Narcotica

Episode 77: Harm Production — The Hazards of Drug Courts with Dave Lucas

October 19, 2023 Narcotica Criminal Justice, Episodes 1:04:45 1 Comment

The United States sure loves to cage people. Incarceration statistics can be shocking, but they can be cited so often that they can lose their potency. It can seem abstract or just the way things are. But it is completely immoral that the U.S. throws more people into cages than any other country for which we have reliable data.

In order to partially address this problem, some jurisdictions have promoted the idea of drug courts, which the U.S. Dept of Health and Human Services defines as “alternative to incarceration, drug courts reduce the burden and costs of repeatedly processing low‐level, non‐violent offenders through the nation’s courts, jails, and prisons while providing offenders an opportunity to receive treatment and education.”

Sounds great, right? Well, as you’ll learn on today’s episode, drug courts come with their own set of problems, and in some ways, can make situations worse.

Narcotica co-hosts Chris Moraff and Troy Farah speak with Dave Lucas, a clinical advisor, social work educator, and therapist committed to reducing the harms of the criminal legal and substance use treatment systems. He serves as a Clinical Advisor with the Health and Justice Action Lab. They discuss drug testing, Measure 110 in Oregon, MAT in courtrooms, synthetic cannabinoids, what drug courts actually get right and much more.

Follow Dave on Twitter at: @davidewlucas

If you liked this episode, here are others you might enjoy:
Episode 45: Overdose Is Tragic, Not Murder with Morgan Godvin
Episode 73: Oh No! Not Naltrexone! with Nancy Curran
Episode 14: Harm Reduction Dies in Darkness—Jeff Deeney

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: The Noun Project edit: Troy Farah

Episode 83: The Parents Who Oppose The War on Drugs with Tamara Olt and Gretchen Bergman

June 14, 2023 Narcotica Addiction, Episodes, Overdose Crisis 1:19:30 0 Comments

The War on (People who Use) Drugs has claimed over a million victims in the last two decades, every fatal overdose representing deep policy failures that attempt in vain to control normal human behavior: self-medicating and inducing euphoria.

None of this wonky policy bullshit matters much when you’re the parent of a child who dies from an overdose.

Few things in life are as devastating as losing your kid. It stirs up some of the deepest, darkest emotions humans are capable of and when drugs are involved, that typically turns into a thirst for retribution. That can mean demanding stricter penalties for drug use, like so-called drug homicide laws, or calls for increased police surveillance. But we have over a century of data proving that prohibition doesn’t work. More cops, more draconian drug laws — it all just backfires. We have more police, more prisons and yet more drug overdose deaths than ever before. That’s why it’s such a breath of fresh air when parents whose children struggle with drug use or addiction advocate for harm reduction and sensible drug policy.

Narcotica co-host Troy Farah spoke with Gretchen Burns Bergman, whose two grown sons who are in long-term recovery from heroin addiction, and Tamara Olt, M.D., who lost her 16-year-old son Joshua to an accidental heroin overdose in 2012. Both strongly advocate for a more rational approach to how we treat substance use in the U.S. They discuss everything from safe supply, to the myths of “tough love” and “enabling” to buprenorphine access to the ridiculous (but trending) idea that fentanyl is a weapon of mass destruction.

This interview, which was conducted last November, was also featured in Salon.

Read Tamara’s essay in Elle here: https://www.elle.com/culture/career-politics/a29036663/syringe-exchange-grief-recovery/

Lear more about GRASP (Grief Recovery After Substance Passing) here: https://grasphelp.org/

Learn more about A New PATH (Parents for Addiction Treatment and Healing), a non-profit organization that works to reduce the stigma associated with substance use disorders through education and compassionate support at https://www.anewpath.org/

Learn more about Moms United at: https://www.momsunited.net/

Also, Narcomedia is excited to announce a new project, all from the perspective of people who use drugs: Naturally Noncompliant is a new podcast all about people who use methadone. Listen to the first episode here or on iTunes or Spotify: https://rephonic.com/podcasts/naturally-noncompliant

If you liked this episode, here are others you might enjoy:
Episode 62: Policing Pleasure — The Intersection of Sex Work and Drug Use with Tamika Spellman and Caty Simon
Episode 56: Drug Use During Disaster with Aaron Ferguson
Episode 67: Methadone in the Time of Covid with Danielle Russell

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson
Music: Glass Boy / Nomad1
Image: Image via The Noun Project // edit: Troy Farah
Intro voice: Jenny Schaye

Episode 82: Drug War Activism and the Future of Harm Reduction with Louise Vincent

April 20, 2023 Narcotica Episodes, Opioids 01:12:18 0 Comments

The Drug War is more brutal than ever. Overdose deaths are still shattering records, there’s talk of war with the cartels, increased penalties are just making things worse, there’s little money for harm reduction programs or addiction treatment, yet plenty of cash for prisons, cops and the DEA, weird new drugs are appearing that no one knows how to handle and on and on. Meanwhile, the harm reduction movement is going through some massive changes, some good, some bad. But what we know for sure is that it’s critical for people to come together, stand up and demand a stop to the destructive force that is prohibition.

