Podcasts about vivitrol

Dr. Casey Grover interviews fellow addiction medicine physician Dr. Jason Giles to explore how addiction specialists approach treatment using long-acting injectable medications as tools for recovery.We discuss:• Dr. Giles shares his personal journey from anesthesiology to addiction medicine after developing his own dependency on fentanyl• Addiction as a disease of executive functioning that impairs decision-making ability• Recovery requires building new neural pathways - learning to manage emotions without substances• Long-acting injectable medications (Sublocade, Brixadi, Vivitrol) , and how these medications reduce cravings and provide protection while patients develop new coping skills• The process of stopping buprenorphine• Individualized tapering approaches help patients transition from daily medications to occasional use• Creating a safe environment where patients can be honest is essential for successful treatmentTo contact Dr. Grover - ammadeeasy@fastmail.com

In this episode, Dr. David L. Pennington, Ph.D. and Dr. David R. Gastfriend, M.D., DFASAM dive into the U.S. substance use crisis, focusing on assessments, data standards, and key performance indicators. Learn how the ASAM Criteria and ASAM CONTINUUM are transforming addiction treatment through multidimensional assessments and technology integration. Discover the evolving trends in substance use, barriers to treatment, and the role of digital health tools in bridging care gaps. Hear success stories and challenges in implementing these systems and explore future opportunities for digital solutions in mental health care. Join us to uncover meaningful measures that enhance treatment outcomes and patient well-being.What You'll LearnThe significance of the ASAM Criteria for addiction treatment.How substance use trends have evolved and current statistics.Barriers to SUD treatment and how technology aims to overcome them.Strategies for implementing and promoting ASAM CONTINUUM.Success stories and challenges in integrating these systems.Future opportunities for digital health solutions in addiction treatment.MODERATOR: Dr. David L. Pennington, Ph.D.CEO & Clinical Psychologist, Melantha Health Psychology Consulting, PC.Bio: Dr. David L. Pennington, Ph.D., is a licensed clinical psychologist, practicing clinician, and CEO of Melantha Health Psychology Consulting, a firm dedicated to advancing mental health innovation. With extensive experience in both clinical practice and research, he specializes in developing digital health interventions for opioid use disorder and other substance use challenges. His work integrates cognitive neuroscience, evidence-based psychotherapy, and digital technology to create practical solutions that enhance treatment outcomes and patient well-being. As a trusted science advisor and educator, Dr. Pennington is committed to bridging the gap between academic research and real-world application, and he brings his hands-on clinical experience to the Chime opioid network podcast to illuminate emerging trends in addiction treatment and mental health care.GUEST: David R. Gastfriend, M.D., DFASAMCo-Founder & Chief Medical Officer, DynamiCare HealthBio: Dr. Gastfriend is an addiction psychiatrist. At Harvard Medical School, he directed addiction research at Massachusetts General Hospital and was an investigator in the NIDA Cocaine Collaborative Study, NIAAA's COMBINE Study and NIDA's Clinical Trials Network. As Vice President at Alkermes, Inc., he directed scientific publications on Vivitrol in clinical, criminal justice and health economics research. His research led most states to endorse the American Society of Addiction Medicine (ASAM) Criteria. His 150 scientific publications include the books The ASAM Criteria and Addiction Treatment Matching. His ASAM CONTINUUM – The ASAM Criteria Decision Engine® and ASAM's CO-Triage® tools are being adopted nationwide. In 2016, he co-founded DynamiCare Health, a nationally-scalable technology for Contingency Management and predictive analytics, winning awards from Harvard Business School, the Commonwealth of Massachusetts, the Governor of Ohio, and the New York Times. He has consulted to governments in Belgium, China, Iceland, Israel, Norway, Russia and the U.S.

On today's episode of the Kreatures of Habit Podcast, Dr. Russell Surasky, a double board-certified neurologist and author of This Book Will Save Your Life, sits down with Michael Chernow to explore the science of addiction, the recovery process, and why relapse happens. Together, they break down the most effective methods for overcoming addiction, the impact of genetics and environment, and the challenges people face when staying sober. Together, the two explore: Addiction vs. Having Addiction: Why the language around addiction matters.  What Determines Success in Sobriety: Michael shares his experience staying sober while many around him couldn't. Preventing Addiction in Children: What parents can do to reduce the risk of addiction in their kids and instill healthy habits. Ambition in Addiction: How some people in recovery turn their addictive behaviors into successful, ambitious pursuits. What is Vivitrol?: An explanation of Vivitrol, a medication that helps with addiction recovery, and how it works. Genetics & Addiction: Why some siblings may develop more addictive personalities than others, and the role genetics play in addiction. Personalized Approaches to Recovery: Why different recovery methods work for different people, even when there's a proven method. If you loved today's show or know someone that'd benefit from hearing it, be sure to share! TIMESTAMPS: 4:09 Addiction vs. Having Addiction 10:28 What Determines Success in Sobriety 17:52 Preventing Addiction in Children 26:54 Ambition in Addiction 38:55 What is Vivitrol? 47:43 Genetics & Addiction 53:49 Personalized Approaches to Recovery

Shana Epps: CONTROLLED CHAOS | The Hopeaholics PodcastShana Epps opens up about her powerful journey through addiction, loss, and redemption in this eye-opening episode of The Hopeaholics Podcast. Growing up in a small town in Michigan, Shana always felt different, battling anxiety and insecurity from a young age. Prescribed Adderall at just 11 years old, she quickly developed a dependency, leading to years of substance abuse, including alcohol and opioids.As a teenage mother, Shana tried to balance raising children while struggling with addiction, but the cycle of relapse and recovery seemed never-ending. Working in treatment centers while secretly battling alcoholism, she lived a double life until she hit rock bottom. After losing relationships and nearly losing herself, she found a breakthrough in AA and the Vivitrol shot, which became the foundation for lasting sobriety.Now over three years sober, Shana shares her journey of healing, rebuilding trust with her daughters, and creating a meaningful life in recovery. She discusses the challenges of navigating motherhood after addiction, the power of therapy in uncovering past trauma, and the importance of self-worth in maintaining sobriety.Her story is raw, real, and a testament to the fact that no one is beyond hope. Whether you're struggling with addiction, in recovery, or looking for inspiration, this episode will leave you motivated to keep pushing forward.Need help? If you or a loved one is struggling, call The Infinity Group today. We're here 24/7.Follow us on all our social media platforms down belowINSTAGRAM : https://www.instagram.com/thehopeaholics/?igshid=Mzc1MmZhNjY%3DSPOTIFY: https://open.spotify.com/show/4diCrlmIyqrkE2e22mFgU1?si=2df7f5920f944098FACEBOOK: https://www.facebook.com/thehopeaholicspodcast/TREATMENT : https://www.hopebythesea.com

Nicole Doering, once a model with a psychology background, found herself battling alcohol addiction later in life after personal upheavals. Her story begins with a sobering reflection on how unexpected life events, like a family health crisis and divorce, can lead to such challenges. Nicole's candidness about her 17-month sobriety journey is a testament to resilience and underscores the crucial role of evidence-based treatment. Nicole's atheism adds a unique dimension to her recovery approach, steering away from traditional narratives and focusing on the science of the brain. Navigating addiction requires understanding it as a complex brain disease rather than a simple moral failing. Nicole sheds light on how medical-assisted therapies, like the Vivitrol shot, are underutilized yet vital for treating addiction. This episode breaks down the science behind addiction, explaining how it hijacks the brain's reward pathways, creating chronic dopamine imbalances. We explore how these imbalances affect memory and behavior, leading to persistent attentional biases. By rethinking addiction treatment beyond just willpower, Nicole's insights advocate for a more scientifically grounded understanding of recovery. In this episode, you will hear: Nicole Doering's unconventional recovery journey from alcohol addiction, emphasizing atheism and science-driven approaches. Personal challenges, including a family health crisis and divorce, leading to late-onset addiction. Importance of evidence-based and medically assisted treatments, such as the Vivitrol shot. Understanding addiction as a complex brain disease rather than a moral failing. Exploring alternative recovery methods like SMART Recovery for those struggling with traditional approaches. The role of brain chemistry and the impact of addiction on memory and behavior. Follow and Review: We'd love for you to follow us if you haven't yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast. Supporting Resources: NovusMindfulLife.com Episode Credits If you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com Let them know we sent you. Learn more about your ad choices. Visit megaphone.fm/adchoices

This Week on Dopey! We are paying homage to Chris on the 6th anniversary of his tragic death. We are joined by Jed Payne from Church and Other Drugs Podcast and talk about his harrowing Kratom recovery and how he got to celebrate his first father's day! PLUS Stephen Murray from the Safe Spot Hotline calls in to help us celebrate Dopey Day AKA ChrisMiss in August with the new CALL-A-DOPE piece of Dopey Day! If anyone is using please call 1-800-972-0590 to help prevent overdose! PLUS emails, voicemails, tattoos, Dopeycon, Dopey Day! PLUS we sneak The This American Life Dopey Segment just to fuck everybody up!    All that and more on a brand spanking new but. eerily familiar episode of that good ol Dopey Podcast!!!!         In this part of the conversation, David Manheim discusses various topics including Bob Marley, Dopey Day, DopeyCon, and his personal experiences with addiction and recovery. He also shares an email from a listener and announces anniversaries of Dopey Nation members. Jed from Church and Other Drugs Podcast joins the conversation and talks about his journey of addiction, relapse, and recovery. In this part of the conversation, David and Jed discuss Jed's harrowing experiences with addiction, including his relapses and the impact on his personal life. They also touch on the dangers of using substances like kratom and the importance of seeking help and treatment. The conversation concludes with a discussion about the upcoming Dopey con and the partnership with Safe Spot to provide support for addicts. The conversation in this part of the recording focuses on the Save Spot hotline, a helpline for people who use drugs and want to ensure their safety. The hotline provides support and guidance to individuals before and during drug use, with the goal of preventing fatal overdoses. The hosts discuss the importance of the hotline and how it can save lives. They also emphasize the non-judgmental and supportive nature of the hotline, as well as the sense of community it fosters. The episode concludes with a tribute to a friend who died from an overdose. In this final part of the conversation, David Manheim reflects on the tragic death of his co-host Chris and the future of the Dopey podcast. He shares the events leading up to Chris's relapse and overdose, including their last episode together and the signs of Chris's drug use. David grapples with feelings of guilt and responsibility, but ultimately decides to continue the show as a way to honor Chris's memory and raise awareness about addiction. The episode ends with a lighthearted banjo cover of Dave's song and a message of hope for the future. KeywordsBob Marley, Dopey Day, DopeyCon, addiction, recovery, email, anniversaries, Church and Other Drugs Podcast, addiction, relapse, treatment, kratom, Dopey con, Safe Spot, Save Spot hotline, drug use, safety, fatal overdose, support, community, non-judgmental, tribute, addiction, relapse, overdose, grief, podcast, Dopey, memory, awareness Takeaways Bob Marley's music is loved by many, and David Manheim and his guest discuss their favorite songs. Dopey Day is celebrated on August 16th, and listeners are encouraged to record messages to be included in the Dopey Day show. DopeyCon is an upcoming event that will feature various guests and activities. David Manheim shares an email from a listener who found strength and inspiration from the Dopey podcast. Jed from Church and Other Drugs Podcast shares his personal journey of addiction, relapse, and recovery. Addiction can lead to devastating consequences, including relapses and strained relationships. Substances like kratom can be addictive and have negative effects on one's quality of life. Seeking help and treatment is crucial for recovery and maintaining sobriety. The Dopey con event provides an opportunity for individuals in recovery to connect and support each other. Partnerships with organizations like Safe Spot can offer valuable resources and support for addicts. The Save Spot hotline provides support and guidance to individuals who use drugs and want to ensure their safety. The hotline aims to prevent fatal overdoses by offering non-judgmental and supportive assistance before and during drug use. The hotline creates a sense of community among its operators and callers, who share a common experience. The hosts emphasize the importance of reaching out for help and the potential to save lives through the hotline. The episode concludes with a tribute to a friend who died from an overdose, highlighting the devastating impact of addiction. The tragic death of Chris highlights the devastating impact of addiction and the constant risk of relapse Guilt and responsibility are common emotions experienced by loved ones after a relapse or overdose Continuing the podcast is a way for David to honor Chris's memory and raise awareness about addiction The banjo cover at the end of the episode serves as a reminder of the importance of finding joy and hope in the midst of grief Titles Dopey Day and DopeyCon Celebrating Bob Marley's Music Celebrating Sobriety at Dopey con Jed's Harrowing Journey Through Addiction Building a Supportive Community: The Save Spot Hotline Preventing Fatal Overdoses: The Role of the Save Spot Hotline Reflecting on Tragedy: Chris's Relapse and Death Guilt and Responsibility: Navigating the Aftermath Titles The Dangers of Smoke Shop Drugs: Tianeptine and Kratom From Counselor to Patient: Navigating Treatment and Rehab Exploring the Symbolism of Dreams Overcoming Kratom Addiction: Jed's Story   Sound Bites "Vivitrol is just naltrexone, so it is only an opioid antagonist." "The sublicate shot you do the first three days after the shot, you are blasted, dude." "I got just blindsided with cravings like you wouldn't believe." "You're such a fucking piece of work. I swear to God." "I woke up in was the intense feeling of impending doom and unbelievable fear and panic attack, dude." "Yeah, I'm still on Vivitrol." Sound Bites "What's my favorite Bob Marley? We're doing Joby, we're not doing Bob Marley." "Welcome to Dopey, the podcast on drugs, addiction, and other dumb shit." "Call a Dope on Dopey Day." "I got sick. Oh, God. I was on an eight-hour bus ride from Puerto Vallarta to Guadalajara and I was just in the bus bathroom puking my guts out, dude." "I'm just struggling to get honest. So I just, I tell my parents and I tell my boss that, hey, don't worry, but I am extremely suicidal. So I'm going to go to a mental institution for 30 days." "The reason that I'm doing all of this is just like immediately plucked away and it's just, it's... I can't even really accurately convey like the fucking emotions." "If Chris, when he was using, could have called this number, maybe we wouldn't be doing all this." "You can still get high, but if it goes wrong, you don't have to die." "How do we scale this hotline to the point where we make what we would call a population level impact?" "The worst thing that could have ever happened happened, and Chris relapsed and died." "Dopey, as the nation knew it, is gone, along with Chris." "The show is mostly a recovery show now. I guess that is true. But it always was in its own way." Chapters 00:00Introduction and Bob Marley 05:54Email from a Listener 21:20Remembering Chris and His Legacy 28:00Jed's Journey of Turning His Life Around 39:08Jed's Experience with TNeptine 50:43The Dangers of Kratom and the Importance of Seeking Help 56:02The Consequences of Relapse 01:08:24Partnering with Safe Spot to Support Addicts 01:26:16The Importance of the Save Spot Hotline 01:31:19The Unpredictability of the Dope Supply 01:41:40The Impact of the This American Life Episode 01:49:09Todd as the Foil to the Sober Good Life 02:00:11The Tragic Loss of Todd 02:07:01Tragedy Strikes: Chris's Relapse and Death 02:14:29Guilt and Responsibility: Navigating the Aftermath 02:19:49Honoring Chris's Memory: Continuing the Dopey Podcast 02:35:19Finding Joy in Grief: A Banjo Cover and Message of Hope

In this episode of The Common Sense MD, Dr. Rogers has Dr. Charles Lee Backus (Emmaus Medical & Counseling) back on the podcast to delve into the complex topic of alcoholism. They talk about the genetic and behavioral aspects of alcoholism, as well as potential indicators of alcohol use disorder. You'll also learn about the dangers of alcohol misuse, the effectiveness of treatments such as Vivitrol, and the importance of comprehensive support programs in achieving recovery. Please share this with a friend!  Check out our brand new online vitamin store: ⁠https://performancemedicine.net/shop/⁠ What did you think of this episode of the podcast? Let us know by leaving a review! Connect with Performance Medicine! Sign up for our weekly newsletter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://performancemedicine.net/doctors-note-sign-up/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@PMedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@PerformancemedicineTN⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Performance Medicine⁠

The rates of alcohol use disorder increased significantly since the onset of COVID-19, making this a major public health issue, though it's not discussed as frequently as opioid overdoses. Over 140,000 Americans die from the effects of alcohol in an average year (more than from drug overdoses). Ten percent of Americans over the age of 12 have Alcohol Use Disorder. And according to the 2023 Alcohol Abuse Statistics, 60% of Americans increased their alcohol consumption during COVID-19 lockdowns. In this podcast, we are joined by Dr. Iilun Murphy, Director of the Office of Generic Drugs in FDA's Center for Drug Evaluation and Research (CDER), and returning is Dr. Marta Sokolowska, CDER's Deputy Center Director for Substance Use and Behavioral Health to discuss the recent first generic approval to Vivitrol, a one-month extended-release injectable naltrexone that is used to help people recovering from opioid or alcohol dependence.

