Update on Pot-related DWI…

Apparently, cannabis testing yields an unacceptable number of false positive results.

No, we don’t want any more new drugs of abuse, thank you, Nevertheless, it appears that we’re getting one.

It’s an opioid, naturally. Synthetic in origin, probably highly addictive, if it doesn’t kill the user first —  which it might very well do.

Its name: cychlorphine. It’s incredibly dangerous. And it’s showing up in the news in stories like this one.

Teen's death sparks warning over opioid stronger than fentanyl
Like fentanyl, cychlorphine is often mixed in with better known substances such as methamphetamine and cocaine, without the user’s knowledge, of course. That just makes it doubly dangerous.
Some of the more interesting characteristics of cychlorphine:


Microscopic amounts can cause rapid and fatal respiratory depression. 
Due to its extreme potency, multiple doses of naloxone are frequently needed to reverse its effects and stop an overdose.
It belongs to the orphine class  of powerful, man-made opioids, as opposed to the...

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A Patch for Prevention?

I can imagine some users — not all, but more than a few — will make use of the patch to facilitate further unaccompanied fentanyl use, confident now that they won’t inadvertently overdose. And being surprised when they did.

A Patch for Prevention?

I can imagine some users — not all, but more than a few — will make use of the patch to facilitate further unaccompanied fentanyl use, confident now that they won’t inadvertently overdose. And being surprised when they did.

Those Troubling OD Statistics

In recent months, samples have been  found with as much as 20% fentanyl content. It’s easy to see how this could increase both the total number of overdoses, and the percentage of victims who did not survive.

An Inside Look at Drug Court

Even today, the estimated cost for keeping someone under drug court supervision is in the range of $2500 to $4000 a year. Compare that to estimates of  $20,000 to as high as $50,000 (in some expensive states), simply to maintain someone in a cell for the same period.

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What We Can Learn from Estonia

...the situation has improved, mostly because of renewed efforts on the demand side. Estonia adopted harm reduction strategies used effectively in other countries,  such as take-home naloxone; ready access to MAT; and efforts to destigmatize drug use and drug users.

The Storytellers

One young man explained that he avoided speaker meetings because the “drunkalogues” he heard triggered in him an awful craving for a drink.

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Rage-baited

From a counseling standpoint, it’s a time when we ought to be advising patients to restrict their social media activity, at the very least to selected forums and sites that support recovery goals

Is This Recovery?

...there are other folks out there like these— pretending to sobriety yet still secretly using, and hoping to avoid the sort of trouble that haunted them in the past.

Officers in the House

...with law enforcement agencies taking on vastly different roles, planning and practicing our response appears more important than in the past.

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A Novel Approach

...the author, who grew up in and around the region, chose to use its earnings to found Higher Ground, a home for recovering women.

A Novel Approach

...the author, who grew up in and around the region, chose to use its earnings to found Higher Ground, a home for recovering women.

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