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Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/MethadoneMethadoseNursingConsiderations Generic Name methadone Trade Name Mathadose Indication withdrawal symptoms, pain Action Suppresses withdrawal symptoms. Binds to opiate receptors in the CNS and alters perception of pain while producing a general depression of the CNS. This depression also causes a decrease in the cough reflex and GI motility. Therapeutic Class opioid analgesic Pharmacologic Class opioid agonist Nursing Considerations • use caution if patient is receiving MAO Inhibitors • may cause QT prolongation, hypotension, respiratory depression, dependence, confusion, sedation • assess pain, vital signs, bowel function • may increase pancreatic enzyme levels • assess withdrawal symptoms
Stay up to date on all our upcoming live and interactive streams, get on our email list, shop our store, and more. Click the link and start exploring! https://linktr.ee/hardknoxtalks-----------------------------------------------------"The methadone switch in British Columbia was a disaster that led to a lot of misery and many deaths."Garth Mullins and his team from the renowned harm reduction podcast "Crackdown" won the Canadian Hillman Prize for investigative journalism around the abrupt switch of methadone to Cherry-Flavored Methadose in British Columbia in 2014.From advocating with different regulatory bodies in BC, to nationally with Health Canada, to class action lawsuits against the makers of Methadose, Garth, and the organizations he serves, have been fighting for safer Opioid Agonist Treatment (OAT).Even Health Canada investigated, and their findings suggested that there are important differences between the methadone products. The CDC found Methadose was insufficient,and yet it continues to be available.The change is coming in Saskatchewan, but we have a chance to learn from BC and do it differently.Join us this week and listen to Garth #takeofftheblinders around what happened in British Columbia, so that we can avoid doing the same thing in Saskatchewan.We'll talk about what his experience was when the switch was imposed in British Columbia, how other provinces have done it differently, and what people in Saskatchewan can do to feel like they have some choice in the switch to a new methadone.If you or a loved one will be affected by this change, or you just want to learn more about it, then you definitely won't want to miss this special public awareness event right here,on Hard Knox Talks.Buckle up.-----------------------This event is Sponsored by the University of Saskatchewan.
Every morning for around half a decade in the early 2000s, I would make my way to the Methadone Maintenance Therapy (MMT) clinic in Kansas City, Missouri. For me and millions of others, methadone, Suboxone (Buprenorphine), Vivitrol and heroin maintenance therapy are invaluable to our success in life.
We speak with Laura Shaver (BC Association of People on Opioid Maintenance) on her methadose class action lawsuit against BC & a drug company.
Best of the Best is Third Coast’s annual ode to audio storytelling, taking listeners on a journey through the full breadth of what’s possible in stories made from sound. This episode showcases three of the winning stories from the 19th annual Third Coast / Richard H. Driehaus Foundation Competition. These stories all won different awards (Skylarking, Best News Feature, and Radio Impact), but they all share a theme: investigations.Punks, produced by Kathy Tu, co-produced by Tobin Low and Matt Collette, sound designed by Jeremy Bloom, edited by Jenny Lawton, and executive produced by Paula Szuchman for Nancy from WNYC Studios.Winner of the 2019 Skylarking AwardA mystery story about a man, a movie, and a mad-cap adventure to unite the two.Death in Illinois Prisons: He Didn’t Have The Death Penalty But That’s What He Got, produced by Shannon Heffernan and edited by Rob Wildeboer for WBEZ.Winner of the 2019 Best News Feature AwardEvery year, people die in Illinois prisons. Reporter Shannon Heffernan uncovered that the state hasn’t been keeping detailed records of these deaths, meaning that families couldn’t learn even the simplest details about how and why their loved one died. Change Intolerance, produced by Sam Fenn and Garth Mullins, co-produced by Lisa Hale, Alexander Kim, and Ryan McNeil for the podcast Crackdown, with editorial support from Laura Shaver and Chereece Keewatin.Winner of the 2019 Radio Impact AwardIn 2014, the province of British Columbia suddenly switched nearly 15,000 methadone patients to a new formulation of the drug called Methadose. Led by a team of Vancouver’s most experienced drug user activists, this story is an investigation into what happened afterwards.You can hear all the winning stories from the 2019 Competition at ThirdCoastFestival.org.The program is made possible with support from the Richard H. Driehaus Foundation and distributed to public radio stations by PRX.Music in this hour by pine voc (“Let Your Household Objects Sing”), Jeevs (“Anesthesia”), VicthorA3 (“Semi Cold Night”), Niteffect (“Selfie”), and Genx Beats. See acast.com/privacy for privacy and opt-out information.