Welcome to my drug name pronunciation series!  In this episode, I divide naltrexone and Vivitrol into syllables, explain which syllables have the emphasis, and reveal the sources of my information.  The written pronunciations are in the show notes on https://www.thepharmacistsvoice.com/podcast.  The purpose of my pronunciation episodes is to provide the intended pronunciations of drug names (from reliable sources) so that you feel more confident saying them and less frustrated learning them.  Naltrexone is a prescription medication used to treat both alcohol use disorder and opioid use disorder.  It's available as an oral tablet and an IM injection. Naltrexone has 3 syllables:  nal TREX one.  *Emphasize the 2nd syllable, TREX.

Good morning from Pharma and Biotech Daily, the podcast that gives you only what's important to hear in the Pharma and Biotech world. The Federal Trade Commission (FTC) has allowed Amgen's $28 billion acquisition of Horizon to proceed, with conditions. This settlement may ease concerns about regulatory hurdles for future deals in the industry. However, FDA documents suggest that Sage's depression drug, zurzuvae, may face challenges in obtaining broad approval due to concerns about side effects. On a positive note, Roche has claimed success in a study for its targeted lung cancer drug, Alecensa, with unprecedented results. This could make Alecensa the first treatment specifically available after surgery for ALK-positive lung tumors.In terms of investment, Julie Yoo from venture capital firm Andreessen Horowitz believes that the healthcare industry is at an inflection point and compared it to the internet era of 1999. Biotech mergers and acquisitions (M&A) activity is also picking up again, with Amgen's acquisition of Horizon set to become the largest industry deal since AstraZeneca's buyout of Alexion. Drug pricing in the US is also a trending topic, with launch prices steadily rising in certain therapeutic areas like cancer.Moving on to policy news, the Biden administration has proposed new nursing home staffing minimums to improve the quality of care in these facilities. Walgreens CEO Roz Brewer is stepping down and will be replaced by an executive with "deep healthcare experience." Amir Dan Rubin, CEO of One Medical, is also resigning from his position. The Office of the National Coordinator for Health Information Technology has chosen the Sequoia Project to oversee the Trusted Exchange Framework and Common Agreement (TEFCA) once again.In other updates, Roz Brewer's sudden departure from Walgreens has left many wondering about the reason behind it. Psycheceutical is developing a topical delivery technology for ketamine, which could have broader implications for other drugs. Ketamine has shown promise in treating mental health conditions such as treatment-resistant depression. J&J's Spravato, an FDA-approved drug for treatment-resistant depression, is administered nasally, but clinicians believe that intravenous ketamine is more effective. Psycheceutical aims to explore the potential relief provided by applying ketamine topically on the back of the neck.The rare disease market has seen significant growth in recent years, with pharmaceutical companies exploring treatments for these conditions. Ketamine's effectiveness in battling mental health conditions is being recognized, shifting its perception from a party drug to a potential therapeutic option. The text also mentions upcoming events and recent articles on various topics.In regulatory news, the FTC has given clearance for Amgen's acquisition of Horizon Therapeutics, subject to certain restrictions. Alvotech has resubmitted a Biologics License Application (BLA) to the FDA seeking an interchangeable designation for its biosimilar of Humira. Lawmakers have called on Lilly, Novo Nordisk, and Sanofi to provide details on their insulin assistance programs. Alkermes has settled a patent lawsuit with Teva over the generic version of Vivitrol. Biontech and DualityBio are moving their antibody-drug conjugate (ADC) into Phase III trials for HER2-low breast cancer.Lastly, Bayer has reported positive early data for a Parkinson's cell therapy treatment it acquired in 2019. Epigenic, a Chinese startup, has raised funds to use CRISPR tools to edit the epigenome and alter gene expression without changing DNA. Catalent, a contract development and manufacturing organization (CDMO), is expanding its board and setting up a committee to review its business and capital allocation priorities. Several biotech companies have made advancements in constructing small-molecule drugs to target RNA, revolutionizing the industry.These developments highlight significant activities in the p

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A Clean Slate, A New Life.  James Biscoe, Sr Area Manager at Clean Slate shares his personal experience and descibes outpatient treatment options including Suboxone and Vivitrol as part of an individualized treatment plan, and also sheds some light on the dangers of Xylazine. 

