Dec. 9, 2007
Prescription For Addiction
60 Minutes' Scott Pelley Reports On A New Addiction Treatment
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Play CBS Video Video Prescription For Addiction Prometa is touted as a new treatment for addictions, especially to meth, but some doctors say its claims are unverified, even though addicts and other doctors say it works. Scott Pelley reports.
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(AP)
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The therapy is called "Prometa." As correspondent Scott Pelley reports, it's being promoted by Terren Peizer, a former junk bond salesman whose business is business, not medicine. He skipped the usual medical research and government approvals to rush Prometa to market.
Why the shortcuts? Peizer, who stands to make millions, says there's no way he can sit on Prometa when he believes it's the miracle treatment that millions are dying for.
"And if you had a son. If you had a son or a daughter, and maybe you do. If he's strung out on meth. And he's going to kill himself. Would you, if you had the opportunity. And I said to you, will you treat your son with Prometa?" Peizer asks. "Would you take that option for your son?"
Terren Peizer is selling hope to the desperate. If what he says is true, he's hit on the first medical treatment for methamphetamine addiction -- a therapy that he says works for cocaine and alcohol, too.
An alcoholic getting treatment with Prometa visits a clinic three times, getting one drug, flumazenil, by infusion, and two more, gabapentin and hydroxyzine, in the form of pills; meth and cocaine addicts require two additional treatments later in the month. And patients take gabapentin daily for a month. Prometa's treatment plans also call for nutritional supplements and counseling sessions.
The drugs have been around for years, but none of them was developed to treat addiction.
Dave Smart tried Prometa. He'd been hooked on meth for 20 years. "I tried NA. I tried AA. I tried in-patient treatment centers. I tried outpatient treatment centers. I've been to jail and to prison many times for different crimes due to meth," Smart tells Pelley.
"But, Dave, you've got a wife of more than 20 years. You've got children. You've got grandchildren. None of that was worth quitting for?" Pelley asks.
"All of that is worth quitting for. But it has such a strong hold on me. It did have such a strong hold on me that I couldn't quit. Believe me, I tried. I hated it. I hated my life on dope," Smart says.
Almost two million Americans used meth last year. In Tacoma, Wash., Smart took Pelley to see the damage meth can do.
"We tore this place apart," Smart tells Pelley, outside an unoccupied house.
Addicts swarmed the unoccupied house like locusts, stripped it, and sold the scrap. "All the wiring we took out of there, the wiring out of the house, there was TVs and all kinds of things in the house, all taken out," Smart explains.
"You stole it and you sold it all," Pelley asks.
"That's the bottom line, yes," Smart says.
"You know this is the kind of thing I've seen in Baghdad," Pelley remarks.
"Yeah, that's what we do to get our dope," Smart says.
Eight months ago, Smart was on his way to buy dope when he stopped at a Prometa clinic. He'd heard about it on TV. After about an hour at the clinic, instead of going on to his meth dealer, he went home.
Smart says the cravings were gone overnight. "That's the way it worked for me," he says.
"Dave, you have to understand how that sounds too good to be true," Pelley remarks.
"I do understand how it sounds too good to be true," Smart says.
"You never would have believed it," Pelley asks.
"No, no," Smart says. "I never would have believed it. You're right. But it happened."
"This tool is different. This tool has a unique and powerful biological response that is very robust," says Dr. Matthew Torrington, the medical director of the Prometa Center of Los Angeles.
Dr. Torrington has done addiction research at UCLA. He started prescribing Prometa two years ago. Torrington says for an addict, Prometa is like brakes on a car.
"You're asking them to go down the arduous road of recovery without the ability to stop. And their brain says 'Go,' and it's on! Okay, and they just don't have the
ability to say no," he says. "Because their brain told them that they were hungry for drugs the way you would be hungry for air with a plastic bag over your head. Okay?"
The three drugs used in Prometa were approved by the FDA years ago, but not for addiction treatment. One was approved to treat overdoses of sedatives, another to treat seizures, the other to calm anxiety. In the 1990’s, a Spanish doctor put them together. The theory is they alter brain chemistry to end craving.
One patient explained it to Torrington like this: "He said, 'Look, Torrington, before the treatment my thought went, cocaine, cocaine, cocaine, cocaine, cocaine, cocaine, cocaine, after the treatment my thoughts went cocaine, I wonder what happened to that rental car I lost, I wonder what happened to my cell phone I wonder what happened to my luggage boy I met my mom is mad at me, boy am I hungry, boy am I tired, cocaine.' It wasn’t like he couldn’t remember cocaine anymore, it was that cocaine went from all he could think about to being just another thing on the list," Torrington explains.
