addiction

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

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

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

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, FacebookTwitter, 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 67: Methadone in the Time of Covid with Danielle Russell

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

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, FacebookTwitter, 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 27: What’s the Most Dangerous Drug?

Narcotica co-host Zachary Siegel was in Los Angeles for a conference on depicting drug use in Hollywood films and TV shows, so co-host Troy Farah trudged down from the High Desert and they recorded an episode in a hotel room. Despite doing Narcotica for well over a year, the pair hadn’t met in person before. (Chris Moraff couldn’t make this episode.) Picking an impromptu topic, they decided to riff on a recent USA Today article titled “The 25 most dangerous drugs.”

So… what is the most dangerous drug? Alcohol? Carfentanil? Acetaminophen? And what is with the obsession with ranking these things? Lots of riffing and banter in this episode, so take some of this info with a grain of salt (it’s not medical advice) and we’ll be back to interviewing policy experts and drug nerds next week.

Plus, we hope to get together in person with Chris in St. Louis this November 6th to 9th, for the Drug Policy Reform conference. More details here: http://www.reformconference.org/

Read the USA Today article here:
https://www.usatoday.com/story/news/health/2019/07/31/opioid-epidemic-25-most-dangerous-drugs-side-effects-death-rates/39807161/

Follow Narcotica on FacebookTwitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Sticher and more. Tell your friends about us!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson
Music: Glass Boy, Aaron Ferguson
Image: Pixabay, edit by Troy Farah

Episode 23: Bring Back Prescription Heroin! with Travis Lupick

With perhaps the exception of fentanyl, no drug is seen as more dangerous or controversial than heroin. But when you look at decades of medical literature, it’s clear that heroin, also known as diacetylmorphine, is just another opioid, and it has a place in medicine. On this episode, Troy Farah and Zachary Siegel discuss the controversial idea of prescription heroin with Canadian journalist Travis Lupick, author of Fighting for Space.

You can follow Travis Lupick @tlupick Twitter here.

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

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson
Music: Glass Boy and Aaron Ferguson
Image Credit: Wikipedia / Edit by Troy Farah

Episode 22: Changing the Narrative with Maia Szalavitz and Leo Beletsky

On this episode Narcotica highlights a new project from the Health in Justice Action Lab at Northeastern University called Changing The Narrative, which aims to correct flawed narratives about drugs, debunked myths, old tropes, and stigmatizing language in mainstream media.

Episode 18: Drug User Unions – The Rebirth of Harm Reduction with Jess Tilley and Albie Park

In this episode, Zach and Troy interview two veteran harm reduction activists: Jess Tilley and Albie Park. Jess and Albie have organized on behalf of drug users for decades, building community to ensure that no one has to die a preventable overdose death. You’ll learn about how they met, how they work, and what policies and ideas they are currently prioritizing. You’ll also hear about what they envision for the future of harm reduction in the midst of, in Jess’s words, an “overdose apocalypse.” Zach and Troy mostly let them do the talking. Enjoy.

Harm Reduction Hedgehogs /@HRH413/Media Toolkit

Follow Narcotica on FacebookTwitter 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: Aaron Ferguson
Music: Glass Boy
Image: edit: Troy Farah

Episode 15: Accurate, Compassionate Drug Journalism with Filter Magazine

Mainstream media doesn’t really ‘get’ drugs, but there’s one place that has consistently gotten it right: Filter Magazine. Narcotica hosts Christopher Moraff, Zachary Siegel and Troy Farah talk with Filter’s co-founder and editor-in-chief Will Godfrey. This conversation covers a lot of ground on media literacy and compassionate reporting on drug use.

Full disclosure: all three of us at Narcotica have worked with Godfrey in some way. But we completely support the work that Filter is doing, which is what we hope Narcotica accomplishes: responsible, scientific, and compassionate reporting on drugs.

