are also working on ways to erase memories of pain.

Addiction Via Chronic Pain

The definition of chronic pain is experiencing daily discomfort for more than three months. The National Institutes of Health (NIH) reports that at least 25 million people suffer from chronic pain. Given that most of the individuals mentioned above receive prescription opioids, the risk of new opioid addiction cases is high. The need for opiate alternatives is tremendous, and hopefully, progress in the field is on the horizon.

The road to opioid use disorder often begins with chronic pain. When anyone uses a drug like OxyContin for months on end, dependence is inevitable. The hooks of opiate narcotics sink deep, even if one’s pain subsides the need for the drugs lingers on. Patients looking to break free from their painkillers struggle to do so on their own; fortunately, there is help available.

At PACE Recovery Center, an exclusive, gender-specific, extended care, alcohol and drug rehab for men, we’ve seen the devastating effect of reckless overprescribing. We know that people with opioid use disorder are prone to relapse if they do not seek assistance when seeking recovery. Our team of highly-skilled addiction professionals can help you (or a loved one) break the cycle of opioid addiction, and show you how life in recovery is possible. Please contact us today, regardless of which type of drug you are addicted (OxyContin or heroin). We can help.

Preventing New Opioid Use Disorders

opioids

As National Recovery Month quickly comes to a close it is important to talk, once again, about opioid use disorders. The use of which has resulted in the most serious addiction epidemic to ever bear down on the United States. Naturally, being in the field of addiction medicine, we’ve covered this topic at great length. From causation to consequence. While we can talk about such things ad nauseam, it is far more important to discuss some ways out this “perfect storm.”

In the immortal words of Robert Frost, “the best way out is always through.” So, and with that logic in mind — headfirst into the storm, we go. As has been pointed out, time and time again, the root of the epidemic rests with opioid prescribing practice standards. Which, up into recently, there were relatively few. But, even with greater utilization of prescription drug monitoring programs (PDMPs) opioids are still prescribed in great numbers. In fact, in many California counties, there more prescription opioids than people, according to the California Department of Public Health.

Case in Point: 2016 Trinity County population — 13,628 people. However, there were 18,439 prescriptions filled in the same year. The highest per capita rate of opioid prescriptions in California, in the fourth smallest county in the state.

The case of Trinity County is not unique to rural California, any more than it is to rural America. Prescription opioids may be a little harder to get or prescribed in large numbers. But, it has had very little effect overall. After all, more people died of overdoses in 2016 than 2015. The only real and notable difference is what people are overdosing on, and why.

Preventing New Opioid Use Disorders

Fewer people are dying from prescription opioids than just a few years, ago. Which is great. However, more people are dying from heroin and fentanyl, an even deadlier opioid analgesic. A New York Times analysis found that 15,400 overdose deaths could be attributed to heroin, 20,100 to fentanyl. The Centers for Disease Control and Prevention (CDC) indicates that 64,000 Americans died of drug overdoses during last year. Which means that more people are dying from illicit opioids than prescriptions.

Such numbers should not be read to mean that the focus of addiction prevention should pivot to illicit opioids. Especially when you consider that most people report starting down the path to opioid use disorder with prescription painkillers. The heroin and fentanyl problem in America has its origins in prescription opioids. And opioid use initiation most commonly begins with a prescription, still. The Trinity statistics are a clear indication that the business of prescribing is, good.

There is no question, making headway requires a multifaceted approach. Calling upon both lawmakers to enact common sense legislation and health leaders to push for more informed doctors. The better doctors understand addiction, the fewer patients who will be prescribed opioids. In turn, reducing the number of future opioid use disorders. What’s more, encouraging doctors to only rely on a prescription opioid when it’s absolutely necessary.

In the United States we’ve become so reliant on opioids, we ignore the alternatives. Non-opioid methods of managing pain, that in many cases can be more effective, and certainly less dangerous.

Opioid Addiction Can Be Avoided

Every time opioids are prescribed, there is potential for future opioid use disorders. You may be surprised to learn that with some forms of pain, opioids can exacerbate one’s symptoms. If “addictive” and “prolonging pain” is a possibility, it dictates that doctors should look elsewhere in many cases. You’d even think that doctors would welcome opioid alternatives, and in many cases, they do. But, there are still others who rely heavily on prescription opioids for all things pain. Despite the risk of opioid use disorders. The reason for this is often because of financial incentives to prescribe certain drugs by the pharmaceutical and insurance industry.

opioid use disorder

Apropos to this, attorneys general (AG) from 35 states sent a message to insurers encouraging painkiller alternatives, The Los Angeles Times reports. Addressed to the trade group America's Health Insurance Plans, the letter called for insurers to prioritize coverage of non-opioid treatments. As wells as, pain management techniques that include physical therapy and massage.

