You'd be surprised. It's definitely being sold on as an opiate to addicts in UK prisons, both from being smuggled in (small, easily concealed, innocuous looking pills) and diversion from maintenance scripts (although I would have thought in a prison environment they would simply stand over you and wait until you swallow, or force you to drink a glass of water, since unlike someone on a treatment program voluntarily there are no issues about personal liberty etc. From what I've heard, the 8mg tablets are crushed into powder, divided into eighths and sold as 1mg doses for snorting (maybe injecting, but works in prison are pretty dodgy...)
Interestingly, although the treatment center I'm with offers both Methadone and Subutex/Suboxone I was never actually given the choice between the two, or informed of the pros and cons of either. I asked, and basically I was put on Methadone treatment because I happened to mention it in one of my admission interviews. No idea if this is policy driven due to pricing or something else?
Actually, I suspect it may just be a lack of training due to low funding levels, poor compensation for staff which leads to high turnover and lower quality. Thanks, NHS.
Wow! This makes slightly less angry about the hoops I had to jump through to get on a treatment program with the NHS in the UK. (Well, the part of it where prescriptions are still free.) At least they don't add to the problem by making you pay to get help...
Yes, technically the tests are to show the opposite - that you are (not) opiate naive. Someone who can pass multiple closely spaced toxicology screens for heroin (i.e. opiates are not detected) is never going to be admitted to one of these maintenance programs due to the incredibly high risk of death by overdose.
It's been known forever that all opiates are addictive, varying only by degree to some extent. At least with Methadone there was the excuse that it was chemically different...
Urban legend. With broken bones and enough injuries to be prescribed an amount of take home opiates that would be worthwhile for an addict, you'd be in hospital fora day or two at least, maybe more. One thing about addiction is that immediate access to the drug is more important than anything else. No addict is going to bother with this sort of thing just to get a dozen or so Codeine pills...
Buprenorphine has been available for as long as oxycontin. Subutex (the trade name) is sold on the street, and is a commonly abused drug in UK prisons currently, usually as fractions of a pill taken nasally.
Really, this patent is nothing to do with the drugs involved - even the idea of adding Naloxone isn't new, this is available as Suboxone, nor is the idea of sub-lingual administration. As far as I can tell what is being patented is administration in a gelatin-film matrix that dissolves very quickly, preventing diversion and resale on the street.
Remember that these drugs are not just handed out as a month's supply of pills like you would get antibiotics. Instead, they are 'supervised delivery' where the user must take the pill in front of a pharmacist. The fear is that if the pill takes 5m to dissolve, then it could be spit out and sold on once the pharmacy or treatment center has been left, so dissolving in seconds prevents this. Personally, I'm not convinced this is a problem except perhaps in prisons (see above) but then I'm also not convinced the idea is patentable...
On the methadone program I'm on, before they could start the treatment, I had to take multiple toxicology screens to show I was addicted to heroin. These places are incredibly worried about opiate-naive individuals overdosing, which can happen even with the small initial doses on these programs. Note that this is in the UK, which has a much less litigious medical culture USA as well...
Not to cast aspersions on your friend, but have you considered that he may be lying to you about only using recreationally, and using this story to explain why he's on a treatment program? One thing about heroin is that it's pretty much impossible to use regularly without becoming addicted. As a heroin addict myself I know that unfortunately deception can easily become a normal part of your life.
this is exactly why it took me so long to get help for my heroin problem. i'm a senior software engineer, but if i admitted to my addiction at work, the stigma and ostracism from people like you would be awful. fortunately i am now in a methadone program, due to a manager much more open minded than this...
This is a little disingenuous, without further elucidation. As far as the statistic you have quoted is concerned, it tells us nothing about how dangerous cocaine is. We need to know how many out of the total population of cocaine users experience chest pain, how many of them go to an ER, and then how many of those (who in total make up 1/3 of ER presentations with chest pain) are further diagnosed with some actual serious problem...
if we don't know what the outcome of these ER visits are, then it could well be that for some tiny percentage of cocaine users there is a side effect that causes the perception of chest pain, which disappears with no ill effects after a few hours. or, maybe, this represents almost all cocaine users - 90% of them experience severe enough chest pain to warrant an ER visit, all of whom are pronounced dead withing minutes of arrival.
annoyingly, the website you linked to which details this singular datum, does nothing to clarify as to what the truth of the matter is. it certainly doesn't appear to be "advancing addiction science" in any useful way...
> [heroin's] effects are fundamentally incompatible with the "head space" geeks need to be in 24x7 to be even remotely capable of doing the work they do.