On this episode, the crew interviews Louise Vincent, director of the NC Survivors Union in North Carolina and on the leadership team of the National Drug User Union, an organization of former and active drug users who have come together to provide services for a community that is under-represented and underserved. Narcotica’s Chris Moraff, Zach Siegel and Troy Farah talk with Louise about xylazine, drug testing, using portable oxygen tanks to reverse cocaine overdoses (yes, really!), methadone access, the importance of drug user unions, why drug sellers are a community service, what it was like being on Last Week Tonight and so much more.

We’ve been trying to get Louise on for over a year and are really excited to share this episode with everyone. Thanks for listening. Expect more new episodes from us soon.

Learn more about NC Survivors Union at http://ncurbansurvivorunion.org/

Learn more about Louise’s story here: https://drugpolicy.org/drugsellers/louise

If you liked this episode, here are others you might enjoy:
Episode 62: Policing Pleasure — The Intersection of Sex Work and Drug Use with Tamika Spellman and Caty Simon
Episode 56: Drug Use During Disaster with Aaron Ferguson
Episode 67: Methadone in the Time of Covid with Danielle Russell

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson
Music: Glass Boy / Nomad1
Image: Vocal NY via Flickr // edit: Troy Farah
Intro voice: Jenny Schaye

Episode 81: Harm Reduction Against the Prison-Industrial Complex

February 2, 2023 Narcotica Criminal Justice, Episodes, Stimulants 01:15:43 0 Comments

Harm reduction is an imperfect philosophy that serves as the only wedge between prohibition and what we all really want, which is a healthy, productive society. If more police and prisons could make drugs safer, we’d have a lot less overdose deaths and problematic addiction. But that’s not what’s happening. Drugs are more available than ever, while overdose deaths continue to shatter records. If this is a war, we lost long ago. (Of course, as we repeatedly emphasize on this show, not all drug use is addiction and in fact, most of it isn’t.)

Instead we have the prison-industrial complex. We have cops and judges that take on the role of doctors. We have a system that is designed to oppress, marginalize and criminalize rational human behavior. Yet, harm reduction in prisons — arguably the one place where it is needed most — is almost completely absent.

On today’s episode, Narcotica co-host Troy Farah spoke to someone who is sadly, currently behind bars. Because of that, we are using their adopted pseudonym, C. Dreams. C. is a writer and advocate interested in prison and criminal justice reform, LGBTQ rights, harm reduction and government and cultural criticism. She has studied history and theology with the Third Order of Carmelites and completed degrees in Systematic Theology and is currently studying law. C. has some brilliant writing being published in Filter Magazine. They talk all about drug use in prisons, from K2 to fentanyl, a positive methamphetamine story, the problems with lack of syringe access, let alone access to buprenorphine or methadone, and much much more.

Follow C. on Twitter at: @UnCagedCritique

Read C’s writing in Filter Magazine here: https://filtermag.org/author/c-dreams/

If you liked this episode, here are others you might enjoy:
Episode 26: Housing As Harm Reduction
Episode 75: Copaganda — The Favorite Tool of Drug Warriors with Alec Karakatsanis
Episode 45: Overdose Is Tragic, Not Murder with Morgan Godvin

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson
Music: Glass Boy / Nomad1
Image: Shannon O’Toole via Flickr // edit: Troy Farah
Intro voice: Jenny Schaye

Episode 80: A Messy History of Methadone with Dr. Zoe Adams

December 31, 2022 Narcotica Addiction, Episodes, Opioids 01:16:58 0 Comments

At Narcotica, we’ve often talked about how methadone is one of the most over-regulated substances on the planet. It’s not a perfect drug — nothing is — but it helps a lot of people. So why is it so hard to access?

On this episode, the crew (Zachary Siegel, Chris Moraff and Troy Farah) speak with Dr. Zoe Adams, an internal medicine resident at Massachusetts General Hospital, whose thesis was a narrative history of methadone. It’s a long, strange chronicle, from its development in Germany, to becoming a mainstay in Nixon’s War on Drugs, but what’s most surprising is how little has changed. Learn about why this drug is so scrutinized, stigmatized and what people are doing to make it more available.

Follow Zoe on Twitter at: @zoe_m_adams

Read Zoe’s thesis here: https://elischolar.library.yale.edu/ymtdl/4049/

If you liked this episode, here are others you might enjoy:

Episode 73: Oh No! Not Naltrexone! with Nancy Curran

Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar

Episode 67: Methadone in the Time of Covid with Danielle Russell

Episode 48: Moms And Methadone with Elizabeth Brico

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson

Music: Glass Boy / Nomad1

Intro voice: Jenny Schaye

Episode 79: Is California Really Progressive on Drugs? with Dr. Isaac Jackson

December 19, 2022 Narcotica Episodes 01:12:41 0 Comments

People have this conception that San Francisco’s streets are just overflowing with human shit and people injecting drugs in the open. Stereotypes about California being overrun with homeless encampments and open-air drug markets abound, as if these things don’t exist in other states, while politicians in Arkansas and Oklahoma, for example, warn against so-called progressive policies infecting the midwest. But how true is all this?

