Saturday, April 15, 2017

Chasing the Dragon - America's Struggle With Opioid Addiction

Chasing the Dragon - America's Struggle With Opioid Addiction



 

Chasing the Dragon — America’s Struggle With Opioid Addiction

April 15, 2017 | 134,688 views

Parental Discretion Advisory: Film contains harsh language and disturbing images of drug abuse. 

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Story at-a-glance-

  • The documentary “Chasing the Dragon” reveals the troubling reality of Americans caught in the clutches of drug abuse, particularly prescribed opioids such as OxyContin and Vicodin, as well as street drugs like heroin
  • In 2015, 52,404 Americans died from drug overdoses; 33,091 of them involved an opioid and nearly one-third of them, 15,281, were by prescription
  • Opiates such as fentanyl, hydrocodone, morphine and oxycodone kill more Americans each year than car crashes or gun violence
By Dr. Mercola
If you or someone you know is hooked on prescription drugs such as Oxycontin and Vicodin, or street drugs like heroin, you'll connect with "Chasing the Dragon," a raw 2016 documentary about the horrors of drug addiction.
Produced by the U.S. Federal Bureau of Investigation (FBI), the film features ordinary Americans sharing personal stories of danger and destruction that characterized their lives prior to recovery from hard-core drug addiction.
Because the documentary is filled with harsh language and disturbing images, parental discretion is advised.
In 2015, 52,404 Americans died from drug overdoses; 33,091 of them involved an opioid and nearly one third of them, 15,281, were by prescription.1,2,3 Meanwhile, kidney disease, listed as the 9th leading cause of death on the CDC's top 10 list, killed 48,146.4
The CDC does not include drug overdoses on this list, but if you did, drug overdoses (63 percent of which are opioids), would replace kidney disease as the 9th leading cause of death as of 2015.
Many of those featured in "Chasing the Dragon" are regular people from good homes and loving families. The one characteristic they had in common while using was a feeling of powerlessness to escape the spiraling cycle of drug use and abuse that dominated every moment of their lives.
One recovering addict, a woman named Melissa, had this to say about her drug use: "It became my full-time job. The needle was my boss — a very demanding boss."
To prevent you or someone you love from becoming addicted to prescription painkillers, I'd like to take a closer look at opioid abuse and offer several healthy alternatives to help you manage pain.

How Bad Is Prescription Drug Abuse in the US?

A 2015 study5 suggested 1 in 4 Americans who use opioid painkillers become addicted to them. Despite the drugs' high risk of addiction, a 2016 NPR health poll6 indicated less than one-third of people said they questioned or refused their doctor's prescription for opioids.
Dr. Leana Wen, emergency physician and health commissioner for the city of Baltimore, recommends you discuss with your doctor any concerns you may have about receiving a prescription for narcotics.
Due to their highly addictive potential, it's important, she says, to ensure such drugs are your best and only option:7
"Ask why. Often other alternatives, like not [taking] anything at all, taking an ibuprofen or Tylenol, physical therapy or something else can be effective. Asking 'why' is something every patient and provider should do."
Wen's concerns are well placed. According to the U.S. Centers for Disease Control and Prevention (CDC),8 2 million Americans abused or were dependent on opioids in 2014.
On average, more than 1,000 of them land in emergency rooms every day as the result of abuse or misuse of prescription painkillers.
"There's very little difference between oxycodone, morphine and heroin," says Dr. Deeni Bassam, board-certified anesthesiologist, pain specialist and medical director of the Virginia-based Spine Care Center. "It's just that one comes in a prescription bottle and another one comes in a plastic bag."9
Bassam, whose views on drug addiction are presented throughout "Chasing the Dragon," believes most drug dependency starts innocuously:10
"A friend offers you something at a party or at home. Or you're having a bad day, and you need something to pick you up, so somebody hands you a pill and says, 'Here, this will help you feel better.' That's how this problem always starts."
Deborah Taylor, senior vice president and executive director of Phoenix House Mid-Atlantic, a nonprofit drug and alcohol rehabilitation organization operating in 10 U.S. states, notes:11
"The progression of addiction and the behavior that comes with it is pretty standard regardless of where you're born, how much money you have, how old you are and your race or nationality.
You can be the smartest person in the world — and the minute that chemical hits your bloodstream, you lose control of what it does in your body. You can't control it. Nobody can control it. I don't care who you are. It's not controllable."