Produced By Henry Schuster and Rebecca Peterson
© MMVII, CBS Interactive Inc. All Rights Reserved.
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See all 109 CommentsThank You, David Smart
http://news.morningstar.com/news/View
News.asp?article=/BW/20071031006250_univ
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http://url.rexroof.com/16455
The Pierce County Alliance (the Alliance) today released a statement providing additional information and addressing inadequate analysis .... which resulted in termination of county funding for its PROMETA-based Treatment Program
The PROMETA Treatment Program pilot was offered to clients from [the] MOST DIFFICULT group, and not the average population we encounter. Of the 40 people that were included in the pilot, three people did not complete treatment and two people were transferred to receive appropriate mental health treatment.
Of the remaining 35 individuals, 86% did NOT return to drug use over the first 14 months of the PROMETA Treatment Program. In addition, 98% of all urine drug screens that were taken were negative. The reduction in cravings experienced by PROMETA-treated patients resulted in significant reductions of drug use and contributed to the [positive] outcomes for this difficult to treat group.
The outcomes ... in the Family Drug Court are even more compelling. The participants treated ... had 53 children between them, and when these cases were reviewed between March 2006 and June 2007, 51 of those [53] children were either reunited with their parents or voluntarily placed in guardianship or adoption ...
In summary:
-- The authors of the briefing report had no background or expertise with drug treatment processes, non-profit organizations, nor were they familiar with treatment outcome measurements.
-- The writers provided ... assessment without offering the Alliance opportunity to respond, clarify or explain any points or apparent discrepancies.
-- Because both successful and non-successful clients reported vastly reduced cravings, the writers question[ed] the value of [reduced] cravings in predicting success. Their analysis ... is incomplete and does not take into account the dramatic reduction in drug use that was found across most subjects ... whether or not they completed drug court.
-- The writers of the briefing paper concluded that a performance audit would not be useful [because of competition from] state funded University of Washington ... contracted through the state''''s Department of Alcohol and Drug Abuse.
-- The report implied a lack of support ... The Alliance provided the County Council with letters of support from the following:
-- Justice Charles Sandoval of Collin County, Texas'''' 380th Judicial
District Court
-- Jerry Madden, Chairman of the Texas House Corrections Committee and
Congressional representative for the 67th congressional district
-- Justice Deidre Monroe of City Court of Gary, Indiana''''s Second
Chance Drug Court Program
-- Mitch Lyles, Director Adult Probation for Denton County, TX
-- The report cites three data outcomes ..., ignoring ... many additional measures ... without seeking explanation
-- In addition to not factoring into their analysis individuals recharged on their original offense and retroactively deemed ineligible for drug court, the briefing report also failed to take into account positive outcomes from a drug treatment perspective for non drug court graduates such as:
-- Individuals voluntarily released from drug court after regaining
employment and/or regaining custody of their children and
demonstrating to the court that they had not returned to drug use
-- Individuals with psychiatric co-morbidities discharged to mental
health services after demonstrating to the court that they had
not returned to drug use
For 35 years the Alliance has fought the incessant linkage of drugs and crime, ... secured multi-million dollar grants to pioneer felony, family, and juvenile drug treatment courts in Pierce County. ... The Alliance has led the way on all of these efforts, including the adoption and use of the PROMETA Treatment Program.
About Pierce County Alliance ...
About Hythiam, Inc. ... For further information, please visit www.hythiam.com.
Pierce County Alliance :: Terree Schmidt-Whelan, 253-572-4750
=======[[xnip]]=========
Friday HYTM close before Sunday 60 mins report == $3.99
Monday HYTM close after Sunday 60 mins report == $3.35 -16.04%
Tuesday HYTM early-afternoon after Sunday 60 mins report == $2.91 -27.07%
so much for profit-mongering
IT COST 1200.00 FOR ONE TREATMENT THAT I CHOSE TO HAVE IN CHICAGO. I HAVE BEEN CLEAN FOR 4 MONTHS TO THE DAY I RECEIVED THE TREATMENT.
THE TREATMENT I HAD WAS NALTREXLONE. PLEASE IF ANYONE IS STRUGGLING WITH THIS ADDICTION CALL HYTHIAM.
I HAVE NO AND I MEAN NO CRAVINGS WHAT SO EVER.
I HAVE MY LIFE BACK. IT SAVED MY LIFE!!!!!!!!!!!!!
STACY
I say let''s try to get the treatment out there to as many folks as we can for free. It''ll be cheaper in the long run than prison, institutional care or burying them. I''ve loss my son to drugs and alcohol. Oh, he''s still breathing but his soul and mind are gone. I am one of those parents who would try anything because I have nothing to lose.
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