San Francisco in particular is associated with progressive policy, especially when it comes to drugs. From the chill vibes of Haight-Ashbury and Hippie Hill to opening Prevention Point in 1988, the Golden Gate city has long been a leader on certain drug issues. But not always.

On this episode of Narcotica, Troy Farah speaks with Dr. Isaac Jackson, a community organizer who has over a decade of experience working with drug users. He has been instrumental in starting two drug user organizations (San Francisco Drug Users Union in 2010 and the San Francisco branch of the Urban Survivors Union in 2013). As leader of the Urban Survivors Union in San Francisco, Jackson has spearheaded a crack pipe distribution program and so much more, he has a lot of interesting history to share. The conversation meanders all over the place and doesn’t really stick on California too much, but that’s the main throughline in discussing Jackson’s unique history and connection to this beautiful region of America.

If you liked this episode, here are others you might enjoy:

Episode 69: The Promise and Peril of the Psychedelic Mainstream with Shelby Hartman and Madison Margolin

Episode 64: LSD And Psilocybin For Physical Pain? with Greg McKee and Dr. Johannes Ramaekers

Episode 44: Reimagining Public Health and Racial Justice with Dr. Ricky Bluthenthal

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson

Music: Glass Boy / Nomad1

Intro voice: Jenny Schaye

Image: The Noun Project // edit: Troy Farah

Episode 78: Drug Use in a Post-Roe World with Dinah Ortiz

September 26, 2022 Narcotica Criminal Justice, Episodes 00:54:31 0 Comments

A future where abortion drugs like mifepristone and misoprostol are trafficked just like fentanyl or methamphetamine or where birth control is sold on the street corner like crack cocaine is really not that distant of a reality, if it’s not already happening.

The drug war is deeply intertwined with reproductive rights. That’s not always obvious to some people, but at Narcotica, we will emphasize over and over that bodily autonomy — the core of harm reduction and progressive drug policy — includes abortion access and reproductive sovereignty as much it includes the human right to freely use drugs.

On this episode, Narcotica co-host Troy Farah speaks with Dinah Ortiz, an Afrolatinx drug user activist who has fought for over 14 years for impacted communities. After her role as supervisor at the Bronx Defenders Family Defense Practice, Dinah began doing consultant work as a drug user organizer and activist who has shared her story of parenting during past chaotic substance use nationally and is a fierce advocate for parents in the child regulation system. She is currently the co-chair on the North Carolina’s Survivors Union board of directors and leadership team member of Urban Survivors Union.

Follow Dinah on Twitter at: @Dinahortiz4

If you need to obtain abortion pills, for any reason, for yourself, for your mother, for your sister, or your neighbor, go to PlanCPills.org or AidAccess.org.

Join an Urban Survivor’s Union call by going here: https://www.druguservoice.org/blank-page-3

If you liked this episode, here are others you might enjoy:
Episode 24: How To Get Abortion Pills Feat. Lynn Paltrow and Francine Coeytaux
Episode 60: Perinatal Panic—Drugs, Pregnancy and Stigma with Ria Tsinas, Joelle Puccio and Erika Goyer
Episode 48: Moms And Methadone with Elizabeth Brico

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel, Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: Jeff Roberson // edit: Troy Farah

Episode 76: How To Change Your Mind About ALL Drugs with Veronica Wright

August 5, 2022 Narcotica Criminal Justice, Episodes 00:49:51 0 Comments

Certain celebrity authors want to help you accept that certain drug use is OK—and there’s nothing wrong with psychedelic exceptionalism, but it overlooks the biggest destructive forces of the drug war. Yet, legalizing drugs like meth, heroin and cocaine remains a hard sell for even the most progressive of drug policy reformers. So how do we cross this bridge?

Narcotica co-host Chris Moraff speaks with Veronica Wright, founder of the National Coalition for Drug Legalization. They discuss how prohibition is far worse than the drugs deemed too dangerous for public consumption, and only works to worsen health inequities and harms from drug use. However, the transition from prohibition to a future where drug use isn’t criminalized won’t be easy. Veronica shares what helped her change her mind on this issue and the future of drug use that she envisions.

