
Nov. 29, 2007
Can A Pill Solve Prescription Drug Abuse?
In The Battle Against Drug Addiction, An Unlikely Breakthrough
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Fighting Addiction With A Pill
Experts say nearly five million Americans are abusing prescription drugs. But a new pill may help them kick the habit, and it can be prescribed by your family doctor. Dr. Sanjay Gupta reports.
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Breaking Addiction's Grip
Non-medical use of prescription drugs by young adults is on the rise. For the victims and their families, the road back from addiction can be long and hard. Katie Couric reports.
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Substance Abuse In America
Get the facts on a national problem. Find out where to get help, learn how drugs affect the body and compare state drunk-driving laws.
But, as CBS News contributor Dr. Sanjay Gupta reports, he’s willing to talk about how prescription painkillers took over his life: Ten OxyContin pills a day, costing up to $12,000 a month.
"You know I just couldn't stop taking them; my body just craved them,” he said.
Prescription drug addicts like Brian have unique problems beating their habit because they see themselves as different from street junkies. Often because of the stigma attached to methadone clinics, they resist traditional treatment.
Brian felt helpless. He felt out of control. Until one day, he heard a commercial on his car radio.
“By the grace of God, I say it was a higher power. This ad came on the radio,” he said. “I called the next day and two days later I was in the study.”
Has he had any use of prescription painkillers since he started the study?
"None," he said.
“I didn't know how bad being on opiates affected me,” he said.
Patients in the trial are given counseling as well as a new kind of anti-addiction drug called Suboxone. It's an orange pill that's dissolved under the tongue.
Here's how it works: When people are addicted, new receptors are created in the brain, which crave opioids. If left unsatisfied, the receptor sends pain signals to the brain - this is withdrawal. If the receptor is satisfied with drugs, the withdrawal symptoms stop and the person gets high.
Suboxone works by taking the place of the opioids in the receptor - not only shutting off withdrawal symptoms but also blocking the effects of any new drugs.
"It can be quite powerful when people begin to use it. They say, ‘oh, I feel regular!’” explained Dr. Marc Gourevitch. “The brain chemistry has been stabilized to some extent.”
Gourevitch believes that we can now revolutionize the treatment of drug addiction.
Unlike methadone, Suboxone can be prescribed by any doctor, even a family physician, so treatment for addicts can now be convenient and discreet.
"When you're taking Suboxone, you're not high, you're not in withdrawal, you're at work, you're dealing with your loved ones, you're having regular interactions...you're going about your life,” Gourevitch said.
For Brian, life now involves not only counseling and but a personal inventory as well.
“I didn't want to wake up every morning and chop up OxyContin, sniff it again during the day. I mean, that's a terrible way of life,” he said. “The Suboxone got me far enough away to look and say ‘wow, look at your life. Let's address what's going on.”
The hope is one day that Suboxone can do for painkiller addiction that drugs like Prozac did for depression: convince the public that addiction is a brain disease, not a character flaw.
For more information about the drug Suboxone:
UPDATE: Suboxone has been FDA approved since 2002, but it also currently being tested in the clinical trial specifically for prescription painkiller addiction; which is what our piece is about.
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See all 69 CommentsWhat does that mean? Suboxone IS AN OPIATE....is like giving whiskey to someone that is dependent on Vodka...Obviously they will not withdrawal?
The questions is....for such a new drug, how many patients have become dependent on it and cannot stop due to terrible withdrawals?
Thack you
Rhonda Weltner
I, personally, have been on Suboxone for over 4 1/2 years in this country and had taken it before in Europe. I had formerly been on methadone, which was still available almost strictly through the clinic system. Now, even that can be precribed by doctors for pain or addiction. I mention this because the piece stated otherwise.
I appreciate your efforts to enlighten the public about both problems and resources, but I don''t understand why every drug story I read, see or hear is filled with misinformation. Next time you do a story on drug abuse, feel free to email me. For better or worse, this is one of the few subjects on which I am an authority.
Sincerely,
Scott B.
Can I get this drug from my regular Dr.? And just as inportant to me is how much does this drug cost?
ph
Or if you just want information to learn about it:
www.FeelNormal.org
It works!!
BOSTON PATIENT
Free downloads
Discussion board
Doctor list
www.NAABT.org non-profit patient education site
Prescription drugs are not eeville. It takes a human being to abuse them... it takes a human to disobey doctor''s orders. Most drugs, by themselves, never harmed a soul. In fact, if you had them over for dinner, you''d never know they were subject to being vilified by the media.
