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Friday, January 4, 2013

ATOD Weekly Recap - Week-ending January 4th


Studying Marijuana and Its Loftier Purpose

Among the rows of plants growing at a government-approved medical marijuana farm in the Galilee hills in northern Israel, one strain is said to have the strongest psychoactive effect of any cannabis in the world. Another, rich in anti-inflammatory properties, will not get you high at all.  Marijuana is illegal in Israel, but farms like this one, at a secret location near the city of Safed, are at the cutting edge of the debate on the legality, benefits and risks of medicinal cannabis. Its staff members wear white lab coats, its growing facilities are fitted with state-of-the-art equipment for controlling light and humidity, and its grounds are protected by security cameras and guards.  But in addition to the high-tech atmosphere, there is a spiritual one. The plantation, Israel’s largest and most established medical marijuana farm — and now a thriving commercial enterprise — is imbued with a higher sense of purpose, reflected by the aura of Safed, an age-old center of Jewish mysticism, as well as by its name, Tikkun Olam, a reference to the Jewish concept of repairing or healing the world.  There is an on-site synagogue in a trailer, a sweet aroma of freshly harvested cannabis that infuses the atmosphere and, halfway up a wooded hillside overlooking the farm, a blue-domed tomb of a rabbinic sage and his wife.  In the United States, medical marijuana programs exist in 18 states but remain illegal under federal law. In Israel, the law defines marijuana as an illegal and dangerous drug, and there is still no legislation regulating its use for medicinal purposes. The rest of the article is available here.




Opioid-Overdose Antidote Can Save Lives and Money, Study Concludes

The opioid-overdose antidote naloxone can save lives and money when distributed to heroin users, a new study finds. Researchers at the San Francisco Department of Public Health concluded that one death may be prevented for every 164 naloxone injection kits given to heroin users, Reuters reports. They estimate the kits would cost approximately $400 for every year of healthy life gained. Rest of the article is available here.




Drug Companies Want Ban on Generic Painkillers, Arguing Safety is at Stake

Drug companies that manufacture the painkillers OxyContin and Opana are trying to block generic drug makers’ efforts to produce cheaper versions of the drugs. They argue these newer drugs will not have the tamper-resistant designs used in making the brand-name pills, according to The New York Times. Generic versions of the two painkillers are expected to be significantly less expensive than the brand-name drugs. Read the rest of the story here.




Energy Drinks Provide Little or No Benefit, Experts Say

Energy drinks, under investigation by the Food and Drug Administration (FDA) after reports of deaths and serious injuries, offer little or no benefit to consumers, experts say. According to The New York Times, energy drinks sales topped more than $10 billion in 2012 in the United States. While the companies that make the drinks advertise their products as providing a mental and physical edge, a cup of coffee has the same effect, experts told the newspaper. The drinks, such as Red Bull, Monster Energy and Rockstar Energy, claim the drinks are specially engineered. U.S. Representative Edward Markey of Massachusetts has asked the federal government to investigate the industry’s marketing claims. “These are caffeine delivery systems,” Dr. Roland Griffiths of Johns Hopkins University, who has studied energy drinks, told the newspaper. “They don’t want to say this is equivalent to a NoDoz because that is not a very sexy sales message.” In 2011, the Substance Abuse and Mental Health Services Administration issued a report that found a sharp rise in the number of emergency department visits linked with the use of non-alcohol energy drinks, from 1,128 visits in 2005, to 13,114 in 2009. The report noted that energy drinks are marketed to appeal to youth, and are consumed by up to half of children, teenagers and young adults. The FDA said it has not established a connection between energy drinks and the reported deaths. The FDA can regulate caffeine levels in soft drinks. The limit in a 12-ounce soda is about 71 milligrams. The caffeine levels in most energy drinks exceed that level, because they are labeled dietary supplements.