Follow Veronica on Twitter at: @veronicawright8 and visit the National Coalition for Drug Legalization’s website here: https://www.nationalcoalitionfordruglegalization.org/

If you liked this episode, here are others you might enjoy:
Episode 51: The Joy of Drug Use with Dr. Carl Hart
Episode 68: Is The Drug War Getting Better… Or Worse? with Zach Siegel, Chris Moraff and Troy Farah
Episode 58: How Racism Fuels The Drug War with Kassandra Frederique

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Waves
Intro voice: Jenny Schaye
Image: The Noun Project edit: Troy Farah

Episode 75: Copaganda — The Favorite Tool of Drug Warriors with Alec Karakatsanis

July 25, 2022 Narcotica Criminal Justice, Episodes 00:58:01 1 Comment

No matter what the problem is, whether it’s fentanyl overdoses or mass shootings, the solution to all of our problems is always more money and bigger budgets for police, prosecutors and prisons. Funny how that works, right? If crime goes up we need police, if crime goes down it’s because of the police, so we still need more police. They can’t lose!

One of the main ways public support for police is so insidious has to do with police propaganda (e.g. copaganda) but it can be hard to detect, let alone debunk, these powerful tools of controlling public opinion. Understanding how this works is crucial to any aspect of drug policy reform and holding accountable the journalists who perpetuate copaganda is an important step in undoing the harms of police states.

On this episode of Narcotica, co-hosts Zachary Siegel and Troy Farah talk with Alec Karakatsanis, the founder and executive director of Civil Rights Corps, a non-profit organization dedicated to challenging systemic injustice in the United States’ legal system–a system that is built on white supremacy and economic inequality. Alec has helped challenge the money bail system in California and is the author of the book Usual Cruelty. He is passionate about ending human caging, surveillance, police, the death penalty, immigration laws, war, and inequality, and he has made debunking copaganda into an artform.

Follow Alec on Twitter at: @equalityAlec and read his newsletter here: https://equalityalec.substack.com/

If you liked this episode, here are others you might enjoy:
Episode 58: How Racism Fuels The Drug War with Kassandra Frederique
Episode 47: Can Harm Reduction and Cops Coexist?
Episode 62: Policing Pleasure — The Intersection of Sex Work and Drug Use with Tamika Spellman and Caty Simon

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: The Noun Project edit: Troy Farah

Episode 74: Cannabis And Capitalism — Preventing Another Big Tobacco with Shaleen Title

July 13, 2022 Narcotica Cannabis, Episodes 00:58:43 0 Comments

For good reason, about 150 million people use cannabis, according to the World Health Organization. That’s around 3 percent of the global population or the entire population of Russia. In most places, smoking the flowers or extracts of this plant can come with some steep legal consequences: long prison sentences, heavy fines, loss of civil rights, the state may take away your kids or deny you medical care. You may even get executed.

For some of us, especially if we live in places where cannabis is legal, such dire consequences for using cannabis can seem like a distant nightmare. But even as we slowly emerge from the dark ages of marijuana prohibition, we’re encountering entirely predictable problems: unchecked capitalist greed. So yes, while it’s worth celebrating our emergence from the dark ages of cannabis prohibition, we risk entering into different forms of prohibition, oppression and inequality at the hands of the so-called “free market.”

Narcotica co-host Troy Farah talks with Shaleen Title, an Indian-American attorney and longtime drug policy activist who has been writing, passing, and implementing equitable cannabis laws for over 20 years. She is a former top regulator for the state of Massachusetts, where she served as commissioner of the Cannabis Control Commission from 2017 to 2020. She is the author of “Fair and Square: How to Effectively Incorporate Social Equity Into Cannabis Laws and Regulations” and “Bigger is Not Better: Preventing Monopolies in the National Cannabis Market.”  Currently, her primary focus is running the nonprofit think tank Parabola Center, which pushes for cannabis policies to protect people rather than corporate profits.

Follow Shaleen on Twitter at: @shaleentitle

Read Bigger is Not Better: Preventing Monopolies in the National Cannabis Market

If you liked this episode, here are others you might enjoy:
Episode 63: Delta-8-THC And Other Obscure Cannabinoids with Jason Wilson
Episode 58: How Racism Fuels The Drug War with Kassandra Frederique
Episode 53: A Life of Getting Lit with Tommy Chong

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: edit: Troy Farah

Episode 73: Oh No! Not Naltrexone! with Nancy Curran

June 25, 2022 Narcotica Addiction, Episodes, Opioids 01:08:35 0 Comments

Naltrexone, also known by its brand name, Vivitrol, is an opioid antagonist that kicks opioids off of opioid receptor in the brain, not unlike naloxone. But thanks to a combination of overprescription, unscrupulous marketing practices and ubiquitous use over more effective alternatives, naltrexone is a very controversial drug. In fact, a common reaction is Oh no! Not naltrexone!

Of course, naltrexone has some benefits and many people say their life has been saved by it. And at Narcotica, we don’t believe any drug is “bad” or “evil.” So where does this substance fit into the broader scheme of things? We’ve spoken about naltrexone many times on this show, but never this indepth before.

