|Figure 1 Naloxone|
In USA, 10,171 lives have been saved by Naloxone which have been distributed to 53,032 persons. Naloxone saves lives. And yet, “If it hasn’t been done in Ballydehop, it can’t work.” Ballydehob is a small village on the Irish coast, very far from Dublin. We can’t show that Naloxone works there, but we can do so in the University College Dublin. And so we are, developing and piloting an educational intervention on overdose prevention and naloxone distribution by general practice trainees. Why GP trainees? Reasons are complex – consequences fatal. Plus, we need to start somewhere. Irish actors and accents will help us get a buy in from the local stakeholders who can help make naloxone fully available in Ireland.
|Figure 2 Eric Schneiderman. Image: AP/Press association images
- Assembly (Figure 3)
- Administration – spraying (Figure 4)
Integration of addiction treatment into primary care: the portals of entry
Does the efficacy of medications for addiction decrease over time?
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What is the role of genetic determinants in development of concurrent alcohol and opioid dependence? The current evidence base is inconclusive; we found 33 studies, but most of them studied each dependency separately.
FACT: Drugs have been here since ever. They are at least as old as the humankind.
FACT: This is a favorite headline of most prevention programs. Finding increased rates of drug use among the youths is not difficult. Finding reasons for this increase is difficult and requires knowledge of drug markets. Young people may be using drugs as much as before. They may be using different drugs than in the past, but that’s a matter of drug availability and supply.
FACT: People take drugs for all sorts of reasons. For alcohol, these reasons can be broadly divided into: social, coping, enhancement conformity and motives. Coping with problems and solution-seeking is just one of the reasons.
This is UNTRUE for depressants (downers) and some other drugs. Although, the brochure lists sedative effects of depressants later, I don’t understand why it misleads the readers.
FACT: Same as above. Cocaine hardly makes people feel slow. It is hard to discern why false statements, such as this one, made it into the brochure. There’s almost no wheat among the weeds.
FALSE: The active compounds are not water soluble. THC is fat soluble though.
FACT: People take drugs for all sorts of reasons. See point 3 above.
Yes, BUT it takes ages to start acting and it’s harder to estimate the right dose – the risk of overdose is higher. That’s why people don’t eat cocaine. Coca leaves are chewed not ingested.
- Heroin – violence and crime are linked to its use
- Inhalants – users may also suddenly react with extreme violence
- Crystal meth – causes aggression and violent or psychotic behavior
- Alcohol – can lead to violence and conflicts in personal relationships
- Alcohol is ‘more harmful than heroin’ say Prof Nutt, King and Williams in the Lancet journal. Watch BBC News interview.