Episode Summary Margaret and Nadia talk about harm reduction, what it is, how it relates to community preparedness, strategies for including harm reduction in your preparedness routines, and a little bit of history and legality as relates to different kinds of drug use. Guest Info Nadia works with Next Distro and can be found at https://nextdistro.org/ Host Info Margaret can be found on twitter @magpiekilljoy or instagram at @margaretkilljoy. Publisher Info This show is published by Strangers in A Tangled Wilderness. We can be found at www.tangledwilderness.org, or on Twitter @TangledWild and Instagram @Tangled_Wilderness. You can support the show on Patreon at www.patreon.com/strangersinatangledwilderness. Transcript LLWD: Nadia on Harm Reduction Margaret 00:15 Hello, and welcome to Live Like the World is Dying, your podcast for what feels like the end times. I'm your host today, Margaret killjoy. And today, I am really excited about this episode, I think you'll all get a lot out of it. I guess I say that every time but I wouldn't record these episodes, if I didn't think you would get a lot out of them. Today, we are talking about harm reduction. And we were talking about preparedness that includes drug users. Because, if you think you don't know any drug users, you just don't know anyone who is willing to tell you that they're a drug user. And we will talk about that and a lot more. But first, this podcast is a proud member of the Channel Zero network of anarchists podcasts. And here's a jingle from another show on the network. Margaret 01:01 Okay, we're back. And if you could introduce yourself with your name, your pronouns. And then kind of a little bit about your background about the kind of stuff that we're gonna be talking about today. Nadia 01:52 Yeah, sure, hey, Margaret. My name is Nadia, I use they or she pronouns. And I am a harm reductionist, a drug user. And I have both worked at in-person syringe service programs, and currently work for an online meal based program, where we ship safer drinking supplies to folks all over the country. Margaret 02:16 That's cool. So we talked about having you on, because we wanted to talk about preparedness that includes the drug users in your community, whether the person listening to this as drug user, or whether they care about drug users in their community. And I know it's a big open question, but I kind of wanted to ask you that. How prepare that? Nadia 02:45 Well, you know, I think that when we talk about prepping, disaster prepping and harm reduction, they're really similar, because it's really boils down to a risk assessment and thinking critically, right? The world isn't black and white, it's not really an easy question to answer, for example, should I evacuate or not in a disaster? Similarly, how do I protect myself as a drug user, in a world that isn't concerned about my health or safety? And you know, for people who historically lack access to resources, and healthcare, I think talking about how to prepare or what readiness looks like, is especially important. Margaret 03:28 So, I guess I kind of want to start with some of the practical questions. It's like, what are the things that one should do that are different from what one would otherwise do? Like I'm like thinking about like, even for my own sake, right. Like, I'm like, like people say, like, carry Narcan, for example, like, how does one access that? What is the shelf life on that? Is that a thing that if community like mutual aid groups or individuals who have like large stashes of things or whatever? Is it like worth having a bunch of. Is it depend on community access? Is it better to just like, specifically coordinate with existing harm reduction and like needle exchange groups in your area? Like, it seems to me that like, like, one of the prepper mindset things is like, "Oh, there's a thing I need, I should go out and get a bunch of it". Right? And my instinct here is that maybe that rather than run out and get a bunch of say, Narcan, it would be more about like, be aware of how people can access that and which groups do distribute that and then maybe have like enough for me to carry around? I don't know. Yeah, like, I guess let's start with Narcan. What's What's the Narcan? Nadia 04:40 Sure. Um, so for folks that are listening that don't know, Narcan or naloxone is a medication that will reverse an opioid overdose. And you know, it, it should be kept in a relatively temperature stable area, but there's there's been a lot of studies on it. And they have shown that it maintains its efficacy, much past expiration dates and the kind of temperature parameters. So you don't want to keep it somewhere freezing or super hot, but it is more resilient than you think. And having some naloxone is better than having none. And you mentioned, you know, going out and sort of stocking up. And I think that this is a broader conversation about prepping too, the difference between being ready and hoarding, right, yeah, and sometimes that line definitely gets blurry. Do you really need 100 pounds of rice? Are you going to go through it before it gets bad? Do you have a proper place to store it? I mean, you can talk about naloxone in the same way. And you know, just like you can keep Narcan in your bag. If you're going to a show going to a bar, you can also keep some in your gobag, if you have one, to evacuate, for example. Margaret 06:06 What's the....you know, I usually present myself as sort of the the person who pretends like she doesn't know what she's asking in these episodes, but I actually don't know as much about this as I would like. Alot of my friends are way more knowledgeable about this stuff. Like what is the difference between Narcan and naloxone? And how would I go about getting some to carry around with me? Nadia 06:29 Sure. So Narcan is really just a brand name, that's the the nasal spray. Naloxone is the actual medication. You can pick it up from certain service programs in your area. If you don't have a needle exchange in your area, you can go just Google Next Distro. We mail Naloxone to folks, so just check the website, see if you live in a state or an area where we do that. But we do try to encourage people to sort of seek out resources where they live. But yeah, there's there's a lot of different organizations, everything from sort of anarchist collectives, running needle exchanges to health departments that are, you know, offering trainings and providing Narcan. Margaret 07:19 What's the legality of it? Nadia 07:21 So, as far as you know, carrying it with you, there is what is called a standing order. It's basically a sort of blanket prescription. You can go to the pharmacy, purchase Naloxone, it can be prohibitively expensive, especially if you don't have insurance, which is why I kind of mentioned, you know, needle exchanges and health departments first. But I think, you know, as far as having it on your person, it's not going to be a situation where it's illegal. However, we know that cops like to fuck with people. So if you do happen to have Naloxone, and you have syringes on you, I'm not going to say you'll be fine. However, the law is on your side in that regard. And another piece of that, too, is different states have different Good Samaritan laws. So if you are with someone that is experiencing an overdose, in many states, not all, you can call 911, without the fear or threat of potentially being arrested for small possession, or things like that. They are very narrow in a lot of places. But that's something that you're going to want to look into for your state. Margaret 08:37 So it's like, this makes sense, like so probably, if I have some drugs on me and my friend has some drugs on me and my friend overdoses. There's a fear of involving the medical establishment because there's a fear of me or the person who's overdosing getting arrested for what we have on them. Is that what you're saying that this law protects? Like, yeah, in some states protects people about? Nadia 09:00 So you know, there's, there's a lot of stigma, right? And you know, just the the illegality piece. And at the end of the day there, there is an overdose crisis in the United States, in many places. And so these laws are designed to sort of take some of that fear away. And if you are responding to someone who's experiencing an overdose, you don't have to tell 911 when you call that this person is on drugs or that they are overdosing. You can just merely describe the symptoms and what is happening to them. For example, this person is not breathing, they're turning blue. I can't hear a heartbeat, whatever it might be. And you know, if you do have to leave and you have given them Naloxone, you can just leave the vials or or the package next to the person that way when EMS does arrive, they do know "Okay, this person has been given Narcan, "and they can kind of go from there, Margaret 09:59 Right. Okay, so like if you have reasons that you don't want to interact with emergency personnel and need to leave the scene, okay. Nadia 10:07 Yeah, and you have options. And that's kind of the whole thing about harm reduction, right? It's a pragmatic approach to drug use and a realistic one. And so, you know, that's why there, there are no hard and fast rules of do this, or don't do this, but, you know, sort of a continuum of human behavior. And, you know, acknowledging the risks at any point of it. Margaret 10:30 I want to come back to that in a little bit, because I want to have this whole conversation about what harm reduction...like why the work that y'all do is so like, philosophically important, to like disaster preparedness, and probably life in general. But first, I want to, I want to keep talking about some of this stuff, like with, like, you're talking about the, you know, there's an overdose crisis in the United States, I feel like everyone, on some level knows that. And one of the things that's so interesting to me, I would think I was thinking about before we did this episode is that it's like, you know, this is all about like, disaster preparedness, right? The whole show. And it feels like a lot of communities and certainly including drug communities. I don't know the way phrase that..... Nadia 11:18 You can say, "people who use drugs." Margaret 11:20 Okay. But so there is a disaster happening right now. Like, there is a crisis. Like there's a reason we call it crisis, you know, it's like a really fucking bad thing. And I'm wondering if, without necessarily going into it, like, too great, but I'm curious, like, what is happening? Like, what is what's happening right now? Why is everyone OD'ing? , Nadia 11:44 Well, you know, there's a lot of different facets to the overdose crisis and a lot of different solutions. Some of them sort of more triage, you know, we were just talking about Naloxone, and, and it's a great medication, it saves lives. But ultimately, what we really need is a safe supply of drugs. If people are aware and knowledgeable of what they're taking, how potent it is, if there are any adulterants in it, you know, that's where we would like to go. Obviously, drugs are illegal. Most drugs are illegal in most places in the United States. And, you know, there there has been pushes for access to safe supply in places like Canada in, you know, I believe Oregon has, has I think, legalized some drugs, right? You can purchase I think mushrooms now. Don't quote me on that. I'm not actually familiar with Oregon law. Margaret 12:46 Anyone listening this, you can go out and buy mushrooms legally. And if the police stop you, you can say "it''s okay. It's not a crime." Don't do that. Okay. Anyway. Yeah. Nadia 12:57 I mean, you know, philosophically, it's not a crime. It's not a crime to do drugs. And, you know, the, the idea that some of these drugs are illegal, and some of them aren't, really, is sort of goes back to like this puritanical history of our country. You know, why is alcohol legal when we know that drunk driving rates are through the roof, and you know, it can cause incredible damage to your body over time. But then, you know, smoking marijuana is, is still illegal in a lot of places. where I live, for sure, especially in the south. So, you know, I think that there's there's that moral component Margaret 13:38 So we should bring back prohibition? Nadia 13:40 Yeah, exactly. And so I think, you know, as far as having access to drugs that are safe, drugs, that that you know, what you're getting, you know, I think that we don't want to short....when I say 'we,' I mean people who use drugs, I mean, people in the harm reduction community. We don't want to shortchange ourselves. I don't want to say, "Oh, well, the overdose crisis would be so much better if everyone had not Narcan." Yes, that's true. But that's a temporary fix, Margaret 14:11 Right. It's...no, that's such a good point. Because I feel like that's like the...I know I owe came out the gate with like that as the first thing that was on my mind. And I, and I'm, like, kind of embarrassed about that because it's such the like, it's the band aid we always keep getting presented. And it's like a real good band aid. It's more like the tourniquet we keep getting presented. But, it does seem like yeah, what you're talking about decriminalization, it's almost like when you make things illegal, it doesn't make the problem go away. Nadia 14:40 Yeah, and you know, I think about it in terms of living under capitalism for so long our entire lives, right. And you get to a point where it's hard to think about solutions outside of the current system. We're so focused on kind of again, that that triage, right, how do we make things better within this oppressive state that we live in? But really, ultimately, the goal should be moving past that and moving beyond it, right? Margaret 15:11 Yeah. Yeah. So to go back with preparedness, I know that you do a little bit of preparedness yourself. We talked before we started recording about, you know, canned vegetables and things like that. How does it impact your preparedness, both that you are a drug user, and also that you, like, care about and take drug users into consideration in your preparedness? Nadia 15:40 Yeah, I mean, I think a lot of it is planning, right? I'm gonna use the example of of evacuating, I lived in the Gulf South for a very long time. Hurricanes were a yearly occurrence. And so I had to think about it a lot. But, you know, just in terms of what your risk is, and making a decision based on that, for example, if you are evacuating, do you bring drugs with you and sort of chance getting pulled over? Or do you try and score in a new place? And you have to decide what the bigger risk is for you. For example, if I'm driving with five of my friends in an unregistered van with acab stickers all over it, I might not want to be riding dirty, I might not want to have drugs on me. Versus, you know, if I am going somewhere completely unfamiliar to me, I'm not sure if I'm going to be able to score when I get there. It might be worth the risk, right? And so thinking of those things in advance is really important. And the longer you wait in an emergency situation, the longer it's going to take you to get out of that cone of impact, right? If you wait to the last minute, there's going to be you know, traffic on the road, it's harder to to get out, it's harder to find a hotel room, for example. So really, that thinking of it in advance, you know, I think can save you a lot of critical time when you need to act. Margaret 17:10 Yeah. Yeah, like, I don't envy a lot of my friends who live in the Gulf South, are like, "What do I need?" And I'm like, I don't know, a house in the mountains somewhere. And then I'm like, No, that doesn't. That doesn't help. You know, I can't just tell people that. Nadia 17:26 Well, and I mean, you know, we're talking about preparedness, we're talking about disaster prep. And, you know, a lot of places that haven't had to deal with disasters, like hurricanes or flooding, or wildfires are seeing more and more of that now. And there's a greater impact on bipoc, queer and trans folks, disabled people, you know, marginalized groups whose access to resources is already more limited. And, you know, I think we really need to look towards communities that have been repeatedly harmed, especially by structural and environmental racism, I think they're best informed as to how to survive and how to support each other. And I don't want to say just in the Gulf south, but I'm talking about Flint, Michigan, I'm talking about, you know, Jackson, Mississippi, there's a lot of places where, you know, people are painfully aware that no one is coming to save you. It could be weeks or months for FEMA to arrive. In many places, local governments rely on mutual aid networks and charity groups to provide support. And so that kind of vacuum speaks to the importance of building dual power. Because it leaves the field open, I think for kind of any group that wants to become entrenched or inevitability, to sort of step up, right, whether that's a homophobic church group, right wing militias, especially in rural or remote areas, because, people remember who took care of them. You know, that's one of the reasons why the Black Panthers were such a threat with free breakfast programs and community care, is why Food Not Bombs is illegal in some places. There's just there's a lot of power in community sufficiency. Margaret 19:23 Yeah. I mean, and so you, you mentioned that there's like lessons that you draw from these specific places, especially bipoc. communities that are under like constant threat. What are some of the lessons that you feel like you draw from that? I mean, besides the one that you just pointed out, maybe that's the answer to the question, what you point out that like, building mutual aid networks and stuff like that, but.... Nadia 19:45 Yeah, absolutely, figuring out who is in your support network. Also in a disaster or crisis situation, how will you communicate with that network is really important. You know, do folks know where you're staying and vice versa? Yeah. Also, you know, we're talking right now and 2022, almost 2023, the COVID pandemic isn't over. So figuring out how you can shelter places safely, you know, do you have masks on hand? That sort of thing. And then going back to prepping for people who use drugs, stocking up on drugs, you know, you might be thinking, "Oh, well, after the fact, I can just XYZ," whatever your plan is, but what if your dealer evacuated? You know? And, you know, the, as far as staying with other people, how do they feel about drug use? Does everyone know where the naloxone is and how to use it, you know, disasters are stressful, you might be dealing with extreme temperatures, hunkering down with people and their different temperaments, and, you know, for most of us to, stress impacts drug use, and it's important to keep that in mind. If you're, you know, for example, trying to cut back or regulate your use. I think all of these things, you know, are useful for people who use drugs, but ultimately, I think they're all skills or at least, you know, aspects of preparing that are beneficial for anyone. Margaret 21:14 Yeah. Well, so interesting, because it you know, normally we think of like, okay, if you can get more of a medication that you need ahead of time, right? That's great. And, you know, there's this limitation, it's actually very similar limitation, the limitation is legality. In this case of like, you know, it's, it's sometimes very hard for people who even have a prescription to get more than, you know, a month's worth of supply or whatever, at a time of any given prescription. And it's, it's something that people run up against a lot. And then obviously, with, I don't know, whether the way to phrase it as street drugs or not, or like drugs that are not being bought through the pharmaceutical networks or whatever, you know, there's an accessibility that is hit and miss. And then there's also an increased danger of stockpiling, because it seems like the the level of risk that you're carrying for getting busted changes a lot based on how much of any given drug you have on you. Nadia 22:11 Yeah, definitely. And I do want to kind of speak to one of the pieces you talked about, as far as having medications, you know, if you're on prescription medications, you know, you can check in with your provider, see, if you can get a larger refill than normal say, you know, instead of 30 days, can you get a 60 day supply, especially for people who use drugs, who might be on, you know, medication assisted treatment, they might be taking methadone, naltrexone, and, you know, these are highly effective in terms of either regulating your use, or perhaps, you know, not using it all. But they can be difficult to access. And in some places, it's harder to pick up the prescription for Vivitrol or suboxone because of stigma, because pharmacists, you know, have this idea of, of drug users, or they just might not know the the regulations and laws in their area. And you might not know them either, because you're new. So, I think that checking in, like I said, with providers ahead of time, if that's possible, and you know, doing what you can in terms of stocking up, but this, that whole plan needs the assistance of people in the medical field. And even they have, you know, that kind of stigma, unfortunately, Margaret 23:33 Yeah, yeah. To self insert this, I got refused a COVID shot because I was wearing a harm reduction shirt once. Nadia 23:41 Wait, why what was the excuse that they gave you? Margaret 23:45 I went in, I was like this dirty punk wearing a Steady Collective shirt, which is the harm reduction group in Asheville, North Carolina. And I, it's funny, I feel like it's like Stolen Valor that I wear this shirt. Because people like when I wore in Asheville people were like, I love what you do. And "I'm like, thanks. What I do is I designed the logo." And the reason I wear the shirt is because I designed the logo for it. So I'm very proud of...and it's just crossed hypodermic needles. And Nadia 24:13 It's a cool logo. Margaret 24:14 Thanks. Thanks. And I was in like, rural fucking right wing California. And I wanted a COVID booster. And so I went into the pharmacy. I found out ahead of time that this particular pharmacy did walk ins. And I walked in, and the the pharmacist at the counter was talking to a doctor who was in line in front of me. And they were both just complaining about drug users. And they were just both sitting there being like, "Oh, these damned, you know, junkies," or whatever. I don't remember how they phrased it, but it wasn't polite. And then like the person finally leaves and I walk up and I'm like, Yall take walk ins? and she's like, "No." And I'm like, "Can I make an appointment? And she's like, "Not for today." Nadia 24:59 That is wild. I mean, also you have a lot of people in the medical community that don't really believe that COVID is a thing or that vaccines are effective. I mean, you can have an anti Vaxxer pharmacist, which is, yeah, I mean, Margaret 25:16 And, like, this is such a, like, I face stigma once....I so it's like, it's really easy for me to imagine after that, that like, of course, people face stigma coming in and picking up their fucking medications, if they're like, the kinds of medications that are, like methadone and stuff like that. That's fucked up. I don't know, that sucks. Nadia 25:40 Yeah, and I mean, you know, we're talking about COVID. And I think harm reduction is a huge piece of you know, how we can kind of move through the world right now. People are continuing to die and be disabled by COVID. And, you know, we were talking a little bit before, before we started about, you know, kind of the beginning of COVID. And I was really optimistic at first kind of seeing mutual aid networks spring up and more people coming to the realization that the government will kill us for the sake of the economy. But you know, now I think even in radical spaces, that sort of care and community level protection has given way to the more mainstream sentiment or desire to return to normalcy. And that's just something that isn't possible. And it's not desirable to many, many people for whom normalcy was oppressive and a danger. Yeah, you know, I think that, especially as anarchists or folks that consider themselves radical, preppers, as well, we know that we keep us safe, right? That's kind of the tagline. But, that should also apply to immunocompromised people as well, and disabled folks. And, you know, now, I think it's a really great time to take stock of your existing protocols, and safety measures and sort of ask if those things that you're doing or not doing are still in line with what our current risk is. And right now, going into winter, you know, nationally, over 10% of tests are coming back positive. And we know that we're severely under testing, and we know that COVID reinfections, wear down your immunity. That increases your risk for long COVID or kind of lingering COVID symptoms, and, you know, makes people more susceptible to things like the flu, RSV, or Strep A, all three of which we're seeing a surge of in this winter. Margaret 27:43 Yay. Yeah. I think about it, like the fact that...I don't know how to put this. Like, I wear a mask for the same reason I carry a gun. And it...and not that I want everyone to carry guns, that is a very personal decision based on the legality and the threat models that you're facing. Bu,t I carry a gun, so that it is harder for someone to murder me and it is harder for someone to murder the people I care about who are near me, right? I wear a mask, so that I am less likely to die, and other people around me are less likely to die. This seems like such a, like the idea that there's people who are like preppers or prepper adjacent, who are anti mask, and then anti vaccine is just so nonsensical to me. And I mean, I do think that like protocols do like, they do need to shift, we do need to realize it as we realize that this is endemic, and you know, we can't...like we probably can't just say no more live music in the course of human history. Right? Nadia 28:58 I would hope not. Margaret 29:00 But I especially like, when I walk into the grocery store, there is literally no cost to me to wear a mask. There is just, there's only positive effects of me wearing a mask minus social stigma. Nadia 29:17 You know, I think that we need, if we're going to survive, care, kindness, and a lot of grace. Which requires us to acknowledge that there's a huge cognitive dissonance people are dealing with right now. We're three years into a global pandemic that's killed six and a half million people around the world, the rise of fascism, I mean, there's a lot and people's responses are going to vary wildly. Kind of the metaphor I like to use is, it sort of feels like a house fire. And we've all just gone through this traumatic experience, and we've run out of the house in the middle of the night, and everyone is sort of behaving in a trauma informed way, some people are trying to run back into the house, some people are claiming that there was never a fire. And, you know, it's, it's trying to take care of each other, and hold ourselves accountable to being, you know, I think responsible for our communities, but while also acknowledging, you know, this is a weird fucking time. You know, I think too, this kind of goes back a little bit to our Naloxone conversation. You know, when we talk about masks, when we talk about boosters, these are sort of individual steps we can take, right? But ultimately, that's, that's only a piece of it, right? We need a societal shift. We need proper air filtration in schools, we need access to rapid testing, we need the working class to have the money and ability to take time off of work when they're sick. I mean, all of these things are sort of interconnected to this larger struggle. And one way that capitalism and our sort of overlords here and Imperial core, are able to shift blame is by you know, kind of making everything this individual choice and individual responsibility when it's not at all. Margaret 31:33 No, that's such a good point. And there's it, it shows that there's even like, some of those things are small scale community, things can be done as well, like, it would be a shame for a small scale community to have to suddenly like come up with the resources to provide rapid testing to everyone constantly or whatever, right. But like, I don't know, like, helping your local venues get real good air filtration systems, you know, or like, expanding outside infrastructure in climates that allow it, and like, there are the steps that we can take that are sort of medium. They're not....And I think that's actually where anarchists and radicals actually do best is not at the individual level. And frankly, if I if I'm being honest, not necessarily at the systemic level, but like this sort of in between