Narcotica co-hosts Zachary Siegel and Troy Farah speak with Nancy Curran, a nurse practitioner who has been practicing for 5 years in an OBOT clinic in the Lowell Massachusetts area, treating both opioid and alcohol use disorders. She prescribes buprenorphine (both Suboxone and Sublocade), as well as naltrexone (Vivitrol). She also treats patients who need Hep C treatment. Nancy is passionate about advocating for and educating her patients on their medication options, as well as their rights.

They discuss the history of hallucinogenic opioids, the shrewd and quasilegal marketing practices of Alkermes, Inc., how naltrexone stacks up against buprenorphine and methadone, why stigma persists against people who take certain opioid use disorder drugs but not others, the difference between addiction and dependency, some basic opioid receptor science, and much, much more.

Follow Nancy on Twitter at: @cashboygo

More background on naltrexone and the XBOT Studay can be found here and here. We also recommend reading Walter Sneader’s book: Drug Discovery, A History and also Nancy Campbell’s book OD: The Politics of Overdose.

You can read Zach’s article on Four Good Days and more here: https://www.nytimes.com/2021/05/11/magazine/addiction-movies.html

If you liked this episode, here are others you might enjoy:
Episode 19: Debunking Bupe Diversion Myths with Molly Doernberg
Episode 30: Getting Wrecked with Dr. Kim Sue
Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective with Ryan Marino

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: edit: Troy Farah

Episode 72: When The Trip Doesn’t End with Ed Prideaux

May 28, 2022 Narcotica Episodes, Psychedelics 01:17:41 0 Comments

Psychedelics and other drugs can trigger a condition called Hallucinogen Persisting Perception Disorder, a terrible name for a real condition that we don’t have much data on and is poorly understood. But while it’s clear that psychedelics shouldn’t be illegal, it’s also clear we’re still learning about some of the risks. This fascinating and often distressing phenomenon deserves a closer look, but not everything about it is devastatingly tragic, either.

In this episode of Narcotica, co-host Troy Farah talks all about HPPD with Ed Prideaux, a master’s student in psychology at the University of East London with a background in journalism. Ed is currently focused on researching and addressing the problems, possibilities and questions raised by HPPD: a broad, under-researched and not entirely uncommon condition in which people experience sustained and distressing changes to their visual perception (among other effects) after psychedelic trips. Ed has lived with these visual effects for nearly seven years, and is affiliated with a nonprofit launched last year to promote harm reduction around HPPD called the Perception Restoration Foundation.

Follow Ed at https://edprideaux.journoportfolio.com/
Visit the Perception Restoration Foundation at: Perception.Foundation

Some more info on perception as a hallucination: https://www.newstatesman.com/science-tech/2022/02/is-reality-a-hallucination-the-neuroscientist-anil-seth-thinks-so

Some of the studies mentioned in this episode:
The abuse potential of medical psilocybin according to the 8 factors of the Controlled Substances Act
https://pubmed.ncbi.nlm.nih.gov/29753748/
Flashback phenomena after administration of LSD and psilocybin in controlled studies with healthy participants
https://pubmed.ncbi.nlm.nih.gov/35076721/
Adverse effects of psychedelics: From anecdotes and misinformation to systematic science
https://doi.org/10.1177%2F02698811211069100

If you liked this episode, here are others you might enjoy:
Episode 57: Autism, Acid and the Altered Brain with Aaron Orsini and Justine Lee
Episode 64: LSD And Psilocybin For Physical Pain? with Greg McKee and Dr. Johannes Ramaekers
Episode 59: Psychedelic Extinction—How Poaching Endangers Some Psychoactive Plants with Dr. Anya Ermakova

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. We just opened a shop where you can order Narcotica merch: narcocast.myshopify.com Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

*Note: Troy says niacin is Vitamin C, it’s actually Vitamin B3. We regret the error.

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: David J / Flickr // edit: Troy Farah

Episode 71: Aduhelm, Obscene Drug Prices and Big Pharma Tactics with Dr. John Abramson

April 12, 2022 Narcotica Big Pharma, Episodes 01:02:28 2 Comments

It’s easy to hate the massive pharmaceutical corporations that extract obscene profit from the healthcare system—and there are many, many reasons why you should distrust these companies, although the situation is far more complex than “Big Pharma = bad.” But how did we get here? How did medical care get so expensive, so complicated and sometimes, so harmful?

Narcotica co-host Troy Farah speaks with Dr. John Abramson, a long-time critic of Big Pharma, whose new book Sickening untangles the many perverse incentives that dominate American healthcare. It helps explain why drug prices are so high, why medications that harm instead of heal are regularly approved by the FDA and much more, starting with the recent debacle over Aduhelm, an extremely controversial Alzheimer’s drug.

Follow Dr. Abramson on Twitter: @DrJohnAbramson and get Sickening: ow Big Pharma Broke American Health Care and How We Can Repair It here.