From Prescription Opioids to Street Drugs

The transition from prescription opioids to street drugs like heroin is a relatively easy one. When a prescription runs out, the cost to renew it becomes unmanageable or a physician refuses to renew a prescription, many addicts look for other options.
Heroin, which is often cheaper and easier to obtain than opioids, is a popular alternative. Chemically, the drugs are very similar and provide a similar kind of high. Without additives, heroin is as dangerous as Oxycontin and equally addictive. However, when dealers cut heroin with other drugs, the results can be deadly.
According to the Chicago Tribune,12 in just six days during August 2016, a staggering 174 heroin overdoses took place in Cincinnati, Ohio, a city that records, on average, 20 to 25 overdoses a week.
The Tribune13 claims the unprecedented number of overdoses was precipitated by heroin cut with carfentanil, a drug originally developed as a tranquilizer for large animals such as elephants. Cut into heroin, it was meant to deliver a stronger and more extended high, which would presumably keep users coming back to buy more.
Instead, it resulted in a string of overdoses and deaths that left law enforcement begging local citizens to not buy heroin until the ultra-potent batch was off the streets. Their advice made sense considering carfentanil is 10,000 to 100,000 times stronger than morphine.
About the overdoses, Newtown police chief Tom Synan, who is also leader of the law enforcement task force for the Hamilton County Heroin Coalition, said:14
"[Dealers] are intentionally putting in drugs they know can kill someone. The benefit for them is if the user survives it is such a powerful high for them, they tend to come back …
If one or two people die, they could care less. They know the supply is so big right now that if you lose some customers, in their eyes there's always more in line."

Treating Your Pain Without Drugs

Prior to leaving office in January 2017, U.S. Food and Drug Administration (FDA) commissioner Dr. Robert Califf addressed the devastating effects of opioid misuse, suggesting it's time to find better ways to treat pain:15
"The public-health crisis of opioid misuse, addiction and overdose is one of the most challenging issues [the FDA] has faced during my time as commissioner. Solving this issue is critical to our future.
It's time to put more resources into the development of non-opioid, non-addictive medications to help people who are in serious, debilitating pain. We need more research to define the most effective non-medication approaches to pain, and how to deliver them …"
Califf is right; we do need better ways to manage pain. Fortunately, many natural alternatives already exist. While not everyone who takes a prescription opioid will wind up an addict, the risk is real. For that reason, I strongly recommend exhausting the many natural alternatives before you resort to an opioid pain reliever. The health risks associated with those drugs are great, and addiction and overdose happen far more often than you may realize.
It's particularly important for you to avoid opioids when trying to address long-term chronic pain, as your body will create a tolerance to the drug. Over time, you'll require greater doses at more frequent intervals to achieve the same pain relief. This is a recipe for disaster and could have lethal consequences. Please don't risk it!
Due to the many concerns around addiction and tolerance, opioids clearly have not lived up to the promises manufacturers have made. With so much focus on pharmaceutical remedies, you may not be aware of the many healthy alternatives to pain relief. Following is information about non-drug remedies, dietary changes and bodywork interventions that can help you manage your pain.

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How to increase the absorption of curcumin from intestine? or what are the factors affecting the absrption of curcumin?

How to increase the absorption of curcumin from intestine? or what are the factors affecting the absrption of curcumin?: Anju Dhiman � Maharshi Dayanand University
By making its complex with suitable lipid (lipid based drug delivery), definitely we can enhance its absorption and thereby bioavailability in the intestine.
May 4, 2012 � Recommend1 Recommendation

B.k Chakravarthy � CAPIC LABORATORIES P.LTD (INDIA)
Yes agree with Dr.Afridi ...
You may try with PIPERINE... or crude extract of Piper nigram/ Piper longum.... Piperine is a known enhancer of Bio-availability of many compounds alternately one can try mixing DCP and make small pills .
May 9, 2012 � Recommend2 Recommendations

Avinash Kadam � Rasayani Biologics Pvt. Ltd
You can either add bio availability enhancers or use nanoparticle technology like encapsulation in liposome. Addition of bio availability enhancers seems to be a better options as mentioned by others in this discussion. Rather than adding only piperin you can try for combination of gingerol and piperin ,which has showed to be superior to piperin alone.
May 9, 2012 � Recommend4 Recommendations

Rodica Rusu � national asociation of medical herbalists from Romania
The absorbtion can be increased too by using bromelain , extracts from the stems of pineapples.
May 11, 2012 � Recommend1 Recommendation

Sanjeev Heroor � HKES college of pharmacy, Kalaburagi (Gulbarga), Karnataka, India
Ayurvedic physicians give piper with every medication to increase the absorption. So piperine can be given along with curcumin, which acts as bio-availability enhancer.
May 17, 2012 � Recommend

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