Month: February 2020

Episode 38: Dead People Don’t Recover — The Importance of Safe Supply with Mark Tyndall

Public officials have been yelling from the rooftops that there’s an opioid epidemic. Yes, an obscene number of people are dying from overdoses, many of which involve opioids. But they’re not quite right. Researchers who really get what’s going on describe what’s happening to the U.S. drug supply over the last few years as a mass poisoning. Were it not for potent fentanyl analogues being sold in heroin markets, many, many lives would be spared. 

That’s where the concept of a safe drug supply comes in. Troy and Zach speak with Dr. Mark Tyndall, a professor of medicine at the University of British Columbia, and the founder of My Safe Project, a vending machine that dispenses hydromorphone pills, otherwise known as dilaudid. Mark says this program is saving lives. We cut through some of the bullshit arguments about diversion, “enabling” drug use and other pearl-clutching fears, but also talk about safe supply for stimulants and benzos, and how this program is already changing lives.

Follow Dr. Mark Tyndall on Twitter @DrMtyndall

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Producers: Christopher Moraff, Troy Farah, Zachary Siegel 
Co-producer: Garrett Farah
Music: Glass Boy / Garrett Farah
Photo: PXFuel // Edit Troy Farah

Episode 37: Covering Culture and Drugs with Substance with Kate Knibbs

It’s difficult to write about drugs without being steeped and schooled in the discourse. Cultural tropes and conventional wisdom dominates the space. Drugs are anthropomorphized as the enemy. People who use drugs are described as manipulative and selfish, unless, of course, they’re “clean.” Often there is little empirical research cited and the same old voices are quoted saying the same old thing. Writers may think they’re being empathetic when really they’re reinforcing stigma, criminalization, and the very narratives that propel dangerous policy in the first place. 

At Narcotica, we look out for people who do things differently and like to hear them out. For this episode, co-host Zachary Siegel sits down with culture writer and journalist Kate Knibbs, whose writing about drugs and harm reduction stands out as uniquely humanizing. Approaching drugs and harm reduction from culture angles, Kate’s work tells us about the way live now. Their conversation focuses on two stories Kate wrote while working at The Ringer. First, the bizarre story of a music blogger at Vice who was caught smuggling a lot of cocaine. Then, they shift gears and discuss a piece about supervised consumption sites. Kate and Zach both get deep, and talk about the aftermath of friends and loved ones who overdose, and the impulse to search for accountability and punish people.
Follow Kate Knibbs on Twitter and look out for her work at WIRED, where she’s now a staff writer. 

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!


Producers: Christopher Moraff, Troy Farah, Zachary Siegel 
Co-producer: Garrett Farah
Music: Glass Boy / Garrett Farah
Photo: Nick YoungsonCC BY-SA 3.0Alpha Stock Images Edit Troy Farah

Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective with Ryan Marino

An opioid overdose can be a terrifying experience. When too much of a  drug like heroin or fentanyl floods the brain, it can cause your  breathing to stop. Sometimes you wake up, sometimes you don’t. But  there’s a miraculous drug called naloxone or brand name Narcan that can  reverse an opioid overdose and save your life.  

Today’s guest is Ryan Marino, an emergency room physician and medical  toxicologist at Cleveland University Hospitals. We discuss moral  hazards about naloxone, one of the most important drugs on the planet,  but also buprenorphine, competitive antagonists for benzos and  stimulants, and dispelling drug myths on social media. 

How to Get Naloxone by Zachary Siegel in VICE

Also visit: naloxoneforall.org

Follow Ryan on Twitter.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more.
Tell your friends about us!


Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Min Y Llan

Photo: Naloxone via Wikipedia / Edit Troy Farah