level, this community based this community size level of like, how do we? Yeah, I mean, we can't....the punks or the anarchists, or whatever is can't pass a mask mandate, but like, we can create, like, cultures where, when there's no reason not to, we wear masks, and we work on our air filtration. And this is really just me thinking about COVID instead of the whole point of this conversation was drug use stuff, but... Nadia 32:54 Well I mean, they're, I think they're interrelated. You know, if you are putting on a punk show, is it accessible, right? Does that mean, you know, for folks in wheelchairs, folks with, you know, mobility aids, as well as immunocompromised people, and ensuring that you know, this is a place that they have access to? Or if it's not, saying that. I at least want you to say, "Hey, this is a dangerous place for you. And, making it accessible is not our priority or isn't possible in this situation. Therefore, you can make your own decision about whether or not you want to attend." Margaret 33:36 I've been in like, an now I can't remember if it was France or Montreal, somewhere where people spoke French. I've been in places where like any anarchist event will put on the fliers the accessibility or lack of accessibility for wheelchair access. And that's such an interesting, good point, right? Because if you have to flag on it, "This is not wheelchair accessible." It means you have to think about it when you do it, right. And like, Which isn't to say you shouldn't...I don't know one way or the other about what I'm about to say, which doesn't mean like you can't put on an event if you can't find it, accessible space, but you should have to own it, and you should have to be working on making the space more accessible. Is that, uh??? I'm really talking about my ass here. I haven't I haven't been part of these conversations. But. Nadia 34:21 I mean, as someone who is struggling with long COVID still a year in, you know, I am also new to the disability conversation. And I definitely feel grateful for the folks who have been activists and have been organizing around these issues for you know, forever, honestly. And it really was shocking to me, even though I'm fairly realistic about how our society treats folks they deem unworthy or undesirable, but it was really shocking the level to which you become invisible. All. And you know, I think, to sort of shoehorn a little segue back to our orginal conversation, people who use drugs also live in that sort of liminal space, right? There's so much that is invisible about drug use. But also, this kind of caricature of drug users is sort of trotted out anytime people want to talk about society's ills, right? When people are talking about folks without homes, inevitably drug use comes up as if people aren't sitting in their houses doing drugs. They just have walls and you can't see them. Margaret 35:38 Yeah, well, and then one of the things that I really appreciate about this conversation with you is that you're talking about the implication, or the the inference that I'm picking up on, is that basically saying, It's okay, if people use drugs, that is their choice, it seems to be like, like a lot of the conversation that I've feel like I'm exposed to is this, like, we should have pity for these poor drug users, and everyone is trying to stop using drugs. Whereas, it seems like you're trying to present an alternate case where people can choose whether or not they want to engage with drugs in different ways? Nadia 36:17 Yeah, I mean, you know, harm reduction is the sort of set of principles or tenants that allows for autonomy and allows for people to make informed decisions about what they do. You know, abstinence doesn't necessarily work or isn't feasible for everyone. And so, you know, giving people the space and acknowledging that there's always going to be some risk in the things that we do, you know, helps us kind of approach it with clear eyes. But the I think the moral question around using drugs really does us a disservice. Doing drugs is fun, and cool. And that is, I think, an important message to have out there because, you know, so often, we're just inundated with all of the terrible things that can happen to you. And again, this is normal human behavior. This is normal behavior in other other species, you've got monkeys eating, you know, fruit that's gone, gone bad and getting drunk, you've got bears eating psychedelic honey. We do this because it's enjoyable. And to deny it that, I think, sort of leaves us on our back foot in terms of "Okay, well, how do we do this safely?" Margaret 37:41 Yeah, presenting as this is a bad thing that someone shouldn't have done and now we have to deal with the bad parts, as compared to being like, every animal on the planet wants to do this, we should figure out ways that people can have freedom to do it as safely as they want or to not do it, if they don't want. Nadia 38:07 Right, and you know, both are fine. It's also cool to not do drugs. I do want to put that out there. But as a drug user, you know, this touches on our conversation about safe supply, right? When you're buying and you don't know the quality or if there's cross contamination, obviously, a lot of folks are very concerned about things like fentanyl right now. There's also you know, other sort of fillers or things people can use. Xylazine is something that is sort of making the rounds right now that can have potential, like negative health impacts. So yeah, I think this, this goes back to sort of those bigger picture solutions as opposed to the band aids. Margaret 38:55 Okay. And then, how useful is it? You know, like, as you pointed out earlier, right....Again, before, we had a long pre conversation. We knew each other back in the day for, now, people can know that about us, I guess. You know, pointing out because like, I mostly don't do drugs, but I do drink sometimes, right, and that is a drug and alcohol is absolutely a drug. It's a very dangerous drug. And it's one that I engage with very rarely, but I do engage with, and it does seem like a fairly useful comparison for talking about other drugs. Like cause there's this drug that is socially acceptable while also being massively destructive, right? And it seems like that actually maps fairly well to most of the other drugs that are like, problems for people. I don't know is that too simplistic? Nadia 39:51 No, I don't think so. You know, and that's also not to say that people don't struggle with their drug use that people you You know, might be really unhappy with their relationship to drugs. And, you know, the more openly we can talk about it and the more access to different options people have, that sort of allows them to, you know, find the most comfortable place for them. Right, there is this, you know, kind of individual piece to it, even though we're talking a lot about sort of community care, Margaret 40:24 Right. No, that's what I mean, that, in some ways, is part of why alcohol feels like such a good comparison. It's not even a comparison, it's literally a drug. It's a drug that is somehow held into a different class than the others, is that I think we all know people who....for whom alcohol is a problem. And we all know people for whom alcohol is not a problem. And then we all know, people who completely abstain from alcohol, who are in one of those two camps, if they weren't abstaining, you know? Hmm. I don't know, I'm having this like, epiphany, that should have been obvious a long time ago, I think about this. Nadia 41:02 Well, and, you know, thinking in terms of alcohol, and using that as an example of how constrained we are in terms of our choices, you know, if if you are someone that struggles with drinking, really the the options that are given to you are abstinence, right? 12 steps, complete sobriety, and the message that that is the only way that you will be able to, you know, become a functioning member of society. And the fact is that that's simply not true.You know, abstinence really doesn't work for many, many people. You know, I think most of us can remember the "Just Say No," campaigns of the 90s, or maybe the 80s, depending on how old you are. And we know those didn't work. It don't work for children, it doesn't work for adults. And, you know, I think I don't want to get too far down the rabbit hole. But I think it would be important for folks to sort of think about, "Well, why is alcohol illegal? And all these other drugs aren't?"And I think it all goes back to capitalism. It goes back to money. It goes back to social control. Margaret 42:22 Yeah. Well, ironically, one of the reasons that alcohol is legal, is that a bunch of people fought the KKK to the death to make alcohol legal. I only learned as kind of more recently when I did a bunch of....one of my other podcasts is a history podcast. And I didn't realize that the second incarnation of the KKK was like, one of their main things is that they were the foot soldiers of prohibition. They were like the Proud Boys of the prohibition era. And it was this whole thing where it was like Protestants versus everyone else, including reasonable Protestants. It was white Protestants against Irish Catholics, Italians, all of the people who were, you know, bootlegging, and all of that other stuff. And there were these like massive violent street fights. And I mean, mostly, it was massive violence, street fights about fuck you, you're the KKK, we want to...you can't run our town. But, what they wanted to do was run the town on a prohibition model. And there's this like, really interesting tie between white supremacy and prohibition. And it? I don't know, I mean, like, I know, I know how to immediately draw the same thing between the outline of weed and anti blackness. And I'm suspecting that if I dug very hard, I would find similar things with like, drugs, period. I don't know. I just got really excited about people beating up the KKK and that's why we're allowed to drink. Nadia 43:59 Yeah, that's always a win, both of those things. Margaret 44:06 But, what anyway, sorry, I got lost in rabbit hole thinking about that. Okay, so you've brought up this topic a couple times: harm reduction. And I suspect most people have at least an idea of what harm reduction is, but I'm wondering if you could kind of introduce it because, one, it feels very relevant to this specific conversation. But it also feels very relevant to conversations around disaster preparedness in general, because it seems to be implying that there is no perfect and that in some ways perfect is the enemy of good. And that we should just like, figure out what can go wrong and do the best we can rather than expect to succeed in everything. Maybe that's a misunderstanding. Nadia 44:51 That's, that is I think, a really core piece of it, you know, and I don't want to belie the the history behind harm reduction too, you know, this was a movement that was created in platformed by people who use drugs, by sex workers, especially during the HIV AIDS crisis. And again, you know, from groups of marginalized people that realize that they are the only ones looking out for each other. And you know, that many behaviors carry some form of risk. And so talking about that honestly, and figuring out how to mitigate that risk is far more helpful than shaming people and that is connected, you know, directly to the criminalization of HIV and AIDS too, you know, there's the sort of moralizing, right, when folks become sick. There's this idea, I think, that is rooted in very, like old school, Brimstone Christianity, that, you know, it's some form of punishment. And I think that the way our society looks at people who use drugs, and the potential risks are viewed as appropriate punishment for the behavior, which is wrong and fucked up. Margaret 46:06 Yeah. Okay, so. So what is harm reduction? Nadia 46:12 So, you know, I think that if we're specifically talking about drug use, that can be, you know, practical tips, anything from making sure that you're using sterile supplies, making sure that you have syringes, and you don't have to share them, to prevent the transmission of diseases, you know, that can be, you know, figuring out different routes of administration. So for example, if you're someone that likes to snort a lot of drugs, maybe you want to give your nostrils a break, and, you know, smoke or boof. There are a lot of things that you can kind of adjust, right? You don't even have to necessarily be adhering to this strict set of rules as far as your drug use, but really being sort of flexible based on your own needs. Margaret 47:09 Okay. And then, what are some of the ways that harm reduction either applies to other things besides drug use, or like has been successfully applied, or like some of the ways that like harm reduction, as jargon, has been, like, kind of co-opted by other things? Nadia 47:32 Yeah, I mean, I feel like especially after 2016, the the idea that voting is harm reduction really picked up speed. And I personally disagree. Margaret 47:47 Okay. Nadia 47:48 For the most part, because harm reduction is something that you know, you can use for yourself, for your drug use, and so when we say voting is harm reduction, my question is, "Whose harm is being lessened?" You know, we currently have a Democratic president, and there's still concentration camps on our southern border, you still have Democratic mayors and city council's introducing regressive anti homelessness laws, throwing more money at more cops. And so I just think the notion that we can affect the kind of change necessary to liberate us by voting is....it's short sighted. And I think it can be an excuse for people to not have to invest so much in their allyship. Yeah, I think at its very base, most like literal definition, voting potentially reduces harm, but most of that is going to be in the immediate or short term. Margaret 48:50 Well, so that's really interesting to me, right? Because I think that I had a kind of misunderstanding of harm reduction in some ways, because from my point of view, I mean...voting as harm reduction just seemed to be the rephrasing of vote for the lesser evil. Because in my mind, voting for the lesser evil is acknowledging an evil, right, it is acknowledging like Like, like, Biden is an evil, the Democratic Party is an evil, that does evil things in the world. And so for me, there's a there's a sensibility to the argument of thinking that voting is how we make systemic change is terrible. And I actually thought that the kind of concept of, but they always lose their meaning, right, in the 80s. and 90s It was vote for the lesser evil and people were like, yeah, that's how we make things better. It's like, no, it's clearly not how to make things better. It's how you make things evil. You're just controlling the amount of evil. And then with harm reduction argument, the reason I bought it at first was because it was like, "Oh, yes, because it's, it's saying there is going to be harm, but we want to do less of it." But, with what you're talking about, about how drug use or sex as two of the spaces that we talk about harm reduction a lot, right? Like those things can rule, right? Like sex and drugs, there's a reason that people talk about them positively. They're very dangerous activities sometimes, right. And people should go into them as clear headed as...well, maybe not clear headed depending on their preferences, but you know, people should should be aware of the risks, but then go and have all the sex and drugs and rock and roll or whatever that they want, as compared to... and so this is where the metaphor to the political system seems to fall apart to me is because like, well, the existing political system that we have is just doing bad. And it's really about what tiny little bits of mitigation or picking, something's going to kill. It's the trolley problem, right? You're still killing people. And that's not fun and cool. That's not sex, drugs and rock and roll. I don't know. That's what I got. Nadia 51:01 Yeah. And, you know, I think that you really laid it out very well there. You know, yes, I can reduce the harm to myself if I am using drugs or having sex, but I can't get these politicians that I voted in to reduce the harm that they are causing. Because, you know, if you're voting for one of the two dominant political parties in the United States, I think you're just asking yourself, if you want to get to fascism, the short way or the long way, because I think, you know, voting in Democrats does make a material difference when it comes to some social services, and some environmental protections. But ultimately, both of these parties work at the behest of the ruling class. And capitalism requires ceaseless consumption and growth. And neither of those are sustainable. And they require the subjugation of working class people. So I think, you know, if, you know, it's, it's a question of capacity, if you and the people in your community that you organize with have the time and resources to engage in electoral politics, while simultaneously building dual power, and fighting encroaching fascism, like, go with God. There's space for a lot of tactics, and you gotta find where your skill set is and where your comfort lies. And I do just want to say this one last piece, too, when we talk about voting as harm reduction in the United States, that often I think tends to overlook the international implications of maintaining the current political system here, Margaret 52:36 Right, which is, that's where it becomes even more of the same as like, yeah, it's never...the solutions don't lie in the ballot box, and like, Oh, whatever. I'm just like, speaking cliches or whatever. But it's like, even if we can make things like slightly better, like, because like, literally, if someone was like, "Well, do you want fascism tomorrow? Do you want fascism in five years," I'd be like, "Five years, please, that gives me a little bit more time to try to fight it." But of course, the problem, obviously, we're way off topic, but the problem is, of course, then people think that like, oh, that's the solution. The solution is engaging with this political system that has no fucking reason for existing besides driving us closer to Ecocide and fascism. Nadia 53:21 Right. That's, that's the band aid. That's the triage. You know, there are so many different things that I think harm reduction principles can be applied to whether that's sex work, you know, mental health issues, eating disorders, tobacco use, I think there's a really natural evolution of the harm reduction philosophy to extend it to other health risk behaviors and to a broader audience in that way. I just, I think that, again, using harm reduction to sort of Pantious Pilate wash your hands of a lot of things and just say,"I voted and that's enough," is it's not going to work. It's not. Margaret 54:00 Okay. No, and now I'm thinking, I'm like, Oh, shit, is my like, I just carry around naloxone. Is that my, like, wash my hands of addressing the larger systemic things and like, well, it doesn't affect me, it clearly affects me because it affects people I care about and it like, I don't know, is the takeaways. Okay, wait, I'm gonna try and some of the takeaways I've gotten from you, is that carry Naloxone, but it's a band aid. And it is a useful one, but the larger systemic problems have to do with criminalization and they have to do with access to safe supply. And so working on the kind of pressure involved to fight for that is good having mutual aid networks....Oh, okay. One of the questions that kind of had actually is, in your experience existing mutual aid networks, how well do they get along with existing harm reduction networks? Does it tend to be the same players and everyone's excited, or do you run across some mutual aid networks do they kind of like to step up their game about actually care about, you know, drug users? Or like, How's that look right now, Nadia 55:09 In my personal experience, and I can't really speak to, you know, places I haven't lived or, you know, different communities that I'm not a part of. But there is a great deal of overlap. You know, a lot of folks that are working in harm reduction, people who use drugs and sex workers are sort of use to you know, fending for ourselves, we're used to creating these these networks of care that exist outside of the current system. And, you know, that's not to say that, when disaster strikes, it can sort of hit some folks harder than others. If the needle exchange in your town closes down, because there was a disaster. You know, there, there might be some time before they opened back up. And that's not going to stop people from using drugs. It will just create a situation where people have to use drugs more dangerously. And so, you know, yes, I think that there's a lot of overlap. But also, it shouldn't be this sort of jerry rigged, you know, last line of defense, the folks that have just experienced a disaster now having to turn around and all care for each other. Because again, no one is coming to save you. Margaret 56:28 Yeah. Yay. That's Nadia 56:32 that's the real point of it. Yes. Margaret 56:35 But I mean it's really liberating. I think that like, I'm not super into political nihilism, personally, a lot of my friends are and I don't mean to slight it. But, the thing that reminds me of what like my like nihilist friends get out of like hopelessness, not hopeless, whatever, out of nihilism is comparable to the like, I find something joyous and liberating about the realization that no one's coming to save us. Because it's this like concept, one of my favorite cliches from like, when I was a baby anarchist was just like, "We are the ones we've been waiting for." Because it's less about, no one is coming to save us, we're doomed. And it's more about like, it is up to us to build the power and capacity necessary to bring about the changes that we need to see in this world. And there's a lot of us, and there's a lot more of us all the time, and the problems we're facing, seem to be getting bigger and bigger, depending on the position you're coming from, right, the problems facing me have gotten bigger and bigger as all the anti trans stuff comes through, or whatever, you know, but there's also more of us. Even to just continue the trans thing as a metaphor. It's like, the reason there's all this anti trans shit is that we all came out of the fucking closet. Like, there's a ton of us. And like, there always were a ton of us, but we were all fucking scared. And like, and what they want to do is make us afraid and get back in the closet. And so I get a lot out of, 'no one is coming to save us.' Because of the flip side being. We're going to save us. Nadia 58:16 Yeah, I mean, I think it's really liberatory. That's something that I love about anarchism, too, you know, yes, that means that, you know, the system isn't here for us, because it's never been here for us. But ultimately, we have to take responsibility for our lives, for our communities, and for the future that we want, as opposed to sort of being handed these these goals and expectations, the rules that were supposed to have, the lives were supposed to lead. And you know, it can be scary to not have that safety net, but I think through, you know, both political discourse, but also just, you know, having lived a life, you quickly become aware that that safety net never actually existed in the first place. Margaret 59:05 Yeah. Well, are there any last words on preparedness that you want to, you want to shout out? Everyone should fill their basement with needles? I don't know. Nadia 59:22 Well, I mean, don't do that. Or if you do that, make sure that they are, you know, safely kept somwhere that only you have access to, or the folks that need them. You know, I know I've kind of hammered this home a lot. But, it really, when I say 'it,' I mean harm reduction. And I think what we're trying to do for ourselves really comes down to community and it comes down to having these bigger goals and not taking, 'no,' for an answer or taking, you know, half measures for an answer. The overdose crisis is very real. And there are pharmaceutical companies and families that have directly caused a lot of pain and death, and they should be held accountable. And that is slowly happening over time. But, I just want to keep clear, you know, who are the folks in our community who are doing the work? And who are maybe the people that are sort of preventing us from living our best lives? Margaret 1:00:34 Yeah. All right. Well, is there anything you want to shout out here at the end of like, what people...I don't know it was anything you want to draw attention to any projects? Any of your work? 1:00:47 You know, support your local needle exchange, support your local sex workers. You know, if there is a call to fight back against fascists, or show up at your local library, because people are doing some fuck shit against trans people, you should be there. That's my shout out. Yeah. Margaret 1:01:05 That's a good shout out. Well, thanks for being on...it's funny as like, every now and then I do these episodes where I'm like, it like challenges my own like weird....I don't want to say puritanical upbringing, I didn't have a puritanical upbringing. I was around a lot of people, you know, all my friends did a lot of drugs when I was in....whatever. And it's just like, interesting to every now and I'd have these episodes like, it's like the first couple times I did firearms episodes. I was like, It's not that I was like, Oh, I'm being so edgy. It was just being like, Oh, right. Information is dangerous because I and then I'm like, that's true about everything. I don't know where I'm going with this. Basically, thanks for coming on to talk about something that I feel like doesn't get talked about because people are afraid to acknowledge it, because we all walk around with this, like, 'drugs are bad,' and then we just secretly all do drugs. And so it's just better to just actually be like, drugs are complicated. Nadia 1:02:03 Yeah, and people are complicated. Margaret 1:02:05 What? Not me. I'm a paladin. I adhere to my moral code. That doesn't sound great. Okay. Yep. All right. Well, thank you for coming on this episode. Nadia 1:02:15 Thanks for having me. Margaret 1:02:17 All right. Bye. Margaret 1:02:25 Thank you so much for listening. If you enjoyed this podcast, please tell people about it by whatever means that you prefer to tell people about things, like skywriting, please sky write Live Like the World is Dying above a beach. Ooh, get one of those banners that goes behind the like little plane that flies by the beach and usually advertises auto insurance. And instead it should just say, "Live Like the World is Dying." Don't tell people it's a podcast. Just tell people to live like the world is dying and become a cool, no future punk or a only a future if we imagine it....Okay, I'm off track. So, yeah, you can tell people about it. You can also support us. This podcast is published by pa...not by Patreon, it's supported by Patreon. It's published by Strangers in a Tangled Wilderness, which is a publishing collective that I'm part of along with a bunch of other people. We put out books we recently put out Cindy, Barukh's Milstein's "Try Anarchism for Life" and soon possibly, actually, I don't know when this episode is gonna be released. February 1st, 2023, we are releasing my book, "Escape from Incel Island." If you're listening to this before February 1st, 2023, you can pre order it at tangledwilderness.org. If you're listening to it after February 1st, 2023, you can buy it wherever books are sold, or go to the library, or steal a copy from Barnes and Noble. I don't care. And but, don't steal it from an info shop. That's just, it's just mean. Why would you do that? Get a library to carry it and then get it, or steal it from a big corporate place. Whatever. You can support us on patreon at patreon.com/strangersinatangledwilderness and your donations, go to pay the transcriptionist and pay the audio editor to keep all of this stuff happening. And in particular, I want to thank Aly, and Paparouna, and Milica, and Boise Mutual Aid, Theo, Hunter, Shawn, SJ, Paige, Mikki, Nicole, David, Dana Chelsea, Kat J, Staro, Jenipher, Eleanor, Kirk, Sam, Michaiah, Chris, and Hoss the dog. I really appreciate all of you and I really appreciate that there's enough of you that I read your names fast and maybe that's like really rude. But, I just like I don't know, I'm kind of like humbled by the support that Strangers gets and I hope that you who are listening well I only hope you support us if you can afford it. If you can't afford it, just continue to get our shit for free. And that's the whole point of supporting, is it helps other people get our shit for free. Anyway I'll talk to you all soon be as well as you can Find out more at https://live-like-the-world-is-dying.pinecast.co