> It's difficult for me to imagine downers or opiates being at all compatible with technical work
> Meth, crack and heroin are hugely frowned upon, it's a failure to be a user of these
it depends. as a heroin addict, I need the heroin (well, methadone now, as well) to be physically and mentally well enough to work. without them, i'd be a wreck. now, if i took a large shot of heroin, i'd nod out and couldn't work, but i have had a morning injection every day for years to get going. of course, i do feel like heroin has made me slightly less intelligent, i guess the equivalent of ~10+ iq points lost, maybe. but i can certainly produce good quality technical work, and have been recognised for this by peers, so it's possible, just not advisable ;) and of course, i'm selling myself short, since i'm probably capable of much more or better, at least i hope i will be once i am properly clean - maybe this year will be the one?
interestingly, i've not met any other heroin using it professionals in real life, but probably for the obvious reason they don't want to make it known. i could probably tell if i checked, e.g. pinned, tiny pupils, that sort of thing, but i'm just not looking for it in the work environment. a consequence of trying to blend in is that it imposes a high cognitive load that takes away from other thinking i might be doing - i generally have to lie about non-work activities or be vague and non-committal, and so on.
so, you can browse my comment history [0] for more detail, but here's the gist:
- heroin addict for ~20 years, smoking and iv injecting, plus crack cocaine
- senior software engineer at startup, contributing to open source and speaking at conferences and meetups
- now trying to quit, using methadone replacement provided by uk national health service
my work situation helped by very supportive boss who knows about my problem, and encouraged me to take steps to fix it when he saw my work was suffering (time management for things other than 'obtaining heroin' often suffers as a heroin addict) but not told anyone else.
there was a bad situation at a previous job where i had good health insurance that enabled me to enter a private rapid detox program (then naltrexone implants to stop opiates having any effect for the next six months, plus CBT/counselling) but then my immediate manager got me fired essentially for completely arbitrary and made up reasons, but i was unable to do anything about that due to not wanting anyone else to know i was an addict.
various interesting things happened to me while travelling to conferences or remote customer offices, often in other countries. it's actually fairly easy to buy heroin on the street anywhere in the world, it turns out, even without speaking the language.
if you'd like more information, feel free to ask me anything and i'll try and reply if i can.
This is odd to me - how would a four year old develop a fear of needles? At worst they're an instantaneous sharp pain that lasts milliseconds, most of the time they aren't even felt...
Indeed. The bio-availability from 'chasing the dragon' on tin-foil is something like 50% or even less, although in the UK at least powdered heroin is adulterated with things like caffeine (which causes heroin to vaporize at a lower temperature) to make smoking more effective. Obviously IV injecting gives 100% bio-availability, though.
Like 'skellera says in the sibling comment, heroin is an incredible time-sink. The methadone programme I am on (provided free by the UK NHS) is something that will let me gradually reduce the amount of heroin I'm taking, and eventually yes, get clean. After a couple on months in, I'm down to ~25% of what I was taking daily before, and that should reduce further to zero over time.
A methadone maintenance program will gradually increase the amount of methadone prescribed, while the user reduces the amount of heroin they take, until the user is 'stable' and no longer using heroin. After that I certainly would like to then stop taking methadone too, but in some cases the maintenance can continue indefinitely and it would still be considered a net positive outcome...
Heh, heroin does cost about that much, same for methadone, at least in the UK. I can get 100ml of 1mg/ml methadone for GBP 10 which will keep me stable for a day or two; a GBP 10 (i.e. 'tenner bag' or 0.2g) of heroin is enough for a single IV shot for many users. Of course, depending on your tolerance, that may well not be enough, but my point is that 'legal' heroin would probably be much cheaper than current 'street' prices. I'm not sure how cannabis prices have varied in places where it's legal in the US, though - do taxes bring the price back to parity with the old 'street' level? I'm guessing it's going to be complicated by the fact that it's still illegal in other states?
The point of medical heroin, or other harm reduction programs, is to allow people to get on with their actual life without the all consuming addiction being front and centre all the time. I'm currently on a methadone program in the UK (there aren't any heroin based programmes as far as I know here) and it lets me keep up my job as a software engineer without daily worries about having to make sure I can score and not be 'sick' (i.e. withdrawing) and unable to work or go to the office. A heroin prescription would accomplish the same thing for me, and for people in a worse situation - perhaps unemployed or homeless - it would mean even more, since they could devote their energy to rebuilding their life.
Personally, I don't really need a safe injecting space - I own my own home and have a pretty stable lifestyle, but again, I can see how for other addicts it would be incredibly helpful. Again and again, as seen in other comments, it can be seen how despite objections these places provide an objective positive benefit to society.
Indeed, it's entirely possible for people to take heroin at the weekends or similar, and put it down without problems, and I know several friends who do it irregularly without getting addicted - although only smoking, I've never heard of anyone injecting IV heroin who wasn't an addict...
Interesting. This is very similar to my story, I use heroin for much the same reasons as you describe, but I've only started on the recovery phase. Now I'm a little worried about what might happen once I finally move onto methadone for good ;(
Interestingly, although the treatment center I'm with offers both Methadone and Subutex/Suboxone I was never actually given the choice between the two, or informed of the pros and cons of either. I asked, and basically I was put on Methadone treatment because I happened to mention it in one of my admission interviews. No idea if this is policy driven due to pricing or something else?
Actually, I suspect it may just be a lack of training due to low funding levels, poor compensation for staff which leads to high turnover and lower quality. Thanks, NHS.