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Archive for the ‘Addiction’ Category

New Regulations on Codeine

Sunday, September 5th, 2010

Cries of ‘nanny state!’ greet the new regulations on the sale of codeine this week, echoing the response of many to the smoking ban when it was introduced. We got used to that pretty quickly though; those who wanted to smoke kept smoking, and those who didn’t now had the choice to be surrounded by smoke or not (hurray!). We will probably get used to these new codeine regulations just as quickly – because if you are not abusing codeine, you will not have any problems in accessing it.

Most of us know that codeine, morphine and heroin all come from opium, and have similar effects on the body. We know that codeine and morphine are useful medicines when used properly, and we might even know that heroin was once widely used for medicinal purposes without people becoming addicted to it.

Addiction to legal drugs has become a huge problem in Ireland. Whether it’s valium, xanax, dalmane, solpadeine, codinex, methadone or cough syrup, some people depend on their prescribed or self-prescribed medication to get through the day, reaching for it first thing in the morning and topping up throughout the day.  There is often a mistaken belief that if it’s not illegal, it can’t be harmful. In fact, sometimes it’s harder to admit to being dependent on a legal drug because so many people use them without problems (although in reality, the same is true for many illegal drugs – see reference below) and help is less readily available.

The intentions behind the new regulation seem to be raising awareness of the nature and strength of codeine-based products, and to spot and maybe intervene with people who may be dependent, or becoming dependent on over-the-counter drugs. Any pharmacist will tell you that they recognise regular codeine-consumers, and they are aware that some shop around to sustain their dependencies. At least now they may be able to open discussions on what a person really needs – pain relief – or help.

No drug is inherently addictive. People become dependent on drugs because of what the drugs do for them. Escape, pleasure, numbness, stimulation – that’s what drug-dependent people are looking for – the drug is just the vehicle to get them there.

For more information on addiction and situation see: http://www.parl.gc.ca/37/1/parlbus/commbus/senate/com-e/ille-e/presentation-e/alexender-e.htm or our earlier posts ‘rat park’ and ‘addiction and stimulation’.

For help with dependence on any kind of drug, contact your GP or a qualified counsellor or psychotherapist. You will be taken seriously. Help is available.

Note: potential side effects of codeine include constipation, sedation, nausea, headache, dizziness, itch, vertigo, dry mouth, vomiting, confusion, urinary retention, tolerance and dependence.

ADDICTION AND STIMULATION

Monday, August 9th, 2010

There are many varied and interesting concepts and theories to explain the causes and nature of addiction.  I often think that addiction is a word that is bandied about and over used in our society today.  Do we really understand what it’s all about and what we are trying to grapple with?

When I think of the word addiction I think of chemicals, drugs, alcohol, energy, buzz, escape, euphoria, unreality, life force, intense experience and connection.  We tend to look to the obvious causes like environment and family background, genetics etc to form our opinions and theories.

In my view addiction is borne out of a need that at times is very simple or a need driven by unconscious aspects of a human being.  This could be a need for an experience to either enhance or escape the emotional and psychological world of the person.  Where does this need start or is it a hurt that has not been addressed?

Leaving these questions aside and thinking then of stimulation. When babies are born they are full of life and at the same time utterly dependent on others for their life.   They come into the world usually with all their senses intact.  They are ripe for development and growth.  The first moments of birth catapult them into a world that is full of stimulation both artificial and natural.  They can also come into contact with repetitive emotional deadness and an absence of healthy communication.  Babies need lots of care, both emotional and physical.  Their very basic needs like hunger and thirst and a need for warmth and shelter are paramount.  However side-by-side and almost as immediate is their need for emotional bonding, attachment and connection.

This continues right through the first year and up to five years of age with needs changing and adjusting over those years.  In my view the thing that really encourages healthy development in a child is the capacity of the parents to interact, to look at and to play with, to hold, to hug, to talk to their child and to be able to do this consistently.    Also to be able to manage the demand of that.  This can be a challenge especially if parents got very little stimulation or interaction themselves in their early lives.  Or if the only stimulation was the intensity of someone’s anger and the violence and aggression that can come with that.   