Learn more about Filter Magazine on their website and follow Will Godfrey on Twitter.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Producer: Christopher Moraff / Troy Farah
Image credit: Eduardo Verdugo
Music: KieLoKaz, Glass Boy and Aaron Ferguson
Co-Producer: Aaron Ferguson — https://soundcloud.com/knowmad1

Episode 10: Did The FDA Just Say Kratom Is Illegal?

For the last several years there’s been a lot of controversy surrounding a drug called kratom, a plant from Southeast Asia that is used by millions of Americans to relieve pain and anxiety. The federal government has said this drug has high potential for abuse and has been quietly waging a war against kratom, leaving many people to wonder when, not if, it will be banned. That day seems to be today: Tuesday, November 27 2018.

A new announcement by the Food and Drug Administration today says “Kratom is not legally marketed in the U.S. as a drug or dietary supplement.” This is a distinction that the FDA has made before, but never so blatantly. This puts kratom in a precarious position and invites police departments across the country to now raid anyone who sells it. We spoke to Drew Turner, a longtime kratom advocate from Washington, D.C., about the changes this will make.

For more info on what kratom is, how dangerous it is (or isn’t) and how it affects people, check out this primer here.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Producer: Troy Farah
Image credit: Wikimedia Commons / Edit by Troy Farah
Music: Krackatoa and Glass Boy

EDIT: In the podcast, it’s said that this legal distinction has not been made before. The statement was found at least once before buried deep in a press release and the FDA has never clarified this before. The FDA may say that’s always been their stance, but if so, then they haven’t been enforcing it, and this still could signal big changes to come. We regret the error.

Episode 9: Speed Up, Slow Down Pt. 3 — The Cocaine Fentanyl Blues

For more than a century, Americans have had a love-hate relationship with cocaine. Once viewed as a cure-all tonic for everything from hemorrhoids to morphine addiction, the drug has inspired infamous rock songs and brought people to their knees.

In the third and final segment of Narcotica’s ‘Speed Up, Slow Down’ series on stimulants, reporter Christopher Moraff examines the strange and perplexing history of cocaine and it’s latest demonization—fentanyl adulteration. He speaks with toxicologist Kevin Shanks, Dennis Cauchon of Harm Reduction Ohio and fentanyl test strip guru Tino Fuentes.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Photo credit: Christopher Moraff, edit by Troy Farah.

Episode 8: Collateral Damage—Patients Fight Back

With the midterms just days away, Zach, Chris and Troy explore America’s newest marginalized political constituency—millions of people with chronic pain or illness that have been ground under the wheel of American opioid policy. We speak with Lauren DeLuca, President of Chronic Illness Advocacy & Awareness Group about how we got here and how the sickest Americans can we come one of the strongest political forces in coming years.

Listen HERE

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Photo credit: K-State Research and Extension, edit by Troy Farah.

Episode 7: Drug War Déjà Vu

Narcotica co-host Zachary Siegel moderated a panel at the 12th National Harm Reduction Conference in New Orleans. The panel was the brainchild of the Drug Policy Alliance’s Michael Collins, titled: Drug War Déjà Vu: How harm reductionists can push back against drug-induced homicide laws, harsh fentanyl penalties, and the further demonization of drug users.” Panelists include Lindsay LaSalle (Drug Policy Alliance), Jasmine Tyler (Human Rights Watch), William Miller Jr. (BMore Power), and Dan Ciccarone (UCSF).

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Learn more about HRC at: http://harmreduction.org/conference/

Photo credit: Logan, edit by Troy Farah.

Episode 6: Speed Up, Slow Down Pt. 2 — Myth Evolution: From Crack Kids to Addicted Babies

In the ’80s, a rampant fear of “crack babies” permeated the mainstream media. But the claims of kids deformed due to crack cocaine turned out to be bullshit. Troy Farah reports on how this urban legend originated, and how it’s morphed into another false narrative: the addicted baby myth. Plus, we examine why pregnant drug users face so much greater stigma than others. We speak with Dr. Carl Hart, a neuroscientist and the Chair of the Department of Psychology at Columbia University, as well as Cherisse Scott, founder of Sister Reach, which fights for reproductive justice.