You can read Troy’s review of Sickening on Undark Magazine here: https://undark.org/2022/03/18/book-review-sickening/

If you liked this episode, here are others you might enjoy:
Episode 46: Behind The Pharmacists’ Counter with Jessica Moreno
Episode 30: Getting Wrecked with Dr. Kim Sue
Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: Rudolf Ammann / Flickr // edit: Troy Farah

Episode 70: How Testosterone Bans Criminalize the Body with Adryan Corcione

April 4, 2022 Narcotica Episodes 00:52:35 0 Comments

Imagine banning a chemical that we all make in our bodies. But that’s exactly where drug war logic takes us and why testosterone is Schedule III on the Controlled Substances Act, alongside ketamine and buprenorphine. Testosterone is painted as some dangerous substance that must be locked up. These outlandish fears led to restrictive laws which lead to criminalization and barriers to access—essentially criminalizing identity and the very bodies we inhabit. But bans on testosterone, ostensibly to stop athletes from boosting their competitive abilities, can have real world impacts, especially for gender variant people, especially transmasculine people.

Narcotica co-hosts Zachary Siegel and Troy Farah talk with Adryan Corcione about the climate of testosterone, why this hormone became so scrutinized (and how Joe Biden was part of that), and how syringe access programs have stepped in to help folks get the recognition and healthcare they deserve.

Follow Adryan Corcione on Twitter and read their piece in Filter Magazine here.

A few resources:
https://www.transformationsproject.org/legislation – anti trans legislation tracker by state
https://www.them.us/story/anti-lgbtq-bills-2022-explained-trans-sports-laws-youth-healthcare-mandated-reporter – recent roundup of anti-trans bills
https://translifeline.org/ – trans lifeline, peer hot line for trans people experiencing crisis
https://www.thetrevorproject.org/ – 24/7 LGBTQ+ hotline for young LGBTQ+ people
https://reconcilearkansas.org/ – Arkansas specific group to support trans/gnc youth
https://www.transtexas.org/ – transgender education education network of texss
https://tranzmission.org/ – trans rights org in western NC

Also, reach out to trans-specific groups local to you.

If you liked this episode, here are others you might enjoy:
Episode 62: Policing Pleasure — The Intersection of Sex Work and Drug Use with Tamika Spellman and Caty Simon
Episode 33: Party and Play—An Intro to Chemsex with David Stuart
Episode 60: Perinatal Panic—Drugs, Pregnancy and Stigma with Ria Tsinas, Joelle Puccio and Erika Goyer
Episode 24: How To Get Abortion Pills Feat. Lynn Paltrow and Francine Coeytaux

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Paddington Bear
Intro voice: Jenny Schaye

Episode 69: The Promise and Peril of the Psychedelic Mainstream with Shelby Hartman and Madison Margolin

March 21, 2022 Narcotica Episodes, Psychedelics 00:53:50 0 Comments

Psychedelics are not exactly taking the same path that cannabis has taken to the mainstream, but there are some similarities. In the late ‘90s and early aughts, when medical cannabis was first starting to take hold in California, quasi-legal businesses popped up overnight, with a lot of questionable quality control and these shops were often raided by the DEA. Now cannabis is so blasé in places like California and more than 15 other states that have adult-use weed, that it’s almost hard to imagine a time when you couldn’t have a bag of cannabis gummies, plus a joint dipped in oil and rolled in kief, delivered directly to your door like they used to do with Netflix DVDs.

Is that what we’re going to see with psilocybin, LSD, DMT and all the rest? Already people in some places like D.C., Colorado and Oregon are selling branded psychedelic edibles. In a lot of ways with psychedelics, we’re right where we were around 2010 with cannabis—a quasi-legal market that is ready to become legitimate, whether you like it or not.

Narcotica co-host Troy Farah talks with Shelby Hartman and Madison Margolin, two of the great minds behind DoubleBlind Magazine, a publication dedicated to all things psychedelics and much more in the periphery of psychedelic culture. They discuss some of the pros and cons psychedelics becoming mainstream, how people can navigate this emerging space, the Decriminalize Nature movement, reciprocity for Indigenous people and much more.

Visit https://doubleblindmag.com/ for more info.

Follow Madison on Twitter: @margolinmadison
Follow Shelby on Twitter: @shelbyannehart

If you liked this episode, here are others you might enjoy:
Episode 57: Autism, Acid and the Altered Brain with Aaron Orsini and Justine Lee
Episode 49: Salvia: Psychedelic Oddity with Ivan Casselman
Episode 59: Psychedelic Extinction—How Poaching Endangers Some Psychoactive Plants with Dr. Anya Ermakova

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah / Troy Farah
Music: Glass Boy / HoliznaCC0
Intro voice: Jenny Schaye
Image: Open Clipart // edit: Troy Farah

Episode 68: Is The Drug War Getting Better… Or Worse? with Zach Siegel, Chris Moraff and Troy Farah

March 3, 2022 Narcotica Episodes, Opioids, Overdose Crisis, Psychedelics 01:10:13 0 Comments

On this episode, Narcotica co-hosts Zachary Siegel, Chris Moraff and Troy Farah interview each other, riffing on one question: Is the drug war getting better… Or worse? They cover everything from nitazenes, Dopesick, the Drug User’s Liberation Front, banning psychedelics like DiPT, benzo dope, West Virginia, buprenorphine, psychedelic exceptionalism, drug testing, crack pipes, supervised consumption sites in NYC and much, much, more.