Addiction on the Streets: Frequently Asked Questions

This post is part of a collaborative narrative series composed of my writing and Chris Arnade’s photos exploring issues of addiction, poverty and prostitution in Hunts Point, Bronx. For more on the series, look here.
I’ve become more tied to street-level addiction in 2012, and I often get many queries in life and in email– some good, insightful questions, some woefully uninformed and some offensive. It’s odd for one’s thoughts and time to be dedicated to something so out of the mainstream, so here’s my attempt at answering. Click here to read the rest of Chris’ blog.




Pill Mills & The Endless Game of Whac-A-Mole

I was troubled, but not surprised to read that the crackdown on ‘pill mills’ in my state of Florida has set off a boom in Georgia.  Now that Florida has established tougher regulations, ‘pill mill’ operators are simply opening businesses elsewhere—and taking customers with them.  As Ohio Senator Sherrod Brown put it, efforts to shut down sham pain clinics have “become like a game of Whac-A-Mole—as soon as one disappears, another one pops up.” Rest of the story is available here.




A lifeline for parents concerned about a child's mental health

NAMI is a valuable resource for parents searching for help in a labyrinthine and bewildering mental health care system.

Lynn Goodloe saw her son's grades begin to fall as he developed a knack for getting into mischief at a private Westside high school. Was it a phase, drugs or something more troubling? Harold Turner didn't know what to make of his daughter's disorganized thinking and erratic behavior at Loyola Marymount University. Was her high level of stress typical of the college experience, or was something wrong? "Being a teenager is by definition a crazy time," said Turner, so it can be hard for parents to know whether to be patient or persistent. The eventual diagnosis for Goodloe's son and Turner's daughter was severe mental illness, and both are now in treatment. And for the past several years, Goodloe and Turner have devoted themselves to helping others identify mental health problems and begin the daunting task of figuring out how to get help. Click here to read the rest of the story.




Alcohol detecting technology could save 10,000 a year from drunk-driving death

Scientists outside Boston are developing a technology that could bring drunk driving to a halt.

The federal government and the 16 major automobile makers are funding QinetiQ North America's $10 million Driver Alcohol Detection System for Safety (DADSS) project.
"This is the single best opportunity we have to prevent 10,000 people from dying a year - the equivalent of the seat belt of our generation," project leader Bud Zaouck told CBS This Morning.  The breath-based approach, called distant spectrometry, would detect the alcohol on a driver's breath before allowing that person to operate the car.

The researchers have narrowed down the solution to two technologies - one breath-based, the other touch-based - that evaluate a person's blood alcohol content.  Both approaches will require the driver to pass a sobriety test before starting a vehicle. One is a sensor mounted close to the steering wheel that assesses whether the driver's breath is above the U.S. legal limit of 0.08.  The other is a start and stop button that will gauge each driver's alcohol level with infrared light sent into the fingertip. The sensor will also detect whether someone from the passenger seat is leaning over to press the button, Zaouck said. The touch-based approach, called tissue spectrometry, would estimate a driver's alcohol level when he or she presses the vehicle's start-stop button.

The American Beverage Institute (ABI), however, strongly opposes placing alcohol detectors in all cars. The institute, which represents more than 8,000 U.S. restaurants, claims to be worried that even if the technology is accurate over 99.9 percent of the time, it could still result in preventing thousands of sober drivers from operating their vehicles.  "DADSS supporters claim the alcohol detectors would be voluntary and set at 0.08," said Sarah Longwell, managing director of ABI, "but there is a growing mountain of evidence showing that their true goal is to put alcohol-sensing technology in all cars as original equipment, set well below the 0.08 level."  The DADSS project started in 2008 but the organization says that the technology will not be implemented for about eight to 10 years.