Joey Jonas is the kit-pummelling drummer in the Milwaukee punk band Bad Year. A former heroin addict, he also does overdose outreach and provides peer support for Community Medical Services, an opioid treatment program that provides medication-assisted interventions including methadone, Suboxone, and Vivitrol in combination with behavioral health services. Check out Bad Year on all music streaming services, and keep an eye out for their new EP! ************************************ This episode was presented by MKE Overdose Prevention, which provides free tools and education on harm reduction, fosters conversations on recovery, and hosts free NARCAN training. Email MKE Overdose Prevention for more information. ************************************ Catch me on IGTV (@40000_Steps) and Facebook Live at 11 a.m. CST every Thursday. Join the discussion. Bring your own snacks. ************************************ If you or someone you know would like to star on the podcast, or be interviewed on IGTV, email christopher@40000steps.com. ************************************ Sign up for the free newsletter and read my regular musings in The Big Blog at 40000steps.com, where you can also read about and listen to every episode of 40,000 Steps Radio. --- Send in a voice message: https://anchor.fm/christopher-heimerman/message

Adam and Drew open the show discussing documentaries and how quickly they can become exceptionally expensive for a variety of reasons. They have a discussion about masks and the lack of continuity when it comes to use methods before Adam explains why the founding fathers and how they couldn't have possibly foreseen. They then go to the phones and speak to a caller who is newly on Vivitrol and experimenting with marijuana, another who has thoughts on personal responsibility and much more.

Pawley and Michele talk some recovery with Jennifer Jermanwww.glenbeigh.com

With a wholistic approach to recovery at Isaiah House Treatment Center, we focus this episode on our behavioral health programs, welcoming Outpatient Program administrator ALICIA MCGEE and peer support specialist ZACH REID. They discuss how REAL HOPE BEHAVIORAL HEALTH and its operations plays a vital role beyond substance use disorder, digging deeper into the roots of heart mind and spirit.

This episode of THE REAL HOPECAST features specialty court program coordinator and Casey's Law advocate Kelli Kinney. Kelli will share her journey as a parent of a child dealing with addiction, and how that journey paved the path for her advocacy today in recovering those lives consumed in the madness of substance use disorder. Kelli also discusses the ins and outs of CASEY'S LAW which, in Kentucky, provides a means of intervening with someone who is unable to recognize his or her need for treatment due to their impairment.

Naltrexone, also known by its brand name, Vivitrol, is an opioid antagonist that kicks opioids off of opioid receptor in the brain, not unlike naloxone. But thanks to a combination of overprescription, unscrupulous marketing practices and ubiquitous use over more effective alternatives, naltrexone is a very controversial drug. In fact, a common reaction is Oh... The post Episode 73: Oh No! Not Naltrexone! with Nancy Curran appeared first on Narcotica.

Rodolfo Estrada is a fresh new planner at BBDO in Guatemala. He recently took The Sweathead Strategy Accelerator, our 6-week strategy course. And I thought his work was worth sharing. In this episode, Rodolfo takes us through his response to a hypothetical brief. The task was to get heavy drinkers to consider Vivitrol as a way to cut down their drinking. Vivitrol is a monthly needle in the butt (although there are pill versions of the drug, too - eg Naltrexone). It claims to turn down the opioid receptors in the brain, to reduce the endorphin rush that heavy drinkers feel after their first few drinks and then chase for the next few hours with more drinks. You can find Rodolfo here: https://www.linkedin.com/in/rodolfoaestrada/ ** Find out about our New York City strategy workshop on June 16 here: https://sweathead.com/products/the-sweathead-strategy-workshop/ **

UNQUALIFIED OPINIONS WITH CHELSEA & NATE Charlie Gray is a recovering alcoholic sharing the experience of addiction, relapse, and recovery in his debut memoir, At Least I'm Not The Frog: A Zany Memoir of Alcoholism & Recovery. Living eleven long years as a high-functioning alcoholic, he attended a plethora of treatment centers, detox facilities, psychiatric wards, and hospitals across the United States. Through these visits, he was exposed to multiple forms of therapy surrounding addiction, including Twelve-Step Programs, Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), equine therapy, music/art therapy, S.M.A.R.T. Recovery, holistic/wellness healing, and medical treatment for alcohol dependence (Vivitrol and Campral). His story offers unique insight into the method and mind of a chronically relapsing alcoholic, and the tools necessary to combat such an affliction Connect with Charlie @hismajestycharles3rd Get your TSD merch at www.thesobrietydiaries.com The Sobriety Diaries is a video podcast where we share powerful stories of recovery told by those who lived them. You can find us wherever you listen to your favorite podcasts with new episodes every Wednesday, subscribe now! Please share our show with just 1 person in your life who may be struggling, you just never know what they may need to hear today. Also, please consider donating to The Sobriety Diaries here: https://www.thesobrietydiaries.com/support/ Your donations help us to source the best stories from around the world and keep the show going! Follow us on Instagram @thesobrietydiariespod Find all things TSD related and join our insiders list at www.thesobrietydiaries.com Exact Nature- Use code “TSD20” for 20% off your order at www.exactnature.com Music: www.bensound.com Apple Podcasts: https://podcasts.apple.com/us/podcast/the-sobriety-diaries/id1570033658?uo=4 Spotify: https://open.spotify.com/show/0aKbMuMUb2jjTkBBD41Mhm Google Podcasts: https://www.google.com/podcasts?feed=aHR0cHM6Ly9hbmNob3IuZm0vcy81YjYzNDVkOC9wb2RjYXN0L3Jzcw== Anchor: https://anchor.fm/sobrietydiaries Radio Public: https://radiopublic.com/the-sobriety-diaries-Wa0nBA PocketCasts: https://pca.st/6i505fmy Try your best not to drink, and be good to yourself! --- Support this podcast: https://anchor.fm/sobrietydiaries/support

From Retreat Behavioral Health, Grace Shober and Maggie Hunt review the film “Four Good Days,” the story of a mother and daughter and their battle with substance abuse disorder. The Movie Mavens, this time on The Behavioral Corner.-------------------The Behavioral Corner Podcast is made possible by Retreat Behavioral Health. Learn more - https://www.retreatbehavioralhealth.com

This week on Dopey! We are joined by super vulnerable and yet still hilarious, Chloe La Branche. Chloe comes fresh off a Vivitrol shot and gets super honest about her recent relapse and struggle in staying clean and sober. Then she takes us back into her addiction history laying out the good, the bad and the ugly for the everyone to hear. Plus! Author ERIN KHAR is back hanging out, and talking drugs, addiction and dumb shit! Also Willie from Katz's is back and much more on this brand new rough and rugged new episode of Dopey! This episode of Dopey is sponsored by our friends at Sober Link! If you know anyone that   

A common misconception is that a woman's drug use makes her infertile, but this is not the case: 80% of women with a substance use disorder who seek prenatal care or are about to deliver report that they were not planning to get pregnant. Zach and Michael are joined by Dr. Jonathan Weeks of Norton Maternal-Fetal Medicine Specials Group to dispel the myth, discuss the importance of contraception, weigh the benefits of medication assisted treatment to treat patients and prevent neonatal abstinence syndrome, and more. Dr. Jonathan Weeks serves as Medical Director of the Norton Maternal-Fetal Medicine Specials Group and Medical Director of the Norton Maternal Opiate & Substance Treatment Program (MOST) Program, which has evaluated and treated over 1,000 women suffering from opioid, benzodiazepine, alcohol, and methamphetamine use disorders. Dr. Weeks has 30 years of private practice and academic medicine experience, during which he has been recognized for excellence in research, patient care, and teaching, and he is certified by the the American Board of Addiction Medicine. He partnered with Norton Healthcare in 2015 to create a new treatment model for pregnant women with substance use disorders. If our listeners have questions or thoughts after today's interview, or any recent podcast episode, send us a message on social media @LandmarkRecovery. https://www.facebook.com/LandmarkRecovery/ https://twitter.com/landmarkrecover https://www.linkedin.com/company/landmark-recovery/ https://www.instagram.com/landmarkrecovery/ SHOW NOTES: [6:25] Pregnancy and substance use disorder statistics. [12:00] How do you tell someone, You should use contraception. [13:55] How can the medical community respond to this? [19:10] What is the gold standard of treatment for this population of pregnant women suffering from a substance use disorder? [26:40] Vivitrol vs. Suboxone. [28:54] Neonatal abstinence syndrome and the advantages of Naltrexone. [35:40] What is the estimated time of recovery? [37:40] Treatment centers need to provide contraception for women in their care.

If you want to stop using a drug in the United States, your only choice is often "cold turkey," a terrible name for an unnecessary risk that can often prove fatal if not properly treated. One alternative to this painful experience is a service called In Home Detox, which comes in many shapes and sizes depending on the part of the world you live in. Some doctors do it on the low; others are willing to give you take-home meds like Suboxone, and others, like Dr. Abe Malkin, will come to you. His company is called Elite Home Detox.The most heart breaking thing about withdrawal from drugs is how easy it would be to make sure no one ever suffered from it again. Drugs are incredibly cheap to produce and easy to taper in controlled environments. But until we rethink our stance on drugs, the stigma surrounding use delegitimizes non-sober forms of recovery. Our cultural beliefs stand in the way of many who would otherwise begin their own process of recovery.  In this relatively short conversation, Dr. Malkin and I discuss the dangers of detox, medication assisted treatment (MAT), holism, anti-aging treatments, age-related updates in drug use and vitamin intake, the disease model of addiction, stigma, recovery, how prison and punishment make addiction worse, the problem with 12-step models, Kratom, "recovery," Ketamine Infusions, IV therapy, and "Cold-Turkey Detox." We also discuss why you should never detox from alcohol or benzodiazepines without seeking medical treatment.  

The three primary Medication-Assisted Treatment (MAT) options for Opioid Use Disorder (OUD) are methadone, buprenorphine, and naltrexone.The first two are considered opioid agonist replacements, while the third (naltrexone) is an opioid antagonist, which mechanistically means that it performs entirely different than the others.Taking medication to transition away from your opioid of choice into a life of recovery is a proven and effective method of treatment. Despite this it remains a very contentious area of addiction treatment.  No medication is going to be a cure-all, of course, but at the right time, in the right place, and under the right supervision, they can be quite significant.Naltrexone is not an opioid - it's a blocker. Before you start, you need to be fully detoxed, and unlike methadone and buprenorphine, naltrexone does not keep you physically dependent on opioids.In this episode, I give an overview of some of the misconceptions and misunderstandings around Vivitrol (the once monthly intramuscular injection of naltrexone). Personally, I believe Vivitrol is one of the most underrated and underused available medications for the prevention of relapse and overdose in the first year following a successful detoxification.Personally, I was on this medication for about half a year, and there's no question it helped me through those first few months.If you have any questions about this or other topics related to opioid addiction, please reach out on www.reactionrecovery.com or shoot me a DM on Instagram at Reaction Recovery.

Dr. Adam Bisaga is a research psychiatrist and professor of clinical psychiatry at Columbia University. He is the author of Overcoming Opioid Addiction, the definitive book for patients, family, and healthcare professionals on the subject of effective treatment for opioid dependence.Dr. Bisaga is currently involved in research on groundbreaking new treatments for opioid use disorder, including a naltrexone implant that can last as long as six months. Additionally, the implant has a special advantage over previous addiction treatment implants that will make it a more attractive alternative to both patients and doctors.In addition to discussing his research on the naltrexone implant, Dr. Bisaga also discusses other research and upcoming treatments for opioid addiction, as well as other types of addictions. People who are struggling with addiction, and their loved ones, will be happy to hear that doctors and scientists are hard at work, studying many new promising compounds and technologies that will significantly advance the field of opioid addiction treatment.Please visit our podcast website here: https://therehab.com/And Dr. Leeds' website here: https://drleeds.com.Thank you!