Yes, it''s true. Guns do not kill people and prescription drugs do not abuse themselves. No free rides for those too weak willed to follow dosing instrcutions or those who hold a treat a loaded gun like a toy.
Suboxone saved my life and has made my life of one of staying alone in one room to being a working member of society. Addiction is a brain disease but people still treat us like we are bad people. Would a person with high blood pressure be treated like this. I am lucky to live in a state that believes in medication assisted drug treatment, they believe in it because it works and it is science based. Call the Dept of public healths helpline if you need help with your opioid addiction. Also methadone also does a great job for patients if they are in a clinic that has enough medical personel to monitor patients and get them on a dose that works for them. We need to support science based treatment
Paul B
Suboxone saved my life and has made my life of one of staying alone in one room to being a working member of society. Addiction is a brain disease but people still treat us like we are bad people. Would a person with high blood pressure be treated like this. I am lucky to live in a state that believes in medication assisted drug treatment, they believe in it because it works and it is science based. Call the Dept of public healths helpline if you need help with your opioid addiction. Also methadone also does a great job for patients if they are in a clinic that has enough medical personel to monitor patients and get them on a dose that works for them. We need to support science based treatment
Paul B
Every day 10.9 people die from Methadone (according to 2004 stats, not including car accident deaths caused by drivers under the influence of Methadone)
www.HARMD.org
Helping America Reduce Methadone Deaths
It must be mandatory that all doctors be certified and trained in the pharmacology of methadone; inpatient stays must be required during induction to methadone; all staff be extensively trained in monitoring methadone patients for symptoms of toxicity. Clinic patients should be tested weekly for legal and illegal drugs that are taken with methadone to get %u201C high%u201D or experience %u201Ceuphoria%u201D such as benzodiazepines, alcohol, cocaine, heroin, marijuana etc%u2026 and face severe consequences or mandatory detoxification from the methadone program after 3 dirty urines. Selling of take home doses must result in termination from methadone program permanently throughout the U.S. When presenting inebriated at clinic, clinic should also document such activity as well as prevent client from driving. Take home doses for all patients receiving methadone should be eliminated thus preventing the risk of diversion or precautions such as pill safe should be implemented.
www.HARMD.org
Helping America Reduce Methadone Deaths
The potential of abuse, diversion, and overdose to new patients being prescribed methadone is overwhelming. The unique properties of methadone, it''s long half life, and it''s negative interaction with numerous drugs make it an optimal choice as a last result treatment for chronic pain and addiction.
Melissa Zuppardi
Helping America Reduce Methadone Deaths
www.HARMD.org
People go to doctors complaining of pain and are prescribed the Oxy, they then resell it to kids because it so lucrative. The kids (and adults too) become addicted. Realizing they are hooked, they go online to find help, and end up trying to self medicate with Methadone, not knowing the dangers. Most of them need a clinical detox, but it''s not available, especially for adolescents.
PLEASE KATIE, SHINE SOME LIGHT ON THIS SUBJECT. THE GREED OF THE PHARMACEUTICAL COMPANY THAT KNOWS WHAT IS HAPPENING BUT DOESN''T CARE IS IMMORAL.
go to www.oxykills.com
VERY few people become addicted to Suboxone, and there is NO rule that it must be taper off of in 14 days that is a complete fabrication and contrary to the science. 6 months to 1 year is a more appropriate timeframe.
SUBOXONE is a partial agonist (unlike Oxys or all other opioids) and has a ceiling to its effects making overdoses impossible and addiction unlikely. Learn the facts.
Why is this treatment not switching one addiction for another?
http://naabt.org/faq_answers.cfm#33
I. Addiction:
Addiction is a primary, chronic, neurobiologic disease, with genetic, psychosocial, and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving.
II. Physical Dependence:
Physical dependence is a state of adaptation that is manifested by a drug class specific withdrawal syndrome that can be produced by abrupt cessation, rapid dose reduction, decreasing blood level of the drug, and/or administration of an antagonist.
III. Tolerance:
Tolerance is a state of adaptation in which exposure to a drug induces changes that result in a diminution of one or more of the drug%u2019s effects over time.
see www.naabt.org for facts and references.
i am a new person for it,thank god,also i turned my sisterinlaw on to suboxone and she since been on it for three months been clean,she has been a life long drug addict for over 40 yrs,,need i say more
I have stated and find it very ironic that the DEA (a branch of the DOJ) has such huge problems witha drug that has so much good with it, and has fought it every step of the way. Isnt it strange how they dont have any problems with the Methodone clinics (and those are government/state funded). HMMMMMMMM.
Suboxone is, in fact, being used for both.