The Sustainable Development Goals aim to improve the most important things about life on Earth. The prevention and treatment of substance abuse is targeted by SDG 3, Health and Wellbeing—but drug use is a shadow that cuts across the path of so many others, and therefore merits special attention. We talk about that. In the early 1990s, someone thought this public service announcement was a good idea. Thirty years later, the accidental anthem has become a bemusing relic of the war on drugs—which was already decades old, and had proven itself interminable, when this first aired on Canadian television. Two years ago, the Government of Canada ended almost a century of marijuana prohibition by passing Bill C-45, or the Cannabis Act. So far, the rollout of legal pot from coast to coast to coast has had its highs and lows. Most pointedly, the black market is still thriving, with Statistics Canada estimating that about three quarters of the country’s cannabis users are still getting high on an illegal supply. Meanwhile, the Ministry of Health’s earnest Cannabis in Canada website is chock full of educational resources, health information, travel tips, business requirements and more—including PSAs for the modern era. In 1993, British Columbia’s chief coroner investigated an “inordinately high number” of drug-related deaths within the context of a “very real and very serious” problem with illegal drug use. At the time, there had been 330 such deaths in the province. That was the highest number B.C. had ever experienced, and the event is widely remembered as the country’s first overdose epidemic. By three years ago, that same statistic had soared to 1,473 lives lost annually—an increase of more than 400 percent in a generation’s time. All the while, considerable attention has focused on Vancouver’s Downtown Eastside (DTES), a neighbourhood with inordinately high rates of mental illness and drug addiction among its homeless and housing insecure populations. Across the country, other urban centres have similarly troubled communities, but the current opioid crisis does not discriminate. Overdose deaths are unquestionably a national happening, with a body count of almost 14,000 between January 2016 to June 2019. Drug overdoses are currently claiming more Canadian lives than motor vehicle accidents and homicides combined. Today’s street drugs are incredibly strong, with scores of addicts at daily risk of their next shot being the one that will end them. Last December, the Public Health Agency of Canada released this statement: Many of these deaths are a result of the contamination of the illegal drug supply with toxic substances. Fentanyl and other illegal and highly toxic synthetic opioids continue to be a major driver of this crisis… The opioid overdose crisis is a complex problem that we know will take time to turn around. To have a significant and lasting impact, we need to continue working together on whole-of-society changes. This includes addressing the stigma that surrounds substance use, implementing further harm reduction measures and reducing barriers to treatment. It also means continuing to work together to better understand and address the drivers of this crisis, such as mental illness, and social and economic factors that put Canadians at increased risk. Crackdown is a podcast about “the drug war, covered by drug users as war correspondents.” Host and executive producer Garth Mullins is a journalist and radio producer who survived the DTES of the early ’90s, back when B.C. experienced that first wave of alarming deaths. He is a careful, empathetic interviewer who is wide open about sharing his own history of drug use. We recommend a visit to Crackdown’s website to hear the dozen episodes that they have made so far. Or just find and follow the show on iTunes, Spotify or another podcast provider. It tells stories you will not hear elsewhere, from a perspective you might not think to consider. Marilou Gagnon (RN, PhD) is president of the Harm Reduction Nurses Association (hrna-aiirm.ca), a professional organization with a national mission to “promote the advancement of harm reduction nursing through practice, education, research and advocacy.” In practice, this results in actions including: “Serving as a national voice for harm reduction and related nursing issues” “Creating a dynamic network to support and mentor nurses across the country” “Advocating for the rights and dignity of people who use drugs and their families” Last summer, acting in a direct response to the opioid crisis, HRNA called for the decriminalization of people who use drugs in B.C.