Opiate Addiction

Michael Scally MD

Doctor of Medicine
10+ Year Member
FDA approves injectable drug to treat opioid-dependent patients
http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm229109.htm

The U.S. Food and Drug Administration today approved Vivitrol to treat and prevent relapse after patients with opioid dependence have undergone detoxification treatment.

Vivitrol is an extended-release formulation of naltrexone administered by intramuscular injection once a month. Naltrexone works to block opioid receptors in the brain. It blocks the effects of drugs like morphine, heroin, and other opioids. It was approved to treat alcohol dependence in 2006.

“Addiction is a serious problem in this country, and can have devastating effects on individuals who are drug-dependent, and on their family members and society,” said Janet Woodcock, M.D., director of FDA’s Center for Drug Evaluation and Research. “This drug approval represents a significant advancement in addiction treatment."

The safety and efficacy of Vivitrol were studied for six months, comparing Vivitrol treatment to placebo treatment in patients who had completed detoxification and who were no longer physically dependent on opioids. Patients treated with Vivitrol were more likely to stay in treatment and to refrain from using illicit drugs. Thirty-six percent of the Vivitrol-treated patients were able to stay in treatment for the full six months without using drugs, compared with 23 percent in the placebo group.

Patients must not have any opioids in their system when they start taking Vivitrol; otherwise, they may experience withdrawal symptoms from the opioids. Also, patients may be more sensitive to opioids while taking Vivitrol at the time their next scheduled dose is due. If they miss a dose or after treatment with Vivitrol has ended, patients can accidentally overdose if they restart opioid use.

Side effects experienced by those using Vivitrol included nausea, tiredness, headache, dizziness, vomiting, decreased appetite, painful joints, and muscle cramps. Other serious side effects included reactions at the site of the injection, which can be severe and may require surgical intervention, liver damage, allergic reactions such as hives, rashes, swelling of the face, pneumonia, depressed mood, suicide, suicidal thoughts, and suicidal behavior.

Vivitrol should be administered only by a physician as an intramuscular injection, using special administration needles that are provided with the product. Vivitrol should not be injected using any other needle. The recommended dosing regimen is once a month.
 
The half-life of Narcan is an hour or so. Wonder how it is extended so long via IM and what is special about the needle?
 
While the opiates are indeed PHYSICALLY addictive, and thus indicated by the withdrawal, I would like to take the chance to point out the preponderous hippocracy in which we live. I HAVE NEVER MET A DRUG OR ALCOHOL ABUSER THAT IS NOT SELF MEDICATING OR SELF DESTRUCTING DUE TO A PSYCHOLOGICAL ISSUE.!! So the physical withdrawal may reside quickly in the big scheme, but whatever was driving the reason remains. I find it hilarious in the SSRI type infomercials where they talk about depression as a desease, as intent to include everyone. Where do the drugs actually resolve the issues? No Money, Bad marriage, Child died, No job, too fat, getting old, parents mistreated them, etc... the list goes on. WIth narcotics its all the same.

Its one of the biggest lies purpetrated on society of all times. Right there with "Money don't buy happiness".... There are real problems driving these issues, and drugs are just mitigators, or accentuators that only address the symptoms. NO ONE EVEN DARES TO TALK ABOUT THE UNDERLYING PROBLEMS. To do that would be to address REALITY, thus challenging our whole system in every way. And we dont like that now do we.....;) Trickling down to the end...
 
Money doesnt buy happiness but it will sure get you a nice car to ride around looking for it.
Youre right about the root causes. Our society in insane; little wonder it spawns so many people with problems.
 