If we can get the best practices changed with insurance companies and the payment incentives are just a bit different than what they are today, I think that's going to continue to see the number of pills prescribed and dispensed drop dramatically," said West Virginia Attorney General Patrick Morrisey. "This is an important new front to open up."

Reducing prescriptions is just one step in reducing the prevalence of opioid use disorders, but it’s perhaps the most salient. With more than 2 million with opioid use disorders and rising, action is required now. Both the pharmaceutical and insurance industry can have a major role in ending an epidemic they helped create.

Opioid Use Disorder Treatment

Efforts to change prescribing practices are vital, but they don’t mean much to those already in the grips of addiction. Equally important to reducing our reliance on opioids, is increasing our reliance on addiction treatment. Tempering the storm of opioid addiction is best achieved through opioid use disorder treatment. Recovery is possible, and if you have been touched by the disease, please do not hesitate to reach out for assistance. At PACE Recovery Center, we are fully equipped to assist young men who are ready to break the insidious cycle of addiction. Please contact us today, and make this Recovery Month the beginning of your own recovery.

Addiction Treatment: The Endless Possibilities of Recovery

addiction

Few other places in the country have been as ravaged by the opioid addiction epidemic as West Virginia. Prescription opioids and heroin have stolen the lives of young and old alike. Lawmakers and health experts continue to develop methods for turning the tide. While addiction treatment centers work tirelessly to spread the message of recovery to as many afflicted as possible. Addiction recovery being the most effective means of saving people from the insidious grip of opioid dependence.

America has been trying to get a wrap on the epidemic for nearly two decades. As as result, many are doubtful that it is even possible. Opioids are so addictive and incredibly deadly, yet the drugs are prescribed at alarming rates, still. Those who lose access to prescription opioids regularly turn to heroin. Thus, putting themselves at risk of fentanyl exposure, a synthetic opioid commonly mixed with heroin to boost potency. Fentanyl can be up to a hundred times stronger than morphine.

Without access to addiction treatment, those addicted to opioids are at incredible risk of experiencing an overdose. And a potentially fatal overdose, at that. Those who seek help often relapse shortly thereafter, testament to just how addictive this family of drugs is. A relapse after a short stent of abstinence increases the chances of an overdose exponentially. Because one’s tolerance has diminished. This is why it so important that people who seek help do so by way of long-term residential treatment. Therefore, further mitigating the risk of relapse and subsequent overdose. The longer an addict or alcoholic stays in treatment, the greater the chance for long-term recovery.

There are around 142 fatal overdoses every day in the U.S. Given the high morbidity rate, some might think that recovery impossible. But, it is, just ask Sturgill.

INTERVENTION℠ Endless Possibilities, Continued

So, who is Sturgill? A&E INTERVENTION℠, interventionist Sylvia Parsons and PACE Recovery Center gave a young West Virginian a life-saving opportunity. Sturgill (then 23) was in the grips of addiction, a problem that began the same way as so many Americans. With an injury that called for prescription opioids. A broken arm sent Sturgill into an addictive death spiral, involving the abuse of alcohol, benzodiazepines, methadone, and heroin. A potentially deadly admixture, to be sure.

Sturgill was a promising young golden gloves boxer and wrestler who dreamed of the Olympics. He was also an academically gifted pre-med student. But a broken arm and multiple surgeries led to a pain pill addiction, which soon turned to heroin.” —reads the A&E INTERVENTION℠ website

With the help of Parsons, Sturgill’s family implored him to choose life and take the opportunity to get treatment. He accepted the gift of recovery and last year came to PACE Recovery Center. While there are never guarantees in recovery, Sturgill's story went from one of despair to the light of the spirit. During the season premiere of A&E INTERVENTION℠ (Season 17) an update on our former client was provided to viewers. Now, with over a year clean and sober, Sturgill remains plugged into the local recovery community. His future plans include getting certified to be an alcohol and drug counselor (CADC).

The update shows that, in fact, with recovery there can be endless possibilities if one is willing to do the work. Please take a moment to watch the short clip below:

If you are having trouble watching, please click here.

Addiction Treatment Is The Answer

I can't put it into words how blessed I am… I do something for recovery every day." —Sturgill

Not too long ago, Sturgill was in the same frightful position as millions of other Americans. Today, with the help of his family and his family in recovery he is living a life in recovery. It all started with a willingness to surrender and make the courageous decision to go to treatment. It is often the hardest decision that one will make in a lifetime. The grip of one’s disease is extremely powerful. It will do whatever it can to keep you from saving your own life. But, it is possible to break the cycle and lead a fulfilling life in recovery.