—which, notice, is different than the decriminalization of drugs. “This is a critical way forward to address the overdose crisis and to promote greater health, wellbeing, justice, and equity at an individual and population level,” the group’s statement concluded. “Additional steps include ensuring access to a safer supply of substances, housing, mental health services, treatment, support, and harm reduction services.” Nicole Kief, formerly of the ACLU, is a legal advocate for Prisoners’ Legal Services in B.C. This role puts her near another front line of the current crisis: federal and provincial prisons. According to the Correction Service of Canada, overdoses and overdose deaths among prisoners more than doubled within a five-year period spanning 2012 to 2017. The Office of the Correctional Investigator’s 2017–2018 annual report includes the remarkable fact that there are now “more drug detector dogs working in federal penitentiaries than in the entire Canada Border Services Agency.” During the past several years, Kief and her colleagues have fielded a growing number of pleas for assistance with a pair of drug-related issues: one, unbearably long waiting lists for Methadose and other “opioid agonist” treatments; and two, forced cold-turkey withdrawals from high-dose addictions. Prisoners’ Legal Services appealed to the Correction Service on both fronts—and got nowhere. In June 2018, the group filed a complaint with the Canadian Human Rights Commission. That did something. Since then, Kief says there’s been a noticeable drop in prisoner reports about both issues. Near the end of this episode, host Vicky Mochama reads the following quotation from the United Nations Office on Drugs and Crimes: Many of the communities and people caught up in the drugs trade, whether users, small-scale traffickers, producers or cultivators, often constitute the most vulnerable and marginalised segments of society, the “further behind” which the SDGs have endeavoured to reach first. This, in a nutshell, is why we’ve made this episode. And below, in six minutes, is how to administer a potentially life-saving shot of Naxolone to a person who is overdosing on opioids. These injection kits are widely—and freely—available in Canadian pharmacies, and offered with hands-on training similar to what’s depicted in this video.CREDITS: No Little Plans is hosted by Vicky Mochama. This episode was produced by Dorsa Eslami, Ellen Payne Smith, Jay Cockburn, and Matthew McKinnon, with executive production by Katie Jensen. This podcast was created by Strategic Content Labs by Vocal Fry Studios for Community Foundations of Canada. Subscribe or listen to us via the outlets above, and follow us at @nolittlepodcast on Facebook, Twitter, and Instagram. Meanwhile, like Daniel Burnham said: “Make big plans; aim high in hope and work.”
There were so many great releases this year that we couldn't fit all our favourites into one episode. So this is the first of our two-part series looking back at the best podcasts to come out in 2019, as chosen by the Podcast Playlist team. 1619 (Lindsay Michael's pick) – 1619 is a new podcast from The New York Times that re-examines the history and the present day consequences of slavery. The result is also highly personal. As host, Nikole Hannah-Jones also weaves her own experiences into show. Finding Fred (Podcast Gumbo creator Paul Kondo's pick) – "Mister Rogers' Neighborhood was not a simple show. And Fred Rogers was not a simple man. He was radical. Spiritual. Revolutionary. Maybe even subversive. Bestselling author and cultural critic Carvell Wallace hosts this 10-part series about the life, thinking and work of Fred Rogers, and asks what the cardigan wearing host of a decades-old children's show can tell us about how to get by in today's chaotic world." Crackdown (Julian Uzielli's pick) – "In 2014, British Columbia switched nearly 15,000 methadone patients to a new formulation called Methadose. In Crackdown's second episode, Garth Mullins, Laura Shaver, and their colleagues at British Columbia Association of People on Methadone (BCAPOM) investigate what happened after the switch." Scam Goddess (TK Matunda's pick) – Host Laci Mosley chats with comedian, writer, and podcaster James Mastraieni (Too Effin' High, Florida Girls) to talk about "romance scams."