It strikes me that if a young child grows up to be a young teenager and has not had natural and consistent loving stimulation – they are left with a lack or deadness or a need for the intense experience of stimulation and connection.  At this point enter drugs, alcohol  – substances, which can literally at that time bring a young boy or girl into that excitement, intensity and feeling of connection with themselves and with life.

There may be other factors as well that bring this about and one thing you can never do with addiction is to be dogmatic or too rigid about what leads to difficulties in peoples lives.  Some children miss out on the stimulation of development but find other avenues growing up to experience that without becoming addicted. However there is an emotional component to most of these experiences that they seek out.

When a person looks to a chemical or a substance to activate that need for stimulation on a very regular basis – the danger is that it leaves them unable to manage any emotional blankness or boredom inside him or herself.  Paradoxically when we spend all our time in pursuit of stimulation, we end up running our healthy need for stimulation way past what suits our bodies and hearts and we are literally spun out of control!

They key is to learn what is needed to energise and activate our own inner capacity for life and we can do that through learning how to live without chemicals. We can learn to reengage with our emotions, our minds and our creativity so that some expression can be given to our inner world.  We may also need to make some practical changes.

So when you think about yourself today and your life.  Ask yourself are you getting enough stimulation either through your work, the people in your life or the place where you live.  Does your diet deaden you or stimulate you? Do you have a healthy respect for chemical stimulation in your life as in alcohol, medication, drugs, caffeine etc?  Or do you still rely on those forms of stimulation to cover up the lack of what you really want energy and life from?   And as a result are your boredom and your apathy increasing?

Coming soon; ‘The Pharm’ a film by Sankalpa

Monday, June 28th, 2010

‘The Pharm’ is a short film that explores the problem of Valium addiction in Finglas, Dublin.  The Pharm is currently in post production!  Keep an eye on www.sankalpa.ie for details of up coming viewings.  If you are worried about your dependency on Valium please consult your GP.

The History of Valium Use

Introduced in 1963, Valium became one of the most widely prescribed tranquilizers over the next 10 years.

Valium had certain benefits over other competitor’s tranquilizers. While all of them worked on the limbic system, the part of the brain that regulates emotions, Valium was less bitter in taste, could be formulated in smaller doses, and provided relief without the expected side effect of drowsiness. Part of Valium’s appeal lay in the belief that it was non-addictive and, unlike other tranquilizers, was almost impossible to be taken in a lethal dose by a suicidal person.

By 1974, Valium represented 81 percent of the tranquilizer market in the United States. However, at this same time, the media presented what they considered rampant abuse of Valium, stating that only about 10 percent of prescriptions for Valium written in 1974 came from mental health professionals and 60 percent to 70 percent of Valium prescriptions came from the family doctor, gynecologists and pediatricians. The media also noted that a disproportionate number of prescriptions were given to women over 30 to control so-called “free-floating” anxiety.

In 1975 when tranquilizer usage in the United States reached its highest level, Valium also began to appear as an illegal “street” drug and became integrated in the American culture through movies and plays. Celebrity usage became apparent when an autopsy report found Valium in Elvis Presley’s system when he died in 1977.

In 1979, awareness was raised again through coverage of the Senate subcommittee hearings during which several well-regarded physicians testified on the dangers of Valium. The Food and Drug Administration forced Hoffman-LaRoche, the manufacturer of Valium, to include the caveat in its medical-journal advertisements for Valium as well as in the information provided to physicians stating that “anxiety or tension associated with the stress of everyday life usually does not require treatment with an anxiolytic drug.” This warning went into effect in the summer of 1980.

A 1981 report stated a possible link between Valium use and the rapid growth of cancer cells which had a greater impact on the drug’s popularity with the general public than the subcommittee meetings. However, a research study completed in 2005 showed that over 60 million prescriptions for Valium were written by American doctors and that 1.8 million Americans abused tranquilizers.

For more informaiton see: http://www.valiumaddictionhelp.com

Study: heroin better than methadone to kick habit

Wednesday, June 2nd, 2010

Some heroin addicts who got the drug under medical supervision had a better chance of kicking the habit than those who got methadone, a new study says.