More info:
Dr. Carl Harthttp://drcarlhart.com/
Cherisse Scotthttp://sisterreach.org/

Follow Narcotica on Instagram, FacebookTwitter, 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!

If you liked this episode, here are others you might enjoy:
Episode 38: Dead People Don’t Recover — The Importance of Safe Supply with Mark Tyndall
Episode 33: Party and Play—An Intro to Chemsex with David Stuart
Episode 20: The Pitfalls of Mainstream Harm Reduction with Eliza Wheeler

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Music: Glass Boy
Intro voice: Jenny Schaye
Photo credit: PXHere, edit by Troy Farah

Media clips:
Partnership for a Drug-Free America “Baby Bottle” (1992, USA)
Crack Babies: A Tale From the Drug Wars | Retro Report | The New York Times
Presidential Debate 1992 #1
Born Addicted: 1 2 3 4 5

More resources:
Substance use during pregnancy: time for policy to catch up with research
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC419718/

Substance use during pregnancy: time for policy to catch up with research
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC419718/

Criminal Charges for Child Harm from Substance Use in Pregnancy
http://jaapl.org/content/45/2/193#T1

https://www.reuters.com/investigates/special-report/baby-opioids/

https://tonic.vice.com/en_us/article/bj75n5/baby-opioid-addicts-dont-exist

Open Letter to Journalists and Editors About “Addicted Babies”

http://www.advocatesforpregnantwomen.org/issues/pregnancy_and_drug_use_the_facts/

Shattering The Myth Of The ‘Addicted Baby’

http://discovermagazine.com/2006/dec/crack-baby-unfounded-stigma

View at Medium.com

 

Episode 5: Speed Up, Slow Down Pt. 1

With all the focus on opioids, Narcotica has decided to launch a series on stimulants called “Speed Up, Slow Down.” In the first installment, Zachary Siegel takes a critical look at how media depicts meth and cocaine use. He interviews two users about how stimulants actually help them function. Then, he talks to Sheila Vakharia from the Drug Policy Alliance about harm reduction, and Kat Humphries from the Harm Reduction Action Center about her “Methamphetazine” that features art from Denver stimulant users.

Download link for the zine.

More info on harm reduction for stimulants here. Follow Sheila Vakharia: @MyHarmReduction

Follow Narcotica on Instagram, FacebookTwitter, 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!

If you liked this episode, here are others you might enjoy:
Episode 38: Dead People Don’t Recover — The Importance of Safe Supply with Mark Tyndall
Episode 33: Party and Play—An Intro to Chemsex with David Stuart
Episode 20: The Pitfalls of Mainstream Harm Reduction with Eliza Wheeler

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Music: Glass Boy
Intro voice: Jenny Schaye
Image: Composite of Wikimedia images by Troy Farah

Episode 2: Anthony Bourdain, Suicide and the Myth of Cross Addiction

*CW: Suicide is discussed on this episode.*

Narcotica heard that members of the addiction recovery community were wildly speculating about whether or not drinking played a role in Anthony Bourdain’s suicide. Not only do we think that speaking for someone who cannot speak for themselves—especially someone like Bourdain, who was an incredibly empathetic human being and storyteller—is a shitty thing to do. But to do it without any shred of evidence or rigor, makes it all even worse. In this episode, more commentary than radio magazine format, Troy, Zach, and Chris, discuss the CDC’s latest suicide report, and cross addiction, a popular myth that people who recover from addictions continue to believe.

If you or someone you know are having thoughts of suicide, please visit suicidepreventionlifeline.org/

Follow Narcotica on FacebookTwitter, 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!

If you liked this episode, here are others you might enjoy:
Episode 22: Changing the Narrative with Maia Szalavitz and Leo Beletsky
Episode 51: The Joy of Drug Use with Dr. Carl Hart
Episode 20: The Pitfalls of Mainstream Harm Reduction with Eliza Wheeler

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Music: Glass Boy
Intro voice: Jenny Schaye
Image: Pete Souza.