Crackdown investigates the relationship between the BC government and Mallinckrodt Pharmaceuticals. Many people on methadone complain that Methadose® "doesn't have legs." Why hasn't the government provided them with a more effective option?
There are three MAT drugs available to treat addiction: naltrexone (brand name Vivitrol), methadone (brand names Dolophine or Methadose) & buprenorphine (brand name Suboxone, Subutex, and Sublicade). The only MAT drug appropriate for initiation in the ED is buprenorphine. Buprenorphine is a semi-synthetic opioid which acts as partial agonist at the mu receptor. Buprenorphine does not produce as much euphoria or as much of the respiratory depression seen with other opioids. It has a quick onset and long half-life and is usually administered sublingually. The most commonly used formulation of buprenorphine is mixed with naloxone for one reason and one reason only - to prevent diversion and IV drug use. When taken orally, the buprenorphine effect is predominant; when taken IV, the naloxone effect is predominant Any ED provider can administer buprenorphine in the ED for up to 3 consecutive days in order to bridge a patient to addiction services. X-Waivers allow you to prescribe buprenorphine from the ED, which is a great service you can provide your patients, particularly in rural communities. In 2019 ACEP will be producing an ED physician specific X-Waiver training which will focus exclusively on ED-based care. Click HERE for more information
British Columbia switched nearly 15,000 methadone patients to a new formulation called Methadose in 2014. Garth Mullins, Laura Shaver, and their colleagues at BCAPOM investigate what happened next.
Jeff Louden warns of the coming changes to the methadone program in BC. Jeff has been on the methadone maintenance program for nine years and is a connoisseur of opiates for much longer. He’s articulate about harm reduction strategies and drug enforcement policy in the DTES and has been my friend for years. Methadone – a highly regulated, strong narcotic prescribed to treat opiate addiction - is about to get ten times stronger in BC. Taking too much of the medication can cause overdose and even death. Most methadone patients have no idea this change is coming. On Feb 1, 2014, pharmacies and clinics in BC will begin dispensing a new product called Methadose, which will replace the methadone they used to compound themselves. Methadose is manufactured by Mallinckrodt Pharmaceutical, and comes in a red, cherry-flavoured liquid. The old methadone was dispensed at a concentration of 1mg/ml in a Tang-like juice. The new Methadose will be ten times more concentrated at 10mg/ml.
Will BC's new methadone kill people? Its about to get ten times stronger - but will patients & drug users find out? Methadone – a highly regulated narcotic prescribed to treat opiate addiction - is about to get ten times stronger in BC. Taking too much of the medication can cause overdose and even death. Most methadone patients have no idea this change is coming. On Feb 1, 2014, pharmacies and clinics in BC will begin dispensing a new product called Methadose, which will replace the methadone they used to compound themselves. Methadose is manufactured by Mallinckrodt Pharmaceutical, and comes in a red, cherry-flavoured liquid. The old methadone was dispensed at a concentration of 1mg/ml in a Tang-like juice. The new Methadose will be ten times more concentrated at 10mg/ml. I interview Laura Shaver, president of the BC Association of People on Methadone (BCAPOM) who is worried people will die. She has been petitioning authorities to get the word to methadone patients - a group that can be hard to reach. I also talk to Aiyanas Ormond of the Vancouver AreaNetwork of Drug Users. He is troubled: “Methadone patients, more than any other large patient group…have very little voice in how the program works and how the rules are going to be set.” Ormond said that patients must “actually have some power over the decisions” and that he’s seen “lots of supposedly benevolent improvements in treatments that…ended up marginalizing people further.” Laura and BC Association of People on Methadone made posters and alerted people on Vancouver’s Downtown Eastside. On the eve of the changeover, she remains concerned that not everyone will know, and that people will die.