Their conclusion? You’ll have to listen to find out. OK, not really: Like many things, it’s a mix of both progress and backsliding. Narcotica’s founders discuss their current frustrations and what’s giving them optimism in America’s longest running war, a conflict directed at people. Maybe the end is in sight after all.

Follow Chris Moraff on Twitter: @moraffreports
Follow Zach Siegel on Twitter: @ZachWritesStuff
Follow Troy Farah on Twitter: @filth_filler

If you liked this episode, here are others you might enjoy:
Episode 27: What’s the Most Dangerous Drug?
Episode 58: How Racism Fuels The Drug War with Kassandra Frederique
Episode 51: The Joy of Drug Use with Dr. Carl Hart

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah / Troy Farah
Music: Glass Boy / Holly Mangler
Intro voice: Jenny Schaye
Image: Noun Project // edit: Troy Farah

Episode 67: Methadone in the Time of Covid with Danielle Russell

February 8, 2022 Narcotica Episodes, Opioids, Overdose Crisis 00:58:10 0 Comments

Harm reduction programs like syringe access, supervised consumption or even just handing out condoms on the street, can be some of the only access to healthcare some people encounter. Definitely not all, but some people who use drugs routinely shun going to the doctor—not because they don’t care about their health, but because our for-profit healthcare system treats almost everyone who uses an illicit substance like complete shit. And people who use drugs have been treated like pariahs long before the covid pandemic, but things got way worse once the virus came to town.

Previously on Narcotica, co-host Chris Moraff did an episode all about how doctors need to work harder to rebuild the patient-trust relationship. And many medical professionals are doing that work, which makes such a huge difference. It’s hard to understate how valuable it can be to receive nonjudgmental medical care that doesn’t hinge on absolute abstinence.

That episode, number 65, which we encourage you to listen to after this one, came from the perspective of two amazing doctors, Ashish Thakrar and Ben Cocchiario. However, on this episode, we want to talk to someone from the other side of the aisle to get a different viewpoint from someone with lived experience in this area.

Why would you go to a healthcare provider for an infection or injury if you’re going to be lectured about your drug use, even if it has nothing to do with why you’re there? Or you might be forced to hand over your urine or have your possessions rifled through by a nurse. Even for people that don’t use illegal substances, our healthcare system is a nightmare to try and navigate. It only gets worse if you happen to self-medicate or enjoy chemicals that aren’t sanctioned by the FDA.

Narcotica co-host Troy Farah speaks with Danielle Russell of Phoenix, Arizona, who is currently a justice and social inquiry PhD student at Arizona State University. She studies how the criminalization of substances used for personal pleasure has become a key issue and tool for social control, contributing to the ongoing legacy of racialized criminalization and mass incarceration in the U.S. Having personally experienced many of the harms that impact people who use illicit drugs, she is passionate about mutual aid and working to change the structures that impose harms on the bodies of drug users. Her research interests are oriented towards community-based participatory research.

Follow Danielle on Twitter @DopefiendPhD and you can read the study she co-authored here:
https://pubmed.ncbi.nlm.nih.gov/33461838/

If you liked this episode, here are others you might enjoy:
Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar
Episode 48: Moms And Methadone with Elizabeth Brico
Episode 56: Drug Use During Disaster with Aaron Ferguson

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah / Troy Farah
Music: Glass Boy / Holly Mangler
Intro voice: Jenny Schaye
Image: Noun Project // edit: Troy Farah

Episode 66: Overlooking Alcohol and The Nature of Addiction with Dr. Stanton Peele

January 22, 2022 Narcotica Addiction, Episodes 01:09:10 0 Comments

Booze is one of the most ancient and most prolific drugs in society, yet for some reason, it’s always placed in some separate category. Drugs and alcohol. Even at Narcotica, we’ve done over 65 episodes about drugs and not one of them has focused solely on ethanol. We just haven’t gotten to it yet, we’ve had so many other topics we’ve wanted to explore.

The relationship people have with alcohol is so illustrative of Western society’s perspective on addiction and substance use, which is linked to the idea that addiction is a disease. But this framework, while a step above the idea that addiction is a moral failing, is still very destructive.

Narcotica co-host Troy Farah gets into why this is the case in an interview with Dr. Stanton Peele, a brilliant psychologist and the author of Love and Addiction, co-authored by Archie Brodsky, a 1975 book that has really turned the idea of addiction as a disease on its head. Many giants in drug policy analysis, including Maia Szalavitz and Dr. Carl Hart, have cited Love and Addiction as influential on their way of thinking.