If your story is similar to Sturgill’s, PACE Recovery Center can help you find the miracles of addiction recovery—too. Please contact us today to begin the lifesaving journey.

Opioid Addiction Epidemic: A Perfect Storm

opioid addiction

The opioid addiction epidemic in the United States is nothing, if not a “perfect storm.” All of us in America are acutely aware of the devastation caused by this insidious family of drugs. We have seen how overprescribing and a lack of emphasis on addiction treatment has morphed into a catastrophic problem. One comprised of millions of addicts caught in a vicious maelstrom of mental illness, unable to access the help they need. At least, in most cases. Practically everyone across the country knows (or has known) someone who has been touched by opioid addiction. It is highly likely that you were acquainted with a person who died from an opioid overdose. Perhaps it was a loved one.

Given the unprecedented nature of this epidemic, finding ways to stem the tide of opioid use has been a challenge. For nearly two decades Americans, some of whom were young adults, often found themselves on the road to addiction by way of a prescription opioid. Those who already had a propensity for developing the disease became caught in the cycle before they knew what hit them. It does not take long for dependence to set in. And once it does, the future holds little good, short of hopefully finding recovery one day. That is if an overdose doesn’t steal one’s life beforehand.

Some of you reading this may be saying to yourselves, ‘But… Isn’t it more difficult to acquire prescription opioids, now?’ Well, in many cases that is an accurate perception. However, it is still relatively easy for people to get ahold of prescription opioids. Either through a doctor, or on the streets. Many Americans have few qualms about giving a friend or family member some of their painkillers. Despite the inherent dangers of doing so.

Opioid Addiction Epidemic: The Perfect Storm

Like all great storms, they are usually made up of several weather fronts coming together. In the case of the opioid addiction epidemic, many addicts struggling to acquire prescription opioids have turned to heroin. A drug that is easier to get, less expensive and often more potent. The drug is even more dangerous (of late) due to the introduction (unbeknownst to the user) of the analgesic fentanyl. A powerful painkiller that causes severe respiratory depression, being 50 to 100 times more potent than morphine.

In 1991, a nor'easter named the Halloween Gale consumed Hurricane Grace off the eastern seaboard. Thus, creating a new hurricane that morphed into a catastrophic cyclone over the Atlantic. You might be familiar with this weather event, being popularized by author Sebastian Junger in his book The Perfect Storm. It tells the story of the Andrea Gail, a commercial fishing vessel lost at sea during the storm. Perhaps you saw the movie? So, what does this have to do with addiction?

One way to look at it is this, rampant over prescribing of opioids (hurricane). Reduced prescribing leads to greater demand for heroin, “graciously” supplied by Mexican Cartels (nor'easter). A new hurricane is created, which is then accelerated by fentanyl to become a cyclone. A veritable perfect storm of addiction and death.

There is a noticeable difference between the Perfect Storm of 1991 and the perfect storm that began roughly ten years later with prescription opioids. The latter was man made. Surely there are some who could argue that 1991 may have been the product of climate change, but that topic is for another blog. With regard to addiction, Americans created this epidemic—so it is up to us to find our way out of this tempest of mental illness. Addiction treatment is the answer.

Addiction Treatment Via Surrender

Last December, we covered an important topic regarding the opioid addiction epidemic. And, the idea that addiction can’t be arrested away—only treated. We have written about the dismal failure that is the American “war on drugs.” There is little need for debate, draconian drug sentencing laws do little to curb addiction rates. Opioid use disorder treatment, on the other hand, saves lives without the use of handcuffs and cell bars. A mindset shared by the Gloucester, Massachusetts Police Department.

In 2015, the former Chief of Police in Gloucester created the Police Assisted Addiction and Recovery Initiative (PAARI). When we first wrote about PAARI, 160 police departments nationwide were using the model to help addicts find treatment. PAARI, otherwise known as “Angel Programs,” encourages addicts to surrender their drugs and treatment will be arranged. No criminal charges, no jail time. Just treatment and continued recovery (hopefully).

Today, there are more than 260 law enforcement departments in 30 states using the model, ABC News reports. To be sure, the Angel Program conceived in the commercial fishing town of Gloucester has not prevented overdoses from happening, outright. But, every person helped into addiction treatment is potentially one fewer overdose.