The application to pain (chronic pain, Fibromyalgia, etc.) is within the past year. I switched to Suboxone at my physician''s suggestion from using Methadone (for PAIN not ADDICTION) after having previously changed from expensive Oxycontin to less expensive Methadone for PAIN CONTROL, not addiction.
My physician is one of a handful approved by the FDA to use Suboxone FOR PAIN, NOT DRUG ADDICTION. Most of his patients have switched to Suboxone with no interference from other prn drugs such as hydrocodone.
The chronic pain of Fibromyalgia or cancer is bad enough without being also assumed to be a drug addict simply because medicine developed to help drug users get off drug addition is ALSO apparently being discovered to be an even better agent for pain. ''Tis for me.
Plus it doesn''t stop up the bowels as Oxycontin and Methadone and hydrocodone all do.
There is NO such FDA approval, ANY doctor can prescribe it off label for pain, they must have the DEA waiver to prescribe it for opioid dependence.
Learn the facts at:
www.NAABT.org
Find help for someone you love who is addicted. The best way you can help is to educate yourself about all available treatments.
Replace myth and rumor with education..
www.NAABT.org/local
Get all the facts, new breakthroughs in science can make ending an addiction possible.
SUBOXONE works for Heroin addiction too!!
Tell the full story next time. Do not make it sound like Suboxone is a cure. It''s not.
P.B. Methadone saves lives methadone.org
http://clinicaltrials.gov/ct/show/NCT00316277?order=1
http://www.youtube.com/watch?v=na5V6xtNY7A
Public service announcement
For more information:
Prescription Opioid Addiction Treatment Study (POATS)
NIDA %u2013 Clinical Trials Network
Bellevue Hospital, New York, NY:
Leslie Wright (917) 576-9470
St. Luke%u2019s Roosevelt Hospital, New York, NY:
Eva Kourniotis (212) 523-8245
Long Island Jewish Medical Center, New York, NY:
Megan Ghiroli (718) 470-8893
McLean Hospital %u2013 Alcohol & Drug Abuse Treatment Program, Belmont, MA
Megan Johnson (617) 855-2388
Chestnut Ridge Hospital, Morgantown, WV:
Lyn McCracken (304) 293-5288
Behavioral Health Services of Pickens County Pickens, SC:
Elizabeth Chapman (864) 898-2938
East Indiana Treatment Center, Lawrenceburg, IN: Krista Tevar (513) 310-2600
Integrated Substance Abuse Programs (ISAP), Los Angeles, CA:
Vanessa De Guzman (310) 267-5238
San Francisco General Hospital, San Francisco, CA: Jamie Grace (415) 476-4235
Alcohol & Drug Abuse Prevention & Treatment (ADAPT), Roseburg, OR:
Linda Clary (541) 464-4936
Providence Behavioral Health Services, Everett, WA: Dan Fischer (425) 258-7607
www.NAABT.org/local
Get all the facts, new breakthroughs in science can make ending an addiction possible.
SUBOXONE works for Heroin addiction too!!
People who suffer from addictive disease are not "beating their habit" they are in treatment for a chronic, progressive life threatening disease. People do not "get clean," they are living a life of recovery. "Gettting clean" implies that someone with addictive disease was dirty; what other chronic disease do we ascribe this negative stereotypical language? Diabetes? Hypertension?
People with addictive disease do not "fail at rehab." It is true some people who have the disease of chemical dependence relapse; it is a feature of the disease. It does not mean that they have failed. What it more accurately means is that we, as a society, as professionals in health and human service systems are not providing systems of care that are appropriate for supporting people to manage their chronic, life-long neurobiological disease. Learn more about reframing our addiction and recovery language, (1)"The Rhetoric of Recovery Advocacy:An Essay On the Power of Language" William White 2002
If I had that kind of money to spend on a drug habit, I wouldn''t need drugs. I would be so happy and carefree that escaping the world through drugs would never occur to me.
I am always amazed at people who are spending thousands of dollars a month supporting a drug habit. Maybe money doesn''t buy happiness, but that kind of money could certainly make life worth living.
But I am not tempted to take drugs despite being a thousandaire and having plenty of problems of my own, so I guess I am okay.
Thanks Suboxone and thanks to my family who never gave up on me.
Paul B
Just like an elderly white man would sound ridicules using adolescent urban rapper jargon, so do professionals using street slang instead of appropriate medical terminology.
To change the stigma we must change the language.
Addiction-Survivors.org
Some day I''m sure we''ll find out that this new pill causes some other health effects which will in turn require yet another pill.
Suboxone can''t effect a cure, but allows a window of time for treatment to work.
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