Do alcohol and marijuana mix? Colorado is about to find out

In the debate over what marijuana legalization means for Colorado, the best drug-policy brains in the nation say there is one question getting short shrift: If people can more easily toke, does that mean they will drink less? It is, for now, a question without an answer. But what that answer is, the experts say, will be a big factor in determining whether marijuana legalization is worth it. Read more: Do alcohol and marijuana mix? Colorado is about to find out - The Denver Post http://www.denverpost.com/news/marijuana/ci_22300820/do-alcohol-and-marijuana-mix-colorado-is-about#ixzz2Gv3vKjOl




DEA Proposes New Regulations to Dispose of Unwanted Prescription Drugs

The Drug Enforcement Administration (DEA) has proposed new regulations to give the public more options for disposing of unwanted prescription drugs, such as painkillers and sedatives. The new rules are designed to reduce the amount of highly abused prescription drugs on the streets, the Orlando Sentinel reports. The DEA wants law enforcement agencies and pharmacies to maintain collection boxes for certain medications. The agency also recommends implementing mail-back programs to safely dispose of the drugs. Under the proposed rules, for the first time, groups outside of law enforcement would be allowed to collect unused drugs for disposal, the article notes. According to a DEA news release, the proposal would allow authorized retail pharmacies to voluntarily maintain collection boxes at long-term care facilities. The DEA also calls for continued use of prescription drug “take-back” events. The public can comment on the proposed regulations until February 19. Congress subsequently will vote on the measure.





Anonymity Of Addiction Hurts More Than It Helps

I often wished that state legislators who knew the most about addiction would band together and speak out as one during budget debates. Who better to advocate for treatment and chip away at public denial than the recovering alcoholics I knew who were also members of the General Assembly? Yet the answer was as close as my nearest mirror. Despite being a journalist and writing opinion for years, I was no more likely to publish a column about my own 20-plus years' recovery from alcoholism than lawmakers were prepared to out themselves on the floor of the legislature. Whether springing from shame or shyness, my decision not to write about my addiction was a mistake. The same goes for most of my 20 million-plus fellow citizens who are in sustained recovery from addiction. Rest of the article is available here.




Study: No Added Benefit From Cognitive Behavioral Therapy for Opioid Dependence

People who are dependent on opioids and are being treated with buprenorphine do not receive additional benefit from cognitive behavioral therapy, a new study finds. The study could change how opioid dependence is viewed and treated, according to MedicalXpress. Buprenorphine is the most commonly prescribed drug of its kind to treat opioid dependence, the article notes. Cognitive behavioral therapy is used to treat many psychiatric conditions and substance use disorders. The researchers from Yale University studied 141 people with opioid dependence. They were divided into two groups. One group received buprenorphine treatment alone, and the second group received the drug treatment plus cognitive behavioral therapy. Both treatments were similarly effective. Patients in both groups had a significant reduction in self-reported frequency of opioid use. Those receiving cognitive behavioral therapy did not have a greater reduction in use than those receiving buprenorphine treatment alone. The findings appear in the American Journal of Medicine. “This study demonstrates that some patients can do very well with buprenorphine and minimal physician support,” lead author Dr. David A. Fiellin noted in a news release. “This treatment represents an important tool to help reduce the adverse impact of addiction, HIV, and overdose due to heroin and prescription opioids.”




Privacy factors contribute to success of online treatment program

The co-founders of the online treatment program Lionrock Recovery knew about addiction (from family experience) and knew about technology (they routinely used videoconferencing in their previous lines of work) as they embarked on their new venture. What they didn’t quite anticipate was the mechanism by which the marriage of treatment and technology could have such a great impact on individuals for whom conventional care might prove ineffective. What Peter K. Loeb and Iain D. Crabb originally envisioned as an addiction treatment alternative emphasizing convenience has developed more as an option guaranteeing privacy. Loeb, Lionrock’s president and CEO, says the confidential nature of Lionrock’s services has been the attraction for numerous individuals, such as the woman in her 60s who said, “If my daughter found out I was in treatment, I would never get to see my grandchild again.” “We focus on being a safe haven,” says Loeb, who with Crabb launched Lionrock about a year ago. Read the rest of the story here.


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