Opioid overdoses are soaring in much of the country, and the total for Gloucester might well have been higher if not for the ANGEL program," said Keith Humphreys, a psychiatry professor at the Stanford's School of Medicine.

Calming the Storm

So, let’s bring the nautical theme of the opioid addiction epidemic and PAARI full circle. For starters, the Andrea Gail and her crew lost in the Perfect Storm of 1991 was based out of Gloucester. The Angel Program was devised in the very city synonymous with the Perfect Storm. While naloxone couldn’t have helped the crew of the Andrea Gail survive their storm, it is helping other fisherman today, survive the storm of addiction, that is. Gloucester police Chief John McCarthy says that officials have been distributing the overdose reversal drug naloxone to boat operators. Training fishing crews on how to use the life-saving overdose antidote at sea. Heroin is deadlier than hurricanes. Hopefully those who survive an overdose will be referred to treatment and find recovery.

Are you a young adult male struggling with opioid use disorder, or do you have a son who is battling addiction? PACE Recovery Center can help you break the cycle, and teach you how living a life of addiction recovery is possible.

Heroin Overdoses Among Young Adults

heroin

Researchers from the University of Michigan conduct the Monitoring the Future (MTF) survey every year. The answers that high school students give, provide experts a window into the severity of teen substance use and abuse. The findings can help direct preventive measures in the coming years. The 2016 MTF presented some promising findings, especially regarding prescription opioid use among young people. In fact, past year prescription opioid use among 12th graders dropped 45 percent, compared to five years ago.

The findings are a good sign that we may see reductions in opioid use among 20 something-year-olds in the coming years, an age group that as of late has been using both heroin prescription opioids at alarming rates. The dangers of using opioids of any kind need to be reinforced in young people early on and repeatedly. If preventative measures fall short, more and more young people will succumb to hooks and snares of opioid narcotics. Unfortunately, identifying the groups of people at greatest risk of opioid use initiation isn’t an easy task, partly due to stereotyping.

Heroin Outside City Limits

Heroin, like “crack cocaine,” is often considered to be a drug that primarily wreaks havoc in the inner city. A drug that is used by downtrodden and impoverished Americans. While there is a lot opioid abuse in urban areas, the situation has changed. In recent years, the opioid addiction epidemic has predominantly affected suburban and rural parts of the country. Additionally, many of the young people abusing heroin today, come from white middle class or affluent families. These are young people who have access to financial resources that make it easier to maintain an addiction.

But, even with more resources than the average person of the same age, what often starts as a prescription opioid problem can quickly morph into a heroin problem. The reasons are simple. The price of drugs like OxyContin has only gone in one direction—up! Heroin on the other hand is cheaper, and in many cases, stronger than prescription opioids. Easier to acquire, as well.

One of the unintended consequences of this prescription opioid epidemic has been the increase in heroin addiction and overdoses, in part due to the transition from prescription opioids to less expensive heroin street drugs,” California state health officials report. “Heroin deaths have continued to increase steadily by 67 percent since 2006 and account for a growing share of the total opioid-related deaths.”

In the first quarter of 2016, 412 adults age 20 to 29 went to emergency departments in California due to heroin, according to Los Angeles Daily News. Los Angeles and Orange counties have seen a continued increase in ER cases involving heroin among people in their twenties.

Spotting the Signs

If you have a child in their twenties, frequently they are still living at home, as many Millennials do. But if you have never used an opioid, there is a good chance you would not be able to spot the signs of use. And it isn’t like your child is just going to use right in front of you. So how can you identify signs of a problem? In some cases, you may see track marks from IV heroin use. However, many young heroin addicts do not use needles, opting to smoke or snort the drug. In which case, track marks will not be a signpost you can rely on.

Common signs of opioid use, include:

  • Tiny Pupils
  • Nodding Off
  • Slurred Speech
  • Incessant Itching
  • Complaints of Constipation
  • Diminished Appetite

There are other signs, but those listed are synonymous with opioid use. If you see any of those appearances or behaviors, there is a good chance there is a problem. Such discoveries should prompt further investigation. You can always confront your child about the signs you are seeing, but getting an honest answer is easier said than done. Addiction will lead people to do or say just about anything to continue fueling the fire.

You can also ask if they would be willing to take a drug test. If they refuse, that’s a pretty good sign that you are on the right track. The best results for getting your child into treatment often come by way of interventionists. They are skilled professionals who can help walk you through the process of saving your child’s life.

PACE Recovery Center Can Help

If you know, or suspect that your young adult son is using heroin or prescription opioids, please contact us as soon as possible. With so many young people succumbing to heroin addiction, time is of the essence.