WARNING: Please be aware that the following many not be suitable for people who are disturbed by discussions of death OR of the fallible thinking that prevails in the drug reform field. Leading figures in drug policy reform and addiction theory swear by MAT, which is universally accepted and used across the country. These well-meaning reformists and experts — groups and individuals like DPA, Maya Szalavitz, and Zach Siegel — are only slightly nettled by one disconcerting fact: drug deaths have risen to record levels alongside the explosion in Suboxone, Vivitrol, buprenorphine, and methadone prescriptions. Rather than facing up to our failures to stem this tide of death, prominent figures spend their time explaining that people can’t cope with or reverse opioid and other addictions without medications. What remains unexplored is the situations of people who actually die due to drugs — people who come overwhelmingly from the social and economic underclass, overrepresented in Appalachia (i.e., West Virginia, Kentucky, Ohio, Tennessee), rural New England (New Hampshire), urban centers (Pennsylvania, Massachusetts, Rhode Island), and, strangely, centers of abstinence fixation (Utah). Meanwhile, Stanton and Zach explore the stories of privileged users who, remarkably, die shortly after leaving rehab: a group that includes Amy Winehouse, Corey Monteith, and, recently, former U of Hi. football star Colt Brennan. Zach and Stanton fund that these deaths seem to be inspired by rehab. Their exploration departs from Zach Siegel’s recommendation that rehab residents be put on suboxone etc. as soon as they enter treatment. Instead, Stanton and Zach examine ways to enhance drug users’ competence in taking drugs while avoiding lethal “overdoses“ (meaning generally using street mixtures of drugs combined with alcohol). Stanton and Zach preview their development (in conjunction with colleague Aaron Ferguson) of an “Empowerment” component of LPP for dealing with MAT. The empowerment approach focuses on the usefulness of controlled substitute narcotics prescribing so long as it doesn’t detract from the key ingredient in recovery: self efficacy. ***** SUBSCRIBE to Our Channel ***** To get more of our content and help us grow: https://www.youtube.com/c/LifeProcessProgram?sub_confirmation=1 ***** FOLLOW us on Social ***** - Facebook: https://facebook.com/lifeprocessprogram - Twitter : https://twitter.com/lifeprocessprgm - Instagram: https://instagram.com/lifeprocessprogram - LinkedIn: https://www.linkedin.com/company/life-process-program ***** CONTACT US ****** - Website: https://lifeprocessprogram.com - Text us: +1 (802) - 391 - 4360 --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/lifeprocessprogram/message Support this podcast: https://anchor.fm/lifeprocessprogram/support

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. 

On this week's podcast, Max, Brock, and Blu offer some insights into Medication-assisted treatment (MAT) and how it can be used to help manage withdrawal symptoms and reduce cravings in people who have been addicted to opioids. The guys have different opinions on the use and promotion of using MAT and this podcast will help you develop some personal insight as to why. MAT is one of many options for treating substance use disorders. No single option is appropriate for everyone. MAT is an adjunctive treatment or assistive therapy to the overall treatment of a person with a substance use disorder.

Who's confused about using medication to treat opioid addiction? If your hand is in the air this is your episode! I was fortunate enough to speak with Dr. Lauren Hoffman who works with Recovery Research Institute, a leading nonprofit research institute of Massachusetts General Hospital, an affiliate of Harvard Medical School, dedicated to the advancement of addiction treatment and recovery.For parents who have an adolescent or young adult child struggling with opioid use, medication could be a viable option but there's confusion around it and information can be hard to find. In a deep-dive conversation, Dr. Hoffman and I covered a lot of ground including things like:how she became the person in charge of her mom's opioid use disorder at the age of 13 and how that shaped her life's missiona breakdown of available medications and the differences between themvarious formats of medications like pills, injections and implantsage recommendations for using medications like Suboxone, methadone and Vivitrolwhen someone can start taking a medication like Suboxone or Vivitrol and when they shouldn'twhat the difference is between an agonist and antagonist medication and why it's importantwhere and how to find a doctor to help with determining if medication is the right option how long people need to take these medicationswhy it's critical to ask any treatment program you're evaluating about their policy and philosophy around medication for opioid addictionwhat telescoping is and why it's important to understand ither controversial belief about when to consider starting medicationher advice for parents who are worried about the potential cognitive impact from opioid medications in young peopleand lots more...After listening to this episode you'll have a good grounding in the medication options, and an understanding of how they work to help people stay in recovery. You'll also have facts that can help break through the stigma of using medication to treat opioid use disorder.Show notes with drug information are at www.brendazane.com/hopestream/53This episode is supported by The Stream, an online, pay-what-you-can membership where moms who have kids struggling with substance use focus on their own health, wellness, and sanity - with no judgment, and no distraction because it's not on Facebook.  If you'd like to hang out with me and a bunch of cool moms after the episodes, you can learn more and join us at brendazane.com/thestream. The first two weeks are always free, then you pay whatever you can. I'd truly love to see you there.Also, download my free ebook “HINDSIGHT: 3 Things I Wish I Knew When My Son Was Addicted to Drugs

Sober Steve is back for episode 2. I have an education background and now that I'm off drugs I can finally finish my degrees. There are two degrees that are to e continued. Those degrees being in Environmental Science and Journalism. The 106/120 credits I need for my degrees might however be a prerequisite for a different degree I want first now. Addiction Studies, so I can be a counselor. I think I'd be great at it, for a lot of reasons, but I bring it up all that up because I have an education background but I also spent 13 years on very hard drugs doing trying to get clean for 13 years and I have tried pretty much all drugs and I have tried pretty much all the ways to get off drugs. My story is crazy. I have some pretty funny stories, super crazy stories and some very sad stories that we'll get to but I really want to educate with my experience first. How I got clean, what I went through trying to get clean, the hoops I jumped through. The sickness and hopelessness I felt for so long will not be in vain, I fought out of that life to inspire others.Episode 2 is about the 5 opiate treatment program drugs. Vivitrol, Methadone, Subutex, Suboxone, Sublocade have all be prescribed to me and when I could I bought them off the streets. This is everything I know about each and what I recommend. Remember, the treatment drugs are not enough alone to keep you off drugs. The real work is on yourself, your mind, your way of thinking and who you want to be. "The opposite of addiction is connection." So connect with positive people. Check out SoberSteveRecovery.com read the blog and watch my youtube channel Follow me on InstagramFacebook @sobersteverecovery and on FB What's up! ✈️ Hope its a great day

Love is in the air... and it stinks! Or does it? It's Valentine season and the Selling Out Show gives their definition of love, discuss blowing up buttcheeks with a Vivitrol injection, #boycottbigholidays, and the trouble with writting a ditty for that special someone. Plus, we may have been ghosted by Toby! Listen up buttercup.

This week we sit down and have a conversation with Adrienne on a 10 Questions episode. Adrienne has been in a relationship for a year, has a 2 1/2 year old son and is the assistant manager of the recovery residence she lives in. She credits her recovery to her family, her boyfriend, support groups, living in a recovery residence and Vivitrol. Join us to hear a little bit of her story!

RMA-Episode 23 Show Notes: This Naked Mind Part II. Everything you thought you knew about alcohol is dead wrong. Mike and Nat break it down. Plus, the weekly round-up, Recovery in the News (Naltrexone for Meth?), and the Week in Weird (is the Loch Ness monster related to Mitch McConnell?) on a somewhat holy, cognitively biased, thoroughly manipulated episode of Recovery in the Middle Ages. E-Mail NatX@gmail.com with your questions for Sgt. Slaughter for our new “Ask a Cop” segment. YOU CAN NOW LISTEN TO RMA ON YOUTUBE: https://www.youtube.com/channel/UCf17Iid4b4NeZHPXy_Jm9wA/featured PLEASE leave us a 5 star review on I-Tunes if you're enjoying the show and SUBSCRIBE to get the latest episodes.  APPLE LINK https://podcasts.apple.com/us/podcast/recovery-in-middle-ages-two-middle-aged-suburban-dads/id1528859864 You can reach us by email at: MikeR@middleagesrecovery.com Natx@middleagesrecovery.com Send comments, complaints, death threats, ideas and requests to be interviewed. We'll talk to anyone! WE HAVE A WEBSITE! Drop by and check it out: Www.middleagesrecovery.com Visit MiddleAgesRecovery.com where we have a new feature for an upcoming segment on the show, “This is YOUR life!” On the “tell us your story” Form on the website, write your recovery or using story and we will read them on the air! (Anonymity guaranteed). FOLLOW US ON TWITTER:!  https://twitter.com/RecoveryAges?s=20 Join the Facebook Page! Exciting things are happening there! https://www.facebook.com/Recoveryinthemiddleages We also have a Facebook Group! Request to join the group. It's a private space for continuing the discussion of what Nat and Mike talk about on the podcast. Hope to see you there. https://www.facebook.com/groups/365987294509662/ If you're in trouble with substance abuse and need help, reach out. There are thousands of people who have put problems with addiction in their rear-view mirrors and you can be one of them. While we neither endorse nor condemn any particular program, the sheer number of available AA and NA meetings suggest that reaching out to those organizations would be a good first step on the road to recovery.   https://www.aa.org/ https://www.na.org/meetingsearch/ This Naked Mind:   https://thisnakedmind.com/ This Naked Mind Book Purchase: https://amzn.to/2Kh5KGL Naltrexone for Meth: https://www.medscape.com/viewarticle/944075 Is Nessie a Turtle? https://www.dailyrecord.co.uk/news/scottish-news/loch-ness-monster-ancient-sea-23336709  

Lloyd Sederer, M.D., is currently an adjunct professor at the Columbia University School of Public Health. He has won many top awards in the field of psychiatry, and he has served as a leader in the field of public health in New York for the past two decades. In the 90s, Dr. Sederer was the chief psychiatrist at McLean hospital, the psychiatric teaching hospital for Harvard Medical School. He has published thirteen books, and he has published hundreds of articles in top medical journals and newspapers.What is the future of the treatment of addiction? According to Dr. Lloyd Sederer, the path to saving more lives from addiction going forward will involve providing better access to the tools that we already have. We already have harm reduction strategies, including the opioid overdose rescue drug, naloxone. And, we have effective medication-assisted treatments for opioid use disorder and alcohol use disorder.Our understanding of the functioning of the brain is more advanced than ever before in history. A wide variety of therapies can be applied to target various regions of the brain that are affected by addiction. In addition to existing medications and therapies, there are also new medical treatments on the horizon, including the drug, psilocybin. With psilocybin, an existing, ancient form of medical therapy is being brought up to date with current medical science. Safe, synthetic forms of the drug have been studied in major research centers with promising results.Just as important as therapies such as cognitive behavioral therapy, motivational interviewing, and contingency management, and medications, such as methadone, buprenorphine, and naltrexone, are the forming of relationships to promote abstinence and recovery.Dr. Sederer believes that, to be successful in helping people to recover from active addiction, we must meet them where they are and understand why they are using drugs or alcohol. Drugs serve a purpose for people who use them and it is important to start from there and work towards helping them find healthy replacements for drugs when they are ready.In our talk, Dr. Sederer and I discuss two of his recent books. We talk about “Ink-Stained for Life” and “The Addiction Solution.” Both books are fascinating and I highly recommend them to my audience.“Ink-Stained for Life” is a collection of fourteen stories and essays relating Dr. Sederer's early life as a child in The Bronx to his adult life and the present, in 2020. The book demonstrates the improbable nature of the path from living as a child, on the streets of New York City, to being a leader in public health in the State of New York. The book shares Dr. Sederer's philosophies on life with discussions about topics such as intelligence and genius, wealth and struggling in the middle class, Judaism and being Jewish without living as an observant Jew, living in New York City, being the leader of a world-class psychiatric hospital, working in the world of public health in New York City and New York State, addiction treatment and much more.Please visit Dr. Sederer here: https://www.askdrlloyd.com/Please visit our podcast website here: https://therehab.com/And Dr. Leeds' website here: https://drleeds.com.Thank you!

Overdose is a scary reality for many of us dealing with an addicted loved one. While all of our partners have overdosed many times during active use, they have all lived to see another day and seek treatment. Today we share our experiences with finding our loved ones OD’ed and dealing with the consequences that follow. We also talk about naloxone, which rapidly reverse an opioid overdose, and Vivitrol and Suboxone which block the opioid receptors in the brain. September is addiction awareness month. Please help us fight the stigma! Topics also discussed: Trust Group and Individual Therapy Empowerment Self-care Recovery Relapse Drugs Boundaries Relationships Medically Assisted Treatment Recovery Awareness Month Follow us at: Instagram: @boyproblemspod Twitter: @boyprobspodcast Facebook: @boyproblemspod Additional Resources: Co-Dependents Anonymous: http://coda.org/ Al-Anon: https://al-anon.org/ Nar-Anon: https://www.nar-anon.org/ National Helpline: https://www.samhsa.gov/find-help/national-helpline Treatment Locator: https://findtreatment.samhsa.gov/ Overdose Lifeline: https://www.overdoselifeline.org/ Layperson Naloxone Administration Course: https://www.overdoselifeline.org/opioid-training-and-courses/layperson-naloxone-administration/ --- Send in a voice message: https://anchor.fm/boy-problems-pod/message

Corey looks deep at the difference between two similar situations in his life, Vivitrol, & he wants to know your favorite.

See omnystudio.com/policies/listener for privacy information.

Special Interview with the Netflix series -- The Pharmacist, Dan Schneider.  Dan Schneider: The Pharmacist on Netflix  In 1999, after losing his son in a drug-related shooting in New Orleans and lacking answers from police, a small town pharmacist – Dan Schneider – beats the odds when he embarks on a dogged pursuit to find and bring his son’s killer to justice. But months later, the ripple effects of his son’s addiction and tragic death would find him again when a troubling number of young, seemingly healthy people begin visiting Dan’s pharmacy with high dose prescriptions for OxyContin. Sensing a crisis long before the opioid epidemic had gained nationwide attention, Dan stakes a mission: Save the lives of other sons and daughters within his community. Then take the fight to Big Pharma itself. Please support your community & connect with Dan from the 'Tunnel of Hope'  http://tunnelofhope.org/index.php/about/ 

The Vivitrol Shot (naltrexone injection) was recently used by Matt Finch's good friend Mike to quit drinking alcohol. And it worked! Mike now has almost three weeks off alcohol and he's feeling great, and he hasn't had a single craving, desire, or even thought to use alcohol since getting the Vivitrol Shot.