Follow Stanton Peele on Twitter @speele5 and check out his new book, A Scientific Life on the Edge: My Lonely Quest to Change How We See Addiction.

If you liked this episode, here are others you might enjoy:
Episode 33: Party and Play—An Intro to Chemsex with David Stuart
Episode 61: Undoing Drugs—Harm Reduction’s Early History with Maia Szalavitz
Episode 51: The Joy of Drug Use with Dr. Carl Hart

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson / Troy Farah
Music: Glass Boy / Crowander
Intro voice: Jenny Schaye
Image: Noun Project // edit: Troy Farah

Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar

November 19, 2021 Narcotica Episodes, Overdose Crisis 01:05:20 0 Comments

Over the past two decades, as fatal drug overdoses have risen precipitously, few professions have been hit harder by the crisis than the medical community. Physicians in particular have found themselves in the no-win position of being both blamed for the overdose crisis, which claimed more than 100,000 American lives in the past 12 months, while being tasked with containing it.

According to one dominant narrative, it was cavalier doctors who sparked the crisis in the first place, by overprescribing habit forming narcotic painkillers to millions of Americans after being softened up at lavish dinners and then duped by nefarious pharmaceutical reps using fudged data.

But that’s overly simplistic. For starters, it ignores the fact that the greatest spike in drug deaths came when doctors reigned in opioid prescribing after authorities started targeting so-called pill mills. This left tens of thousands of pain patients stranded and paved the way for the introduction of illicitly made fentanyl into the U.S. to fill unmet demands.

Narcotica co-host Christopher Moraff delves into this topic, asking how the medical community can work to restore trust from their patients who are justifiably suspicious of the U.S. healthcare system, speaking with doctors Ashish Thakrar and Ben Cocchiario, who both work for the University of Pennsylvania medical system in Philadelphia, a focal point of the overdose crisis. They cover everything from methadone prescribing to overfunding the DEA, all of it underlining the importance of patient autonomy.

Follow Ben Cocchiaro at UPenn
Follow Ashish Thakrar on Twitter @especially_APT

If you liked this episode, here are others you might enjoy:
Episode 46: Behind The Pharmacists’ Counter with Jessica Moreno
Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective
Episode 30: Getting Wrecked with Dr. Kim Sue

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: Stockvault // edit: Troy Farah

Episode 64: LSD And Psilocybin For Physical Pain? with Greg McKee and Dr. Johannes Ramaekers

November 3, 2021 Narcotica Episodes, Psychedelics 01:20:18 1 Comment

These days, there isn’t an ailment some Silicon Valley-esque startup is trying to treat with psychedelics. Of course you have depression, anxiety, addiction, PTSD and fear of death for the terminally ill—there’s some good data for treating all of that—but some of the more obscure treatments include anorexia and eating disorders, sexual dysfunction, dementia, and even rare conditions like fragile X syndrome.

Psychedelics are amazing drugs, but they’re not a panacea. It’s not that this research isn’t worth investigating, but how do you determine what’s just hype and what the actual potential of psilocybin, LSD, DMT, etc. really is?

It may be wise to be skeptical of psychedelics being used to treat physical pain. Yet while the research is very young, there is some fascinating evidence that psychedelics may help with chronic pain, fibromyalgia, cluster headaches and even phantom limb pain. And what’s interesting is so many different research institutions and corporations are exploring this question. It’s not exactly a fringe topic and Narcotica co-host Troy Farah dives in with two conversations.

The first is an interview with Greg McKee, CEO of Tryp Therapeutics, a California-based startup that is exploring chronic pain relief using psilocybin and another, psilocybin-based drug with an undisclosed formulation that is obliquely called TRP-8803. The company has partnered with the University of Michigan and the University of Wisconsin-Madison to study how these drugs might treat fibromyalgia and Tryp has added leading psychedelic researcher Robin Carhart-Harris to its scientific advisory board, where he will play a “critical role” in clinical trial design.

The second interview is with Dr. Johannes Ramaekers of Maastricht University, who says he is developing another pain study to look at psychedelics and fibromyalgia. He was the lead author of a very interesting study published in 2020 in the Journal of Psychopharmacology that found that quote “low doses of LSD might constitute a novel pharmacological therapy.”

Read Troy’s article in Scientific American here: https://www.scientificamerican.com/article/can-psychedelic-drugs-treat-physical-pain/

Read Dr. Ramaekers’ pain and LSD study here: https://doi.org/10.1177%2F0269881120940937

Learn more about Tryp Therapeutics at https://tryptherapeutics.com/

If you liked this episode, here are others you might enjoy:
Episode 41: What Does It All Ketamine? with Dr. Erica Zelfand
Episode 49: Salvia: Psychedelic Oddity (Plus, Canada’s Emerging Psilocybin Scene)
Episode 25: Banning Kratom Will Escalate the Opioid Overdose Crisis with Walter Prozialeck

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy
Intro voice: Jenny Schaye
Image: PXFuel // The Noun Project // edit: Troy Farah