Dec. 9, 2007
Prescription For Addiction
60 Minutes' Scott Pelley Reports On A New Addiction Treatment
-
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.
-
(AP)
-
News Tools 60 Minutes
Email AlertSign up for our 60 Minutes email alert.
MP3 Audio
- 60 Minutes
This episode of 60 Minutes is available as a free audio podcast. Click here to listen or download.
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.
Recent Segments
Scroll Left Scroll Right
Add a Comment See all 109 Comments
- this sounds all good but when it comes to helping most of the people that this may help it will never be help to them. something like this would put to many people out of a job. the people that have addition issue pay a lot of other peoples bill. it is a sham something like this should be reasonable for the worst meth junky to pay for. but the bull that would acompany even considering getting help such as this, would be reduclous. not to mention a trap in most peoples minds. the money is more powerful not to help people hooked on meth. it will never be reachable. sad sad sad. nobody cares realy inway do they. please excuse my spelling but you get what I am saying.
- Reply to this comment
- Thanks for this information, I will surely be passing it on!
- Reply to this comment
- I am interested in gettin some more info about theis treatement
- Reply to this comment
- I feel like the guy or lady above me if some one has the e=answer we should be praising and offering our assistance inorder for allk who need it are capableof gettin it . Instead of attempting to hmake sure it is kept a secret of help in the red tape and procrastinatin of those who don't care for those awefull and dlow enough to be involved the drugs of accessive uwse of alcohol
- Reply to this comment
- I think it is wounderful and should be further researched inorder to also allow some assistance or relief from Heroin addiction. When you do givce mea call I as well as others are simply users of nacessaty.
- Reply to this comment
- I find the fact of some thing with such good results such as described thus fare is somethign that even thought there appears to be some actions which do infact lead one to question the authenticity and loyalties of those involed about weather infact the well being and future of a person are the top priority and conserne but If you infactt have experienced addiction and the suffering and agony from breaking away from its strong ,holds the abilities to figure and putforth actiions so that some one can have a seconed chance at a realy life. with out the painful lengthy drawn own torture of detoxing and recovering from addiction. Good for them to offersomething so desperately lacking is the wold finally being discovered and is out there for the better good instead of being held behing red tape just out of arms reach taunting and teasing at the Idea that some thing may exsit or is it jsut another false hope and a slap in the face about how low and how uncared for that they are. Now if there was only somethign as great as this for Heoin addicts the world would have a great fewer addicts then there are today. What peopole don;t understandis that a large persent of the users only use for necessaty not for forgetting or disolving the crumbeling would surrounding them which was probably a leading factor os for l the initial injestion but now is a constant suffering every moment of every day. Resulitig in the requirement to always maintain posession in order for there to be any chance of haveing any kind of productinve life. Heroins is the only drug I have ever done that doesn't let go even alithhle. And detox is beyong horrable you welcome and Beg for death.
- Reply to this comment
- Dear david704, please contact me at infoaboutprometa@tmo.blackberry.net, and I will tell you how to get Prometa for free if you qualify.
Thank You, David Smart - Reply to this comment
- a few months ago you had a segment on medical marijuana abuse in california I would like the name of the person you interviewd at the very end of the piece to tell him how medical marijuana was detrimental to my mental health it made me psychotic and delusional.please send me his name and phone number to tell him how a psychiatrist gave a patient a license to smoke pot who suffered from depression. ffink10@yahoo.com
- Reply to this comment
- first of FOUR [thought it would fit in three - oops]
http://news.morningstar.com/news/View
News.asp?article=/BW/20071031006250_univ
.xml
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 - Reply to this comment
- ---second of four --
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. - Reply to this comment
- ---third of four ---
-- 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 - Reply to this comment
- -fourth of four-
-- 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 - Reply to this comment
- MY NAME IS STACY AND I WANT TO SCREAM TO THE TOP OF MY LUNGS THAT THIS STUFF WORKS. I AM A 10 YEAR VICODIN ADDICT. I FOUND OUT ABOUT THIS COMPANY AND THEY ALSO HAD A TREATMENT FOR PAIN KILLERS.
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 - Reply to this comment
- Well, I am not trying to be negative here...but, I got to tell ya, it seems like there is sooo much more info available to the "addicts" using the treatment than the actual news footage. Sounds suspicious to me. If in fact, a person is interested in treatment than go for it, but a good 12 step program is the way to assist in changing past behaviors. Anyone involved with a loved one, friend or family member needs to have their very own program and counseling away from the addict. The addict must work their treatment and program for themselves and their loved ones need to have their own program. That is why there is 12 step programs for everyone. I am a recovering cocaine addict, over 7 years dirty and 20 years counting, one day at a time, clean. I am married to an addict, with his own problems. He does own program and I do mine. We maintain sobriety and sometimes sanity. He takes zoloft to take the edge and some of the desire away. He has slipped. but it is easy for him day by day. This not saying there is not something out there to take the cravings away, but if you are living correctly it should be easier. Anyone can contact any of the 12 step programs on line for information or even to chat. Friends and family can go to Alanon for alcoholics and Naranon for addicts.
- Reply to this comment
- You can find out more about where you can get the treatment at www dot prometainfo dot com. Yes, it is about $15K, but like I said in a previous post, you can get patient assistance if you qualify.
- Reply to this comment
- Where is this drug being made available? And does it really cost $15,000?
- Reply to this comment
- Also for those of you who want to look into the treatment but can''t afford it, they do offer patient assistance. Just ask about it if you call. You can also go to a "not for profit" website www dot enddependence dot org and they can help also.
- Reply to this comment
- 57% success rate sounds good to me. Isn''t it something like 8 to 16% with traditional therapies of treatment and 12-step groups?
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. - Reply to this comment
- (continued...last post) Also...something else I''ve seen a lot of comments on..this is not just a medical treatment. Part of the Prometa protocol is going through intensive outpatient counseling. Whether it be individual, AA, NA or an outpatient ITP. They know that the medical treatment is only PART of the solution. Now, I''m not a dr or a pharmacist "class of 96 graduate" but I am married to an addict and have seen, first hand, the effect this treatment has had on my husband. I think unless you are directly affected by addiction, you have a different "take" on the whole subject. You don''t TRULY understand the way this disease can tear a family apart. If there is something out there like Prometa that can help and IS HELPING then why would anyone want to be negative about that?
- Reply to this comment
- (continued...)And..it WORKS. How?? . When you are addicted to meth, your brain is slowly depleted of dopamine...which is a "happy hormone". The meth eventually starts taking the place of dopamine because the chemical "make up" of meth and dopamine are very similar. This "tricks" the brain into thinking your body has plenty of dopamine so it stops producing it. Once the addict tries to quit using on their own, it can take a VERY long time to replenish the part of the brain that has been damaged. THIS is exactly why there is only a 3% success rate of people quitting on their own. Without dopamine, the addict will be depressed, won''t be able to get out of bed, won''t be able to function in every day life. So they relapse. With Prometa, it helps to restore that part of the brain 80% faster than trying to go "cold turkey".
- Reply to this comment