Nate and I met through our volunteer work at the Wood County Opiate Task Force in Bowling Green, OH.  At the time, he worked at MidWest Recovery Center (Toledo, OH).  Now, he is the CEO of the Recovery Institute of Ohio (Sandusky, OH).     Nate Kehlmeier (419) 262-2436 nkehlmeier@recoveryinstituteofohio.com LinkedIn  linkedin.com/in/nate-kehlmeier-3b52a6175    Recovery Institute of Ohio 1019 Pierce St.  Sandusky, OH 44870 https://recoveryinstituteofohio.com info@recoveryinstituteofohio.com 888-468-1441 Facebook  https://www.facebook.com/RecoveryInstituteofOhio/ IG  https://www.instagram.com/recoveryinstituteofohio/ LinkedIn Company Profile https://www.linkedin.com/company/recovery-institute-of-ohio/about/ Vivitrol is available at Recovery Institute of Ohio.   We Recover Together Support Group BELLEVUE RECOVERY AND SUPPORT SERVICES 1400 W. Main St. Bldg 1, Suite D Bellevue, OH 44811 Phone: 419-307-3320 Text: 4HOPE to 741741 Website: www.bellevuerecovery.org    MidWest Recovery Center 7540 New West Rd,  Toledo, OH 43617 (833) 297-1257 https://www.midwestrecoverycenter.com    Wood County, Ohio Support Groups Wood County Crisis Line: 419-502-HOPE (4673) Recovery Helpline: Call 211 Reentry Coalition: (567) 246-0761 Resources for Family and Supports Celebrate Recovery/Cedar Creek Church: (419)-661-8661 NAMI: (419) 352-0626 Mental Health First Aid Training: • Adults: (419) 352-0626 • Youth: (419) 354-9010 Wood County Alcohol, Drug Addiction and Mental Health Services Board: (419) 352-8475 For more information, visit https://www.wcadamh.org, and search for the “Opiate Resource Guide.” Have uncomfortable conversations about drugs and alcohol with your children. Ask questions.  What do you know about drugs and alcohol?  Are you using them? Teach them about communication and consequences.  Do they know how to ask for help? Do your children know safe people to talk to?  School teacher, professional counselor, pastor, parents. Coping skills are important.  Do your children know how to cope with difficult situations? What is stigma?  Stigma is a mark of disgrace.  Drug addicts are thought of in a negative way.  There is a profound stigma associated with drug addicts. Everyone, especially pharmacists, should be informed about addiction.  Get educated.  Be a resource to your community.   Addiction is a disease that does not discriminate.  It affects a wide range of socioeconomic classes, races, and age groups.  If you need help, reach out to Nate Kehlmeier or someone in the Substance Use Disorder Treatment field.  Visit https://www.samhsa.gov/find-help/national-helpline or SAMHSA’s National Helpline, 1-800-662-HELP (4357), (also known as the Treatment Referral Routing Service) or TTY: 1-800-487-4889.  This is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations. Callers can also order free publications and other information. I heard Nate tell his story at an opioid crisis awareness event in Wood County at Way Library 101 E. Indiana Ave. Perrysburg, OH 43551 Phone: 419.874.3135 Fax: 419.874.6129 https://www.waylibrary.info I helped create several Faith Community Discussions about Opioid Addiction in Wood County, OH in 2018 and 2019.  The purpose of the discussions was to educate and empower clergy and faith community leaders to help with the opioid crisis in Wood County Communities.  We supplied narcan to the attendees, and one narcan save has been reported from one of our attendees. 

Listen as Vivitrol vs. Suboxone pros and cons are discussed. --- Send in a voice message: https://anchor.fm/lawanddisorder/message Support this podcast: https://anchor.fm/lawanddisorder/support

In part 2 of this two part episode, Michael takes over more to tell his story that quickly degraded into slippery slopes of substance abuse. He tells tales of disputes with family and friends which resulted in roaming the streets, hanging out with complete strangers under bridges to get loaded and relapsing in the 8 other rehabs he's resided in before coming to the inpatient he currently lives in. Gary also chimes in to talk about the time he and his friends took Bath Salts in jail resulting in multiple bu-bops, his successful robbing escapades and escapes from being shot at by his victims. Both Gary and Michael have lived incredibly chaotic lives yet have come out stronger, sharper and more motivated to do right this time around. These two are full fledged members of the squadron for life and will be on Nod Squad time and time again to update our brethren on their progress throughout their journey of recovery.

Corey's glad he has Ryan to listen to his problems, Vivitrol's role, and shout outs of the week.

Dr. G and Dr. Raskin explore alternative drug and alcohol rehabilitation treatments with their expert panel.

In this podcast, Dr. Greg Peterson, a emergency medicine physician with Ridgeview Medical Center, discusses opioid use disorder, treatments for opioid withdrawal, and the use of medical assisted therapy (MAT) for the ongoing opioid crisis. Enjoy the podcast! Objectives:     Upon completion of this podcast, participants should be able to: State at least 3 facts of where we (the United States) are at with the opioid epidemic today. Describe the components of medical assisted therapy (MAT). Assess the potential expansion of using medical assisted therapy (MAT) into the emergency department. CME credit is only offered to Ridgeview Providers for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within 2 weeks.  You may contact the accredited provider with questions regarding this program at  rmccredentialing@ridgeviewmedical.org. Click on the following link for your CME credit: CME Evaluation: "Medical Assisted Therapy (MAT) for Opiates" (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition.”    FACULTY DISCLOSURE ANNOUNCEMENT  It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented. Planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. SHOW NOTES: In this podcast, we are discussing opioid use disorder, treatment of opioid withdrawal, and medical assisted therapy for the current opioid crisis that is ongoing. CHAPTER 1: The CDC noted that in 2016, a little over 2 million Americans suffer with OUD (opioid use disorder). In that same year there are around 42,000 deaths related to the opioid misuse. Interestingly, about 135,000 new heroin users after misusing mediations in 2015. Essentially, over 100 deaths daily are related to this epidemic. The stats are staggering and unfortunate. The direct medical costs in 2016 were $12.2 billion. Indirect societal costs $9.2 billion. Total societal costs area somewhere around $80 billion. Interestingly, less than 5% of morphine equivalents come from the ED.  MAT is a longer-term strategy for treating patients along with counseling and psychosocial support to assist those for the propensity of misuse.  Withdrawal is treatment of acute phase sxs (n/v/d/piloerection) along with some of the more prolonged phase sxs of withdrawal include: anhedonia, depression, insomnia, decreased appetite which can last months or longer. COWS or Common Opioid Withdrawal Symptoms is a scoring tool that allows the clinician to better assess where the patient is within their withdrawal state. The scoring system is based on 0-4/5. 4 and 5 obviously being more concerning for severe withdrawal sxs. Common sxs include: HR, dilated pupils, diaphoresis, anxiety/irritability, restlessness, joint or bone pain, GI upset, tremors, runny nose, yawning, and gooseflesh skin. Usually less than 5 - no withdrawal.  5-12 your are starting to withdrawal; 13-24 moderate withdrawal; over 24 - badness. CHAPTER 2: The options for treatment of pt with withdrawal can include: opioid agonist - such as methadone or buprenorphine or non-opioid medications such as: alpha-adrenergic medications - including: clonidine, antiemetics (like Zofran). Studies show these treatment options are effective for treating the withdrawal. The medications for typical MAT use and withdrawal are the opioid agonist Methadone and Buprenorphine.  Buprenorphine is partial mu agonist and is thought of as a safer medical treatment option for withdrawal and MAT. The literature notes that their is "ceiling effect" for euphoria with the use of Buprenorphine. Typically dispensed as a tablet, sublingual film, depot injection, subcutaneous (sc patches) along with implantable.  Buprenorphrine is compounded with Naloxone (trade name Suboxone) with is thought to be safer and less prone to abuse. If given, a person is till using opioids Suboxone can precipitate withdrawal sxs.  Withdrawal sxs are based on shorter vs longer acting opioids. Norco or Percocet are shorter time periods to withdrawal in comparison to Methadone which can take several weeks before pts experience sxs. The Drug Addiction Treatment Act of 2000, or DATA 2000, requires clinicians to have a valid license, DEA#, and complete an 8-hour training course covering Buprenorphine and OUD treatment management. "Warm Hand Off" is generally the PCP or ED physician and addiction specialist having a discussion directly with the patient about the next steps in their care management. "Cold Hand Off" is streamlined referral system where social work is assisting the patient by providing resources or helping with the setup of next appointment. CHAPTER 3: Vivitrol comes in a 380mg dose of naltrexone that is given as an IM depot injection monthly for opioid medical assisted therapy. The literature seems to report that MAT combined with psychosocial management is more effective than just the psychosocial therapy.  The psychosocial model by itself has a low success rate, in comparison to combined therapy.  Some studies have included that therapy + Suboxone vs solo therapy with Suboxone did not show a difference in the rates of success. Dr. Peterson notes that proposing MAT to a medical group or hospital is complex. It requires close collaboration with addiction specialists, therapy, and social work for the continued coordination of care. Optimally, the thought is short follow-up 24-48 hrs after discharge from the clinic or Ed to addiction specialist. CITED LITERATURE: Cisewksi, DH, Santos, S, Koyfman, A, & Long, B. (2019 Jan). Approach to buprenorphine use for opioid withdrawal treatment in the emergency setting. Am J Emerg Med,37(1). pp. 143-150. doi: 10.1016/j.ajem.2018.10.013. Epub 2018 Oct 11. Duber HC, Barata, IA, Cloe-Ena, E, Liang SY, Ketcham, E, Macias-Konstantopoulos, W, Ryan, SA, Stavros, M, & Whiteside, LK. (2018, Oct.). Identification, management, and transition of care for patients with opioid use disorder in the emergency department. Ann Emerg Med, 72(4). pp. 420-431. doi: 10.1016/j.annemergmed.2018.04.007. Epub 2018 Jun 5. D'Onofrio G, O'Connor, PG, Pantalon, MV, Chawarski, MC, Busch, SH, Owens, PH, Bernstein, SL & Fiellin, DA. (2015, Apr 28). Emergency department-initiated buprenorphine/naloxone treatment for opioid dependence: a randomized clinical trial. JAMA, 313(16). pp. 1636-44. doi: 10.1001/jama.2015.3474.  Schuckit MA (2016, July 28).  Treatment of opioid-use disorders. N Eng J Med, 375 pp.357-368.  doi: 10.1056/NEJMra1604339. Sigmon SC, Bisaga, A, Nunes EV, O'Conner PG, Kosten T & Woody G. (2012, May). Opioid detoxification and naltrexone induction strategies: Recommendations for clinical practice. Am J Drug Alcohol Abuse, 38(3). pp.187-99. doi:10.3109/00952990.2011.653426. Epub 2012 Mar 12. Samuels EA, D'Onofrio, GD, Huntley K, Levin S, Schuur JD, Bart G, Hawk K, Tai B, Campbell CI & Venkatesh AK. (2019, Mar). A quality framework for emergency department treatment of opioid use disorder. Ann Emerg Med, 73(3). pp.237-247. doi:10.1016/j.annemergmed.2018.08.439. Epub 2018 Oct 11.

“Does Addiction Treatment Work?” was presented on September 17, 2019, by Dr Carl Christensen, MD, PhD, D-FASAM. Recent publications claim to define research-supported definitive truths about the root causes of addiction and efficacy of treatment modalities; however, conclusions are conflicting and have been subject to divergent interpretations. Feel confused? Dr. Christensen will review the recent criticisms of treatment for addiction including Twelve Step, residential, and medication assisted therapy, the scientific studies that do and do not support their use and other controversial issues. This program is part of the Dawn Farm Education Series, a FREE, annual education series developed to provide accurate, helpful, hopeful, practical, current information about substance use disorders, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of substance use disorder treatment and recovery support services. For information, please see http://www.dawnfarm.org/programs/education-series. About the Presenter: Carl Christensen, MD, PhD, FACOG, D-FASAM, cMRO Dr. Christensen obtained his MD and a PhD in Biochemistry at Wayne State University School of Medicine and completed his residency in Obstetrics and Gynecology at Hutzel Hospital. He then completed a Fellowship in Gynecologic Oncology at Duke University Medical Center in 1988. He returned to Wayne State, practicing both Obstetrics and Gynecology and Gynecologic Oncology, and was Associate Residency Director of the OB Gyn Residency until 2012. He retired from WSU in 2012 and continues as a Clinical Associate Professor in the Departments of Psychiatry and OB Gyn. While working with the late Dr. James Wardell, one of the first obstetricians to treat pregnant addicted women, he became certified in Addiction Medicine in 2004 and later Board Certified in Addiction Medicine in 2009. He served as the Medical Director of the Eleonore Hutzel Women’s Recovery Center, founded by Dr. Wardell in 1969, an outpatient program dedicated to caring for pregnant, chemically dependent women from 2004 to 2018, as well as the Medical Director at the Tolan Medical Research Clinic in the Department of Psychiatry at WSU from 2009 to 2018. He continues his work with pregnant chemically dependent women at SJMH in Ann Arbor. He is the past president of the Michigan Society of Addiction Medicine and the current Medical Director of the Michigan Health Professional Recovery Program, which monitors impaired nurses, pharmacists and doctors. He was elected as a Distinguished Fellow of the American Society Addiction Medicine in 2013. He is also the Medical Director for Dawn Farm Treatment Center in Ypsilanti and Ann Arbor, returning to that job when Dr. Pat Gibbons passed in 2014. Dr. Christensen also specializes in the treatment of chronic pain patients who are trying to detox or taper off opioids and works at SJMH at Recovery Specialists. He has received numerous teaching awards. He has been named one of the “Top Docs” in Addiction Medicine in Hour Magazine for 2006 through 2018. Dr. Christensen currently works with the US Attorney’s office, the DEA, and local law enforcement as an expert witness for opioid prescribing cases. He lives in Canton with his wife Cathy, a Nurse Practitioner also specializing in chronic pain and addiction, their therapy dog Olive, and 3 rescue cats.

Rebuilding a life after addiction - Katie Cavanagh acted like a typically moody first-year college co-ed when she came home to visit during school breaks. Little did her parents know at the time that what had begun as as perhaps a peer-driven experiment with heroin, would eventually grow into Katie’s long and near-fatal battle with addiction to this insidious drug. Indeed, the next five years included arrests, suicide attempts and multiple trips to rehab programs. Katie believed she couldn’t stop. But she did. And in tribute to National Recovery Month, dedicated to increasing our awareness of addiction – and celebrating the people who recover – we bring you this moving and inspirational interview with her amazing mother, Maureen Cavanagh, the founder and president of Magnolia New Beginnings and author of If You Love Me: A Mother's Journey Through Her Daughter's Opioid Addiction.On this segment, Maureen not only chronicles Katie’s road to recovery, but how, after years of turmoil, hardship and heartbreak, she and her daughter have rebuilt their lives. Hear how Katie, with the help of VIVITROL, has stayed drug-free, and what Maureen learned from this life-altering experience that we hope will help so many others going through a similar, heart-wrenching situation. It is the ultimate mother/daughter story of pain, love – and, most importantly, hope!

Battling Opioids Part 3: Vivitrol Mobile Treatment Vivitrol is a once-a-month injection that is helping those with opioid addiction to move beyond cravings to sustained recovery. Although Vivitrol is proving to be an effective alternative to Methadone and Suboxone treatment, it is not yet widely available. In this story, we learn about a new program that takes Vivitrol to Pennsylvania's rural communities by way of a mobile unit. We speak with the recovering addict who began the mobile treatment program and hear from patients who are staying clean with the help of the drug. Story produced by: WQED Podcast Producer: JADonnelly Show Moderator: Paola Giangiacomo

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

What is Vivitrol Also Known as Naltrexone Recover from addiction by calling me: (800) 779-4715 Or visit: www.american-addiction.com/ Find more addiction recovery videos: Dr. B. Recovery YouTube Get in touch with me at getdrb@gmail.com Today we will be answering the question of what is Naltrexone? Or often as you guys might know it as Vivitrol. It was discovered in a laboratory in the 1960s and if you read the history of all these medications, it goes back to issues of: Treating Pain Finding a good medication that can help treat addiction

Today I'll be talking about the side effects of Naltrexone and Vivitrol. Recover from addiction by calling me: (800) 779-4715 Or visit: www.american-addiction.com/ Find more addiction recovery videos: Dr. B. Recovery YouTube Get in touch with me at getdrb@gmail.com

While we take a brief hiatus from producing new episodes, we are re-releasing a few fan favorites for your listening pleasure. We will be back in September with all new episodes! Have a great summer! Kristen Paquette and Vicki Steen discuss the opioid epidemic and overdose prevention strategies including harm reduction and medication assisted treatment. Visit c4innovates.com and follow us on Twitter, Facebook, and LinkedIn for more resources to grow your impact. More Info Praxis: Training for MA Addiction Professionals Bureau of Substance Addiction Services, MA Department of Public Health Medication Assisted Treatment, Substance Abuse and Mental Health Services Administration Harm Reduction, Harm Reduction International CDC joins Department of Public Health in investigating HIV cluster among people who inject drugs, Massachusetts Department of Public Health Pre-exposure prophylaxis (PrEP), Centers for Disease Control Syringe services programs, Centers for Disease Control For more information on training in Massachusetts or in your state, email praxis@center4si.com.