While the opiates are indeed PHYSICALLY addictive, and thus indicated by the withdrawal, I would like to take the chance to point out the preponderous hippocracy in which we live. I HAVE NEVER MET A DRUG OR ALCOHOL ABUSER THAT IS NOT SELF MEDICATING OR SELF DESTRUCTING DUE TO A PSYCHOLOGICAL ISSUE.!! So the physical withdrawal may reside quickly in the big scheme, but whatever was driving the reason remains. I find it hilarious in the SSRI type infomercials where they talk about depression as a desease, as intent to include everyone. Where do the drugs actually resolve the issues? No Money, Bad marriage, Child died, No job, too fat, getting old, parents mistreated them, etc... the list goes on. WIth narcotics its all the same.

Its one of the biggest lies purpetrated on society of all times. Right there with "Money don't buy happiness".... There are real problems driving these issues, and drugs are just mitigators, or accentuators that only address the symptoms. NO ONE EVEN DARES TO TALK ABOUT THE UNDERLYING PROBLEMS. To do that would be to address REALITY, thus challenging our whole system in every way. And we dont like that now do we.....;) Trickling down to the end...

Well said BBC and I know where you are coming from. Till date, I had come across only one drug (actually, supplement) that addresses the root cause and attempts to quench the craving. For the same reason, this is often used as ADD/ADHD supplement as well. It's an Australian product called Inkephalin.

Talking about happiness, http://www.ted.com/talks/daniel_kahneman_the_riddle_of_experience_vs_memory.html has something interesting to say :)
 
+1 VERY TRUE zkt!

Thanks, mrmorris!


Money doesnt buy happiness but it will sure get you a nice car to ride around looking for it.
Youre right about the root causes. Our society in insane; little wonder it spawns so many people with problems.
 
I think the bottom line is that all across our country people are becoming addicted to these opiate pain killers and just explodes from there, next thing you know your a heroin junkie, and theres is approx a 3% recovery rate with heroin users.

Opiate pain meds are meant for short term use only. It's too bad there are alot of candy man docs out there that shell out the pills, and feed there addiction and makes problems worse and worse, till it's too late.

It's sad!


Thanks, mrmorris!
 
Naltrexone is an opiate receptor blocker. If you have on opiate dependancy it will put you into withdrawl- possibly lethal. Thats why.


Seems more like a relapse treatment since you can't start using it until 7 days after you have quit opiates.
 
New study: 10% of people that fill a prescription for opiates after surgery will become "long-term" opioid users one year later:

News story: Painkiller Prescriptions May Lead to Long-Term Use - ABC News

Study: Arch Intern Med -- Abstract: Long-term Analgesic Use After Low-Risk Surgery: A Retrospective Cohort Study, March 12, 2012, Alam et al. 172 (5): 425

From the folks I know about; its much higher than 10 %. Opiates are in the same boat as the amphetamines bask in the 70`s. Abuse is leading bad press and lessened medical uses. Considering the vast amount of street Rx use and the associated increase in crime; maybe not a bad idea.
 
So wait a minute .... What if the patient has to have an emergency surgical proceedure, or needs pain meds once loaded up with the GLOOOORIOUSSS Crack-Stopper.... Arent the receptors somewhat the same. In fact I know that people with hydor and oxy habits can run up a tab with the surgical anethesiologist....

Further, what is hes just one stubborn beast, or stumbles after cessation from the blocker and then MASSIVE O.D. Really.

I keep telling them the risk are just too high to take that alcohol/barf pill... LOL:p
 
So wait a minute .... What if the patient has to have an emergency surgical proceedure, or needs pain meds once loaded up with the GLOOOORIOUSSS Crack-Stopper.... Arent the receptors somewhat the same. In fact I know that people with hydor and oxy habits can run up a tab with the surgical anethesiologist....

Further, what is hes just one stubborn beast, or stumbles after cessation from the blocker and then MASSIVE O.D. Really.

I keep telling them the risk are just too high to take that alcohol/barf pill... LOL:p


Yep, opiate user, friend of mine just had kidney stone removal procedure. He took a bottle of HC (30). Didnt do a thing for him. LOL tried to telll him - wouldnt listen.
 

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