In a British study of 127 people who previously failed to beat their addiction, scientists gave them either injectable heroin or methadone. After six months, those who got heroin were much less likely to continue taking the drug illegally than those who got methadone. The results were published Friday in the British medical journal, Lancet (The Lancet, Volume 375, Issue 9729, Pages 1885 – 1895, 29 May 2010).

Methadone has been used for decades to treat heroin addicts, but only Britain and Switzerland prescribe heroin for some addicts as part of rehabilitation programs.

In 2008, Britain proposed using heroin to treat some addicts on a national level, beyond the few clinics where it was available. Government officials were waiting for the results of this trial, which some say provides the necessary evidence to roll out the strategy widely.

“Treatment with supervised injectable heroin seems to be our best option,” said Roy Roberton, of the department of community health sciences at Edinburgh University, in a statement. He was not linked to the study.

While most addicts get methadone, heroin could be used for people in whom the heroin substitute doesn’t work. “This is a treatment of last resort,” said John Strang of the National Addiction Center and the Institute of Psychiatry at King’s College London, the paper’s lead author.

“The alternative is cheaper treatments that deliver no benefits, or prison, which is three times as expensive,” he said.

Politics has often complicated treatment for drug addiction, as critics worry about government programs giving addicts a pure form of heroin. Similar trials to test heroin injection were proposed in the U.S., France and Belgium, but none have conducted a trial.

“This state of affairs is sad because other medical specialties commonly embrace (other) therapies,’”‘ wrote Thomas Kerr of St. Paul’s Hospital in Vancouver, Canada, and colleagues in an accompanying commentary. They said denying effective treatments like heroin injection to people in need was “unethical.”

For a more in-depth look at the arguments for and against prescribing heroin click here.

Rat Park – an experiment in addiction

Tuesday, May 4th, 2010

In 1981 an experiment was carried out in Vancouver. The results were published in a journal called, “Pharmacology, Biochemistry, and Behaviour”, but at the time, they received little attention.

Bruce Alexander and his colleagues decided to build a house for rats. It measured 200 square feet, and they made it as comfortable and beautiful as possible. They designed a birthing room, provided plenty of food, painted the walls with nature scenes, and laid down bedding and toys for the rats to play with and explore. They also set up ordinary cages.

The experimenters then put a number of rats into the house, and a number of rats into the cages. They gave the rats a choice between water, and sugar water laced with morphine. (Rats are known to have a sweet tooth). The rats in the lovely, welcoming rat house greatly preferred plain water to morphine sugar water. The rats in cages ignored the plain water and kept themselves sedated – or high – on the morphine water.

Before this experiment, it was widely believed that drugs like heroin, morphine and cocaine were inherently addictive – no matter what the situation, using these drugs would always lead to addiction. In fact, the results were so controversial that they have been mostly ignored. It seems much easier to believe that addiction is a disease, or that it is due to an ‘addictive personality’ than to accept that the chances of becoming addicted to any drug depend very much on the situation.

This research should have changed the world. It should have changed our town planning, our social welfare systems, our education systems, and the way we design our world. Instead we continue to think of addiction as something beyond our control, as a problem we’re born with rather than a symptom of the worlds we grow up in.

For more information, see the very accessible ‘Opening Skinner’s Box’ by Lauren Slater, or click on the following link for the original article:

http://sciencethatmatters.com/wp-content/uploads/2007/02/sdarticle.pdf

Applause

Monday, February 8th, 2010

Underpinned by a terrific performance from Paprika Steen, Applause offers an intelligent and inspiring take on the devastating nature of addiction and the long road back to normality. Steen plays actress Thea Barfoed, making a spectacular return to the stage after a spell in rehab. By charm as much as manipulation, she manages to get access to the two young sons she voluntarily gave up for custody. Thea is both monstrous and yet highly sympathetic in facing her manifold challenges: regaining her sons’ trust; renegotiating her relationship with her ex-husband; and delivering a series of challenging performances – all without the aid of alcohol, her drug of choice.

The filmmakers have cited John Cassavetes and Bob Fosse as influences: there is a similar rawness, sensitivity and honesty in the portrayal of character, and a refreshingly subtle and restrained take on a potentially dramatic story.

You can see Applause at Cineworld on Friday 26th Feb at 8.30pm