While we take a brief hiatus from producing new episodes, we are re-releasing a few fan favorites for your listening pleasure. We will be back in September with all new episodes! Have a great summer! Kristen Paquette and Vicki Steen discuss the opioid epidemic and overdose prevention strategies including harm reduction and medication assisted treatment. Visit c4innovates.com and follow us on Twitter, Facebook, and LinkedIn for more resources to grow your impact. More Info Praxis: Training for MA Addiction Professionals Bureau of Substance Addiction Services, MA Department of Public Health Medication Assisted Treatment, Substance Abuse and Mental Health Services Administration Harm Reduction, Harm Reduction International CDC joins Department of Public Health in investigating HIV cluster among people who inject drugs, Massachusetts Department of Public Health Pre-exposure prophylaxis (PrEP), Centers for Disease Control Syringe services programs, Centers for Disease Control For more information on training in Massachusetts or in your state, email praxis@center4si.com.

Part 1 of Our Season FinaleMaster storyteller and forensic psychiatrist talks about his experiences as Medical Director for the County of Summit Alcohol, Drug Addiction, and Mental Health Services Board before and during the opioid epidemic. From identifying pill mills in Painesville, OH and an "opiate problem" before it became an epidemic to his efforts to provide evidence-based treatment. He tells us about the biological processes that drive addiction that anyone who has tried to lose weight can relate to.Website Referenced: Summit County ADM Board https://www.admboard.org/Book Referenced: "Dreamland" by Sam Quinones https://www.amazon.com/Dreamland-True-Americas-Opiate-Epidemic-ebook/dp/B00U19DTS0Host: Dr. Layne A. Gritti, DOGuest: Dr. Doug Smith, MDContact: InsightInPsych@gmail.comIf you're a fan of the show, please leave us a five star review to help others gain more insight into psychiatry.

Dr. Nelson answers listener's questions about Vivitrol versus Naltrexone pellet, options for out-patient detox and withdrawal support, and what steps to take after discovering your child is a heroin addict.

Kristen Paquette and Vicki Steen discuss the opioid epidemic and overdose prevention strategies including harm reduction and medication assisted treatment. Visit thinkt3.com and follow us on Twitter, Facebook, and LinkedIn for more resources to grow your impact.  More Info Praxis: Training for MA Addiction Professionals Bureau of Substance Addiction Services, MA Department of Public Health Medication Assisted Treatment, Substance Abuse and Mental Health Services Administration Harm Reduction, Harm Reduction International CDC joins Department of Public Health in investigating HIV cluster among people who inject drugs, Massachusetts Department of Public Health Pre-exposure prophylaxis (PrEP), Centers for Disease Control Syringe services programs, Centers for Disease Control For more information on training in Massachusetts or in your state, email praxis@center4si.com.

Kristen Paquette and Vicki Steen discuss the opioid epidemic and overdose prevention strategies including harm reduction and medication assisted treatment. Visit thinkt3.com and follow us on Twitter, Facebook, and LinkedIn for more resources to grow your impact.  More Info Praxis: Training for MA Addiction Professionals Bureau of Substance Addiction Services, MA Department of Public Health Medication Assisted Treatment, Substance Abuse and Mental Health Services Administration Harm Reduction, Harm Reduction International CDC joins Department of Public Health in investigating HIV cluster among people who inject drugs, Massachusetts Department of Public Health Pre-exposure prophylaxis (PrEP), Centers for Disease Control Syringe services programs, Centers for Disease Control For more information on training in Massachusetts or in your state, email praxis@center4si.com.

Adam and Dr. Drew open the show talking about some of the eye issues that Gary is suffering from and the similarities to what Drew has been dealing with himself. They then go to the phones and speak to a caller who is newly on Vivitrol and experimenting with marijuana, another who has thoughts on personal responsibility and much more. And thanks to our great sponsors: BlindsGalore.com tell them Adam sent you Lifelock.com enter promo code ADAM TheraworxRelief.com Truecar.com Download Pluto TV on all your favorite devices See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Choosing Addiction Treatment Treatment placement and choosing the right treatment center is a huge topic in the world of Professional Interventionists. It is imperative we provide enough information to a family so they can make the best possible choice for their loved one. Jessica Masters works for a large behavioral health group, and her specialty is treatment placement. In this episode we talk about the inside details of treatment centers, how they treat, how they are different, how insurance works, and much more. Jessica gives us amazing insight into the world of addiction detox, treatment, and how insurance looks at the medical necessity at each stage. And if you are looking for a treatment center what are the important details to consider? Some of the issues we talk about in this episode may require some explanation. Here are a few of the terms we used, with definitions and resources: Suboxone Buprenorphine is used in medication-assisted treatment (MAT) to help people reduce or quit their use of heroin or other opiates, such as pain relievers like morphine. (https://www.samhsa.gov/medication-assisted-treatment/treatment/buprenorphine) Vivitrol One way to treat opioid addiction is with Naltrexone (brand name Vivitrol), a type of medication-assisted treatment which is an injection administered by a physician or another medical provider once a month. (https://drugfree.org/parent-blog/what-is-vivitrol/) Jessica’s Bio- Jessica Masters is a Licensed Professional Counselor in MO. She has spent the last 12 year working in the mental health field, specifically at the residential level of care. She has been working alongside clients, families and clinicians to help them meet their goals. She has worked as a primary therapist, admissions director and currently a Treatment Placement Specialist. In her role as a Treatment Placement Specialist she works to provide informed treatment guidance to help individuals navigate what can be a frustrating and intimidating process. Each individual is unique and their journey with substance abuse, trauma, pain management, eating disorders and/or mood disorders is also unique; they should be assessed and given referrals based on their specific needs and wishes to ensure the most successful outcomes. Contact Info: Jessica.masters@acadiahealthcare.com    314-226-5151 As promised, here is the list of questions to ask treatment centers.

Boston’s own father-daughter recovery team from the Addictionary Podcast Maegan and Bobby Kenney join the show to share their experience with addiction and recovery.  Maegan shares how Vivitrol saved her life, meditation is a must, and she also shares some of her personal thoughts about friend Chris from the Dopey Podcast who recently passed away. Bobby has a great story of his own, from running the streets of Boston in and out of jail, moving and using excessive amounts of drugs, and then changing his life, getting sober and working as a successful actor. Bobby also gives some advice to those out there who might have a child or loved one who is struggling with addiction.     www.theaddictionarypodcast.com   5K Race in Honor of Chris from Dopey There’s a 5K race in Chris’s honor for the Shatterproof Rise Up Against Addiction on Sept. 23rd in Boston: Donate to the Addictionary Podcast team or register HERE and walk with us!   Shatterproof speech 2017: https://youtu.be/6Zyc7s1x9MM A Deadly Silence: https://youtu.be/IkvtTk0CqbI Massachusetts Criminal Justice Reform Bill: https://m.youtube.com/watch?v=CKunzxRsca8&feature=share "Tough As Nails" with Cindy Stumpo on WBZ Radio: https://youtu.be/2asFMZcUwy0   Need Help? Call Foundations Recovery Networks confidential and private line at:  877-714-1318 Nationwide Residential & Outpatient Facilities   Thanks to our Sponsors: Foundations Recovery Network Sober Nation Humans Music (Show Intro) Ad music by www.bensound.com  

Greg interviews John Stuckey, the President of ARCHway Institute. ARCHway is a non-profit whose vision is to bring the treatment of mental health and addictive orders into the realm of mainstream medicine - similar to the treatment of other chronic lifestyle diseases such as obesity and diabetes. Listen to the podcast to discover how self-medicating and consistent opioid use can re-wire the brain and lead to substance abuse disorder. As well as how drugs like Vivitrol can help those suffering from opioid dependence reclaim their lives.

Welcome to Angels Don't Lie with Jeanne Street! Broadcast live from the KBJB Studio: September 12th, 2017  Jeanne is back from vacation and what a night she has planned for you!  The powerful topics Jeanne will be discussing tonight are addiction and the empath (a person with the paranormal ability to apprehend the mental or emotional state of another individual) connection.  Jeanne discusses energy surrounding addictions and ways to help clean up your energy.  Addictions can be anything - alcohol, drugs, food and sex.  A new portion of the show will be a short group prayer session with Jeanne's new singing bowl.  Amazing!  You will be drawn in by the sound made from this rose quartz and platinum bowl.  Jeanne explains the power of group prayer and invites people to send in their prayer requests. Maureen is our caller tonight to discuss her son's recent overdose and his addiction to opiates.  Your heart will pour out love to Maureen as you hear of the six year struggle of addiction. Sunday , he went from discussing his plan to get clean to an overdose on Monday.  The plan included naltrexone (Vivitrol), it blocks the brain's opioid receptors and a bridge (a small, discrete neuro-stimulation system (NSS) that attaches to the patient's ear, sending gentle, electrical pulses directly into the brain via electrodes placed on your nerve endings found in the and around the ear). Nutrition Tip - acai berry - deep blueish berry from the rain forest.  Jeanne tells of just a few of the many benefits - free radical fighter, antioxidant, cancer fighter, omega 3 6 9, low on the glycemic index and so much more!  Get your pen and paper as she offers the recipe to an amazing tea she brews with the acai berry.  Better yet, ask her on Facebook to be part of the Angels Don't Lie group.  She will be posting the recipe.  Find more information at InspiritHealingStudio.com, GoddessYouniversity.com, work on her new book and more! Send an email or request on Facebook and ask to be part of the Angels Don't Lie group on Facebook!  Thanks for joining Angels Don't Lie Episode 43. Be sure to join us next Tuesday, September 19th, 7PM EST. Call in number 646-891-5252.  Listen to the show on the web player at jeannestreet.com or on KBJBradio.com.  The Goddess You is on sale - visit jeannestreet.com for your copy!   Tags

The post Season 1 – Vivitrol, Suboxone and Drug Courts appeared first on RecoveryArc.

This week's episode of Full Potential, Now! is the third and final part of Ted's interview with Dr. Joseph Blustein. If you haven't heard Part 1 yet, download it on iTunes first. Joseph Blustein is the Medical Director of a tele-addiction medicine service for Wisconsin residents. Dr. Blustein is a board certified Addiction Medicine physician practicing in Madison, Wisconsin. Dr. Blustein was Medical Director for various treatment programs including ARC, ARC House, RESPECT, Gateway (UW Behavioral Health), Madison Health Services, and Beloit Health Services. Dr. Blustein, as a NewStart Addiction Medicine Hospitalist at Meriter Hospital, worked with Drs. Micheal Miller and Ian Powell. In addition, Dr. Blustein, board certified in Holistic Medicine, taught acupuncture to physicians, and is a registered trainer and supervisor for the NADA protocol. Produced by Ted Izydor and John Praw Kruse. Visit fullpotentialnow.org.

Les démarches de la pharmaceutique Alkermes pour imposer son médicament Vivitrol comme seule solution à la crise des opioïdes sont-elles éthiques?; Aurélie Lanctôt fait le portrait de la jeune politicienne Irene Montero, étoile montante du parti Podemos en Espagne; Entrevue avec Antoine Carabinier Lépine et Alain Francoeur du cirque Alfonse pour leur nouveau spectacle Tabarnak; À notre plateau alimentaire:Doit-on encore manger de la viande?; Médias à contre courant, Catherine Mathys nous parle d'Al Jazeera.

Greg is joined again by Jessica Nickel, the CEO and founder of the Addiction Policy Forum. Together, they interview John Wetzel, Secretary of Corrections at the Pennsylvania Department of Corrections. Secretary Wetzel helped found a pilot program that combats substance abuse among inmates through the administration of Vivitrol – a medication that reduces drug cravings and blocks the “high” many users feel while under the influence. Initially implemented at SCI Muncy, a women’s prison, the program has now expanded to 11 other prisons in Pennsylvania.

Dr Nelson's Goal- 50% Reduction in Heroin and Opiate Deaths in 5 Years. Guest Mike Speakman from PALgroup.org. PAL group is a self help group for parents run by parents. Call in to the weekly conference call starting 5-10-17 at 11:15am PST immediately after the show to ask about Addiction Recovery, opiate addiction, heroine addiction, overdose, Naltrexone Pellet, drug treatment, and the avoidance of Vivitrol, Vicodin, Percocet, OxyContin and Fentanyl. 605-475-4262 conference code #91837487

Mike and Chris have a very personal discussion about everything from drinking to dating.

The Vivitrol Pilot Program is the first step to broadening medication-assisted treatment for alcohol and opioid substance abusers. Vivitrol is an injection that is administered to offenders on a voluntary basis to block the feelings of getting drunk or high. Noah returns as co-host with Chris to interview Sherri Sankey, the health unit manager and Keith Jones, a mental health social worker from the Detroit Reentry Center. Julia Hitchingham, the substance abuse services manager also provides an overview of why the department is utilizing Vivitrol.

Monica Richardson interviews Mike Bassett who is featured in the HBO New Documentary Risky Drinking  calling in from ST Thomas. Mike was a radio and TV host in Denver, Colorado. He and his drinking was Documented in this 1 hour feature that addresses drinking as a substance use Disorder. A first ever in a Network show to not just promote AA or 12 step. Moderation Mangement , Harm Reduction , SMART Recovery, Naltrexone, Vivitrol and Antabuse and other options are mentioned .

Monica Richardson interviews Mike Bassett who is featured in the HBO New Documentary Risky Drinking  calling in from ST Thomas. Mike was a radio and TV host in Denver, Colorado. He and his drinking was Documented in this 1 hour feature that addresses drinking as a substance use Disorder. A first ever in a Network show to not just promote AA or 12 step. Moderation Mangement , Harm Reduction , SMART Recovery, Naltrexone, Vivitrol and Antabuse and other options are mentioned .

Jeff Perry is the guest host on this week's "Something More," which focuses on the growing problem of opiate addiction, both here on Cape Cod and throughout the Commonwealth. In the first hour, Jeff is joined by Sheriff Cummings and Jessica Burgess, RN to talk about treatments and the use of Narcan and Vivitrol. In the second hour, Jeff welcomes State Representative Randy Hunt and Patty Mitrokostas of Gosnold to discuss prevention programs. 

On this week’s show Denise interviews Dr. Paul Cassedy, a board certified addiction specialist, about the drug Vivitrol, used in medically assisted addiction treatment.  Dr. Cassedy will answer your questions and the many questions Denise has, about this drug.  Many of you have probably never even heard about Vivitrol.  Denise believes it is important to know as much as … Read more about this episode...

WGBH commentator John Carroll's take on how advertisers market problems